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Al Tabaa K, Morin L. [The alar vertical section or résection technique in rhinoplasty]. ANN CHIR PLAST ESTH 2024; 69:186-189. [PMID: 37271657 DOI: 10.1016/j.anplas.2023.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2023] [Revised: 05/21/2023] [Accepted: 05/25/2023] [Indexed: 06/06/2023]
Abstract
Nasal tip plasty is a real functional and aesthetical challenge in rhinoplasty. Many techniques have been described with different degrees of variability. The classic technique is the vertical division of the domes with section of the intermediate domes and directed healing without suture or cartilaginous grafting. The technique is based on an alar section or resection combined with a transdomal suture (STD) which allows control of the projection and rotation of the nasal tip.
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Affiliation(s)
- K Al Tabaa
- Service de chirurgie cervico-faciale et ORL, hôpital NOVO, centre Pontoise, 6, avenue de l'Île-de-France, 95300 Pontoise, France
| | - L Morin
- Service de chirurgie cervico-faciale et ORL, hôpital NOVO, centre Pontoise, 6, avenue de l'Île-de-France, 95300 Pontoise, France
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Galeotti C, Bajolle F, Belot A, Biscardi S, Bosdure E, Bourrat E, Cimaz R, Darbon R, Dusser P, Fain O, Hentgen V, Lambert V, Lefevre-Utile A, Marsaud C, Meinzer U, Morin L, Piram M, Richer O, Stephan JL, Urbina D, Kone-Paut I. French national diagnostic and care protocol for Kawasaki disease. Rev Med Interne 2023:S0248-8663(23)00647-1. [PMID: 37349225 DOI: 10.1016/j.revmed.2023.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Accepted: 06/04/2023] [Indexed: 06/24/2023]
Abstract
Kawasaki disease (KD) is an acute vasculitis with a particular tropism for the coronary arteries. KD mainly affects male children between 6 months and 5 years of age. The diagnosis is clinical, based on the international American Heart Association criteria. It should be systematically considered in children with a fever, either of 5 days or more, or of 3 days if all other criteria are present. It is important to note that most children present with marked irritability and may have digestive signs. Although the biological inflammatory response is not specific, it is of great value for the diagnosis. Because of the difficulty of recognising incomplete or atypical forms of KD, and the need for urgent treatment, the child should be referred to a paediatric hospital as soon as the diagnosis is suspected. In the event of signs of heart failure (pallor, tachycardia, polypnea, sweating, hepatomegaly, unstable blood pressure), medical transfer to an intensive care unit (ICU) is essential. The standard treatment is an infusion of IVIG combined with aspirin (before 10 days of fever, and for a minimum of 6 weeks), which reduces the risk of coronary aneurysms. In case of coronary involvement, antiplatelet therapy can be maintained for life. In case of a giant aneurysm, anticoagulant treatment is added to the antiplatelet agent. The prognosis of KD is generally good and most children recover without sequelae. The prognosis in children with initial coronary involvement depends on the progression of the cardiac anomalies, which are monitored during careful specialised cardiological follow-up.
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Affiliation(s)
- C Galeotti
- Service de rhumatologie pédiatrique, centre de référence des maladies auto-inflammatoires rares et des amyloses, CHU de Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France.
| | - F Bajolle
- M3C-Necker-Enfants-Malades, hôpital Necker-Enfants-Malades, université de Paris Cité, Paris, France
| | - A Belot
- Service de néphrologie, rhumatologie et dermatologie pédiatriques, centre de référence des rhumatismes inflammatoires et maladies auto-immunes systémiques rares de l'enfant (RAISE), hôpital Femme-Mère-Enfant, hospices civils de Lyon, Lyon, France
| | - S Biscardi
- Service des urgences pédiatriques, centre hospitalier intercommunal de Créteil, Créteil, France
| | - E Bosdure
- Service de spécialités pédiatriques et médecine infantile, CHU Timone-Enfants, 13385 Marseille cedex 5, France
| | - E Bourrat
- Service de pédiatrie générale, maladies infectieuses et médecine interne, centre de référence des rhumatismes inflammatoires et maladies auto-immunes systémiques rares de l'enfant, hôpital universitaire Robert-Debré, université hospital, Assistance publique-Hôpitaux de Paris, 75019 Paris, France
| | - R Cimaz
- Pediatric Rheumatology Unit, Gaetano Pini Hospital, Department of Clinical Sciences and Community Health, Research Centre for Adult and Pediatric Rheumatic Diseases, Università degli Studi di Milano, Milan, Italy
| | - R Darbon
- Association France vascularites, Blaisy-Bas, France
| | - P Dusser
- Service de rhumatologie pédiatrique, centre de référence des maladies auto-inflammatoires rares et des amyloses, CHU de Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France
| | - O Fain
- Service de médecine interne, hôpital Saint-Antoine, Sorbonne université, AP-HP, 75012 Paris, France
| | - V Hentgen
- Service de pédiatrie, centre de référence des maladies auto-inflammatoires et de l'amylose (CEREMAIA), centre hospitalier de Versailles, Le Chesnay, France
| | - V Lambert
- Service de radiologie pédiatrique, Institut mutualiste Montsouris, CHU de Bicêtre, Le Kremlin-Bicêtre, France
| | - A Lefevre-Utile
- Service de pédiatrie générale et des urgences pédiatriques, hôpital Jean-Verdier, Assistance publique-Hôpitaux de Paris (AP-HP), Bondy, France
| | - C Marsaud
- Service de rhumatologie pédiatrique, centre de référence des maladies auto-inflammatoires rares et des amyloses, CHU de Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France
| | - U Meinzer
- Service de pédiatrie générale, maladies infectieuses et médecine interne, centre de référence des rhumatismes inflammatoires et maladies auto-immunes systémiques rares de l'enfant, hôpital universitaire Robert-Debré, université hospital, Assistance publique-Hôpitaux de Paris, 75019 Paris, France
| | - L Morin
- Service de réanimation pédiatrique et néonatale, DMU 3 santé de l'enfant et adolescent, hôpital Bicêtre, université Paris-Saclay, AP-HP, Le Kremlin-Bicêtre, France
| | - M Piram
- Division of Dermatology, Department of Pediatrics, Centre Hospitalier Universitaire Sainte Justine, Université de Montréal, Montréal, Quebec, Canada
| | - O Richer
- Service des urgences pédiatriques, hôpital universitaire de Pellegrin, Bordeaux, France
| | - J-L Stephan
- Service de pédiatrie, CHU Saint-Étienne, Saint-Étienne, France
| | - D Urbina
- Service d'accueil des urgences pédiatriques, hôpital Nord, AP-HM, 13005 Marseille, France
| | - I Kone-Paut
- Service de rhumatologie pédiatrique, centre de référence des maladies auto-inflammatoires rares et des amyloses, CHU de Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France
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Morin L, Couineau F, Begon E, Walter A, Faucon B, Al Tabaa K. Randomized trial of the effect of video training on residents' surgical skills in facial skin reconstructive surgery: A SQUIRE study. Eur Ann Otorhinolaryngol Head Neck Dis 2022; 139:321-325. [PMID: 35717531 DOI: 10.1016/j.anorl.2022.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES The purpose of this study was to evaluate the impact of facial skin reconstruction training videos for head and neck and maxillofacial surgery residents. MATERIAL AND METHODS This randomized trial, conducted in France, involved residents in head and neck and maxillofacial surgery. A website was created containing facial skin reconstruction training videos. Selected residents performed facial skin flap dissections in the Paris School of Surgery. They were randomized into two groups, one receiving a standard course before the dissection, and the other a standard course plus a video of the flap ("no-video" and "video" groups). Each resident performed 4 facial flaps and was graded (blindly) during dissection. The main study endpoint was intergroup difference in grading score (out of 15). The article was written up following the SQUIRE-EDU (Standards for QUality Improvement Reporting Excellence in EDUcation) criteria. RESULTS Eighteen residents were included. For the main endpoint, scores were significantly higher in the "video" than the "no-video" group (6 [IQR, 4: 9] vs. 10 [9: 12]; P<0.001). In addition, as secondary endpoint, "no-video" group residents requested more assistance (3 [2: 4] vs. 1 [1: 2] P<0.001). Power was lacking for any subgroup analysis according to year of residency or to the 4 flaps. CONCLUSION Videos improved surgical residents' performance during dissections. However, these results would be difficult to transpose to real clinical conditions. They need validating in a larger study evaluating performance in real-life procedures.
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Affiliation(s)
- L Morin
- Service d'ORL, Hôpital René Dubos, Pontoise, France.
| | - F Couineau
- Service d'ORL, Hôpital Foch, Suresnes, France
| | - E Begon
- Service de Dermatologie, Hôpital René Dubos, Pontoise, France
| | - A Walter
- Service de Dermatologie, Hôpital René Dubos, Pontoise, France
| | - B Faucon
- Service d'ORL, Hôpital René Dubos, Pontoise, France
| | - K Al Tabaa
- Service d'ORL, Hôpital René Dubos, Pontoise, France
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Van Bulck L, Goossens E, Morin L, Luyckx K, Ombelet F, Willems R, Budts W, De Groote K, De Backer J, Annemans L, Moniotte S, De Hosson M, Marelli A, Ecarnot F, Moons P. End-of-life and palliative care provision to adults with congenital heart disease: mortality follow-back study using administrative data. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Although many adults with congenital heart disease (CHD) still die prematurely, end-of-life care for these patients receives limited attention. There are indications that current care provision at the end of life is burdensome, expensive, and not in line with patients' needs and preferences. We sought to analyse end-of-life care in adult CHD patients to determine whether health services need to be optimized.
Purpose
This study aimed to describe patterns of healthcare consumption of adults with CHD who died in the last year of life.
Methods
This retrospective mortality follow-back study used data of the BELgian COngenital heart disease Database combining Administrative and Clinical data (BELCODAC), including individually linked healthcare claims, death certificates and clinical data from adults with CHD in Flanders (Belgium). For this study, adults with CHD who died between 2007 and 2016 from any cause except sudden death, accident or violence, were selected for inclusion. Accidental, violent, and sudden deaths were identified based on causes of death and healthcare use in the last 3 months of life. Healthcare consumption was based on nomenclature codes derived from healthcare claims data.
Results
A total of 327 eligible patients (median age: 58 y; 54% women; 43% mild CHD; 45% moderate CHD; 11% complex CHD; 49% cardiovascular cause of death) were identified. During the last year of life, healthcare use increased substantially (Fig. 1). During the last month of life, 54% of patients were hospitalised, 55% visited the emergency department, and 15% were admitted to an intensive care unit at least once (Fig. 2). A total of 8% and 5% of patients underwent heart surgery or catherization in the last month of life, respectively. Furthermore, 70% of patients had at least one encounter with a general practitioner and 11% with a CHD specialist in the last month of life. Specialist palliative care was provided to 13% of patients in the last month of life.
When looking at the subgroup of patients with CHD that died due to a cardiovascular cause, proportions of patients that were hospitalised or had visits at the emergency department or intensive care unit in the last month of life were similar (Fig. 2). However, these patients underwent more heart surgeries (11%) and catherizations (8%), had more encounters with CHD specialists (15%), and received remarkably less specialized palliative care (4%) in the last month of life.
Conclusion
Resource utilization increased substantially during the last year of life, resulting in high acute healthcare consumption in the last month of life. It is remarkable that only a minority of patients received palliative care, especially when looking at patients who died due to a cardiovascular cause. Our findings motivate the need to assess if and how end-of-life is planned for adults with CHD. Future studies using qualitative analyses and survey methodology are needed to optimize the management of end-of-life care.
Funding Acknowledgement
Type of funding sources: Public grant(s) – EU funding. Main funding source(s): Research Foundation Flanders, European Society of Cardiology, Koning Boudewijnstichting, National Foundation on Research in Pediatric Cardiology, Swedish Research Council for Health, Working Life and Welfare-FORTE
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Affiliation(s)
- L Van Bulck
- University of Leuven, Department of Public Health and Primary Care , Leuven , Belgium
| | - E Goossens
- University of Antwerp, Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care , Antwerp , Belgium
| | - L Morin
- Regional University Hospital Jean Minjoz, Inserm Centre d'investigation clinique 1431 , Besancon , France
| | - K Luyckx
- University of Leuven, Department of Psychology and Educational Sciences , Leuven , Belgium
| | - F Ombelet
- University Hospitals (UZ) Leuven, Division of Neurology , Leuven , Belgium
| | - R Willems
- Ghent University, Department of Public Health and Primary Care , Ghent , Belgium
| | - W Budts
- University Hospitals (UZ) Leuven, Division of Congenital and Structural Cardiology , Leuven , Belgium
| | - K De Groote
- University Hospital Ghent, Department of Pediatric Cardiology , Gent , Belgium
| | - J De Backer
- University Hospital Ghent, Department of Adult Congenital Cardiology , Gent , Belgium
| | - L Annemans
- Ghent University, Department of Public Health and Primary Care , Ghent , Belgium
| | - S Moniotte
- University Hospitals St Luc Brussels, Pediatric and Congenital Cardiology Department , Brussels , Belgium
| | - M De Hosson
- University Hospital Ghent, Department of Adult Congenital Cardiology , Gent , Belgium
| | - A Marelli
- McGill University Health Centre, McGill Adult Unit for Congenital Heart Disease Excellence (MAUDE Unit) , Montreal , Canada
| | - F Ecarnot
- Regional University Hospital Jean Minjoz, Department of Cardiology , Besancon , France
| | - P Moons
- University of Leuven, Department of Public Health and Primary Care , Leuven , Belgium
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Van Bulck L, Goossens E, Morin L, Luyckx K, Ombelet F, Willems R, Budts W, De Groote K, De Backer J, Moniotte S, De Hosson M, Marelli A, Moons P. Healthcare use at the end of life of patients with congenital heart disease: does heart failure matter? Eur J Cardiovasc Nurs 2022. [DOI: 10.1093/eurjcn/zvac060.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Foundation. Main funding source(s): Research Foundation Flanders (to PM, EG, and LVB)
European Society of Cardiology (Nursing Training Grant to LVB)
Background
Heart failure (HF) is a common cause of morbidity and mortality in patients with congenital heart disease (CHD). Although limited in scope, previous studies suggest that patients with heart failure follow a specific end-of-life trajectory with episodes of serious complications, which may impact the patterns of care as death approaches.
Aims
The study aims to identify differences in characteristics and patterns of care in the last year of life in deceased CHD patients with and without HF.
Methods
This retrospective study used data of deceased adult patients included in the BELgian COngenital heart disease Database combining Administrative and Clinical data (BELCODAC). To describe patterns of care in the last year of life, we captured information about hospitalisations, emergency department visits, and visits to the general practitioner using nomenclature codes. Heart failure was identified as having HF as cause of death and/or at least one prescription of a loop diuretic in the last year of life. Sensitivity analyses with a stricter definition for HF (HF as cause of death or ≥ 1 prescription of a loop diuretic combined with a prescription of digoxin, dopamine, dobutamine, other non-glycoside stimulants, metoprolol, bisoprolol, carvedilol, aldosterone antagonists, ACE inhibitors or ARBs) were performed as well.
Results
During the period 2007–2016, 390 adults with CHD died, of which 170 patients with HF (44%). Patients with HF were older, died more often due to a cardiovascular cause of death, and had more complex heart lesions, compared to patients without HF (Table 1). While the number of emergency department visits and hospitalisations in the last year was similar, patients with HF had almost twice as much monthly visits at the general practitioner in their last year of life (Table 1). As shown in Figure 1, the mean number of hospitalisations and emergency department visits increased in a similar fashion throughout the last year of life, but the pattern of general practitioner visits was substantially different for patients with and without HF. The sensitivity analyses, in which a stricter definition for HF was used, yield very similar results. In these analyses, the difference in mean monthly hospitalisations was also significant between the two groups.
Conclusions
This study shows clinically important differences in characteristics and patterns of care of deceased patients with CHD with and without heart failure. Patients with HFhave different needs and should receive a tailored approach at the end of life. Future research is needed to understand these differences and investigate these patients' end-of-life care needs in more detail.
Funding acknowledgments: This work was supported by Research Foundation Flanders; European Society of Cardiology; the King Baudouin Foundation; the National Foundation on Research in Pediatric Cardiology; and the Swedish Research Council for Health, Working Life and Welfare-FORTE.
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Affiliation(s)
- L Van Bulck
- University of Leuven, Department of Public Health and Primary Care , Leuven , Belgium
| | - E Goossens
- University of Antwerp, Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care , Antwerp , Belgium
| | - L Morin
- Regional University Hospital Jean Minjoz, Inserm Centre d'investigation clinique 1431 , Besancon , France
| | - K Luyckx
- University of Leuven, Department of Psychology and Educational Sciences , Leuven , Belgium
| | - F Ombelet
- University Hospitals (UZ) Leuven, Division of Neurology , Leuven , Belgium
| | - R Willems
- Ghent University, Department of Public Health and Primary Care , Ghent , Belgium
| | - W Budts
- University Hospitals (UZ) Leuven, Division of Congenital and Structural Cardiology , Leuven , Belgium
| | - K De Groote
- University Hospital Ghent, Department of Pediatric Cardiology , Gent , Belgium
| | - J De Backer
- University Hospital Ghent, Department of Adult Congenital Cardiology , Gent , Belgium
| | - S Moniotte
- Cliniques Saint-Luc UCL, Pediatric and Congenital Cardiology Department , Brussels , Belgium
| | - M De Hosson
- University Hospital Ghent, Department of Adult Congenital Cardiology , Gent , Belgium
| | - A Marelli
- McGill University Health Centre, McGill Adult Unit for Congenital Heart Disease Excellence (MAUDE Unit) , Montreal , Canada
| | - P Moons
- University of Leuven, Department of Public Health and Primary Care , Leuven , Belgium
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Schvartz A, Kechiche R, Bajolle F, Poignant S, Basmaci R, Pajot C, Melki I, Morin L, Adamsbaum C, Matsa N, Hofer M, Koné-Paut I, Galeotti C. POS1284 PAINFUL CERVICAL INVOLVEMENT AND FEBRILE TORTICOLLIS: A FREQUENT SYMPTOM OF PIMS. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.5298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundPediatric Inflammatory Multisystemic Syndrome associated to SARS-CoV2 (PIMS) happens 4 to 6 weeks after SARS-CoV2 infection1-2. Its early diagnostic recognition as well as its early management is important to avoid cardiac complications related to this pathology.ObjectivesTo highlight a frequent symptom in PIMS and improve its therapeutic care.MethodsThe JIR Cohort database, an international registry collecting data on patients with pediatric inflammatory diseases, was consulted to include patients between 03/15/20 and 12/31/2021.ResultsOf the 140 patients in whom a diagnosis of PIMS was retained, we present a series of 38 patients (27%) who presented at diagnosis or during evolution, febrile torticollis or painful cervical involvement. These patients were on average 8.2 years old (0.6-15.2). The proportion of boys was 14 out of 38 (37%). Twenty-four patients out of 33 (73%) were hospitalized in intensive care. Ten patients out of 38 (26%) underwent cervical imaging, 5 (50%) had abnormalities such as collection or infiltration of the soft tissues. At the therapeutic level, 27/38 patients (71%) received corticosteroid therapy, 33/38 (87%) immunoglobulins, and 26/38 (68%) antibiotic therapy.ConclusionPIMS is a pathology with significant clinical heterogeneity and severe consequences in case of delay in therapeutic management. In this epidemic context, it is important to consider PIMS in any patient with febrile torticollis, especially if he does not respond to antibiotics.References[1]Feldstein LR, Rose EB, Horwitz SM, Collins JP, Newhams MM, Son MBF, et al. Multisystem Inflammatory Syndrome in U.S. Children and Adolescents. N Engl J Med. 23 juill 2020.[2]Whittaker E, Bamford A, Kenny J, Kaforou M, Jones CE, Shah P, et al. Clinical Characteristics of 58 Children With a Pediatric Inflammatory Multisystem Syndrome Temporally Associated With SARS-CoV-2. JAMA. 8 juin 2020Disclosure of InterestsNone declared
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Kechiche R, Schvartz A, Bajolle F, Poignant S, Basmaci R, Pajot C, Meinzer U, Morin L, Lambert V, Dusser P, Matsa N, Hofer M, Koné-Paut I, Caroline G. POS1326 PIMS THROUGH THE WAVES OF COVID 19: DATA FROM THE JIR COHORT. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.5227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundPaediatric inflammatory multisystem Syndrome (PIMS) is a new systemic inflammatory disease linked to SARS-CoV2 that affects children. It was first reported in may 2020 [1-2].ObjectivesThe objectives of this study were to describe patients with PIMS through the international JIR cohort registry and to compare the different profiles and treatments of these patients over the different waves.MethodsStudy patients with international PIMS criteria were included from March 2020 to June 2021. Patients were identified in the JIR cohort, an international registry collecting demographic, clinical and paraclinical data on patients with pediatric inflammatory diseases. Two groups were distinguished: from March 2020 to July 2020 for patients in the first wave, from July 2020 to June 2021 for patients in the 2nd and 3rd waves. These two groups were compared using a Fischer test for categorical data and a Mann-Whitney test for quantitative dataResults136 patients meeting the PIMS criteria were included (64 patients in the 1st wave, 72 patients after). Patients had less frequent myocarditis (51 patients in wave 1 vs. 36 patients after, p=0,0003) and respiratory distress (34 patients vs 10 patients, p<0,0001). Corticosteroids were used more frequently in the second wave (32 patients in wave 1 vs. 67 patients after July 2020, p<0,0001). Intravenous immunoglobulins were used as much over the waves (58 patients in wave 1 vs 68 patients after, p=0.5). Antibiotics were less used since the second wave (53 patients received antibiotics before July 2020 vs 11 after, p<0,0001). The duration of hospitalization decreased significantly (p<0,0001) with a median duration of 9 days during the first wave (interquartile range, 7-12) and 7 days (interquartile range, 5-10) after the first wave.ConclusionThere was a decrease in the number of complications of PIMS, particularly cardiac and respiratory complications, and a decrease in the length of hospitalization over time. The treatment of PIMS has also evolved, with a clear increase in the use of corticosteroids and a decrease in the use of antibiotics.References[1]Riphagen S, Gomez X, Gonzalez-Martinez C, Wilkinson N, Theocharis P (2020) Hyperinflammatory shock in children during COVID-19 pandemic. Lancet 395:1607–1608.[2]Verdoni L, Mazza A, Gervasoni A, Martelli L, Ruggeri M, Ciuffreda M, Bonanomi E, D’Antiga L (2020) An outbreak of severe Kawasaki-like disease at the Italian epicentre of the SARS-CoV-2 epidemic: an observational cohort study. Lancet. 395:1771–1778AcknowledgementsAcknowldgements to the French Covid-19 Paediatric Inflammation Consortium.Disclosure of InterestsNone declared
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Jutant E, Meyrignac O, Beurnier A, Jais X, Pham T, Morin L, Boucly A, Bulifon S, Samy F, Harrois A, Jevnikar M, Noël N, Pichon J, Roche A, Seferian A, Soliman S, Duranteau J, Becquemont L, Monnet X, Sitbon O, Bellin M, Humbert M, Savale L, Montani D. Symptômes respiratoires et anomalies radiologiques dans le COVID long. Revue des Maladies Respiratoires Actualités 2022. [PMCID: PMC8709679 DOI: 10.1016/j.rmra.2021.11.203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Nardin C, Senot L, Pernot P, Puzenat E, Aubin F, Morin L. Increase in American Joint Committee on Cancer Stage at Diagnosis for Patients with Skin Cancers after the COVID-19 Lockdown. Acta Derm Venereol 2021; 102:adv00630. [PMID: 34842933 PMCID: PMC9574687 DOI: 10.2340/actadv.v101.213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
is missing (Short communication).
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Affiliation(s)
- Charlée Nardin
- Department of Dermatology, University Hospital, 3 Bd Fleming, FR-25000 Besançon.
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Morin L, Branchereau S, Habes D, Franchi-Abella S, Gonzales E. Hepatic hydrothorax in a child and its management. Arch Pediatr 2021; 28:429-431. [PMID: 33926811 DOI: 10.1016/j.arcped.2021.04.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 02/22/2021] [Accepted: 04/05/2021] [Indexed: 02/08/2023]
Abstract
Hepatic hydrothorax is a rare complication of portal hypertension. The optimal treatment for this condition is liver transplantation. Liver transplantation is significantly more manageable in children who weigh more than 8 kg. Here, an implantable pleural access device was used in a 5-month-old infant for painless iterative punctures to relieve respiratory symptoms, while waiting for liver transplantation and the patient's growth. The patient underwent successful transplantation 3 months later with a more optimal weight.
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Affiliation(s)
- L Morin
- Department of Paediatric Intensive Care, DMU 3 Santé de l'enfant et de l'adolescent, Bicêtre Hospital, APHP Paris Saclay University, France.
| | - S Branchereau
- Department of Paediatric Surgery, DMU 3 Santé de l'enfant et de l'adolescent, Bicêtre Hospital, APHP Paris Saclay University, France
| | - D Habes
- Department of Paediatric Hepatology and National Reference Centre for Rare Paediatric Liver Diseases, DMU 3 Santé de l'enfant et de l'adolescent, Bicêtre Hospital, APHP Paris Saclay University, France
| | - S Franchi-Abella
- Department of Paediatric Radiology, Bicêtre Hospital, DMU 14 Imagerie-Médecine nucléaire - Pathologie, APHP Paris Saclay University, France
| | - E Gonzales
- Department of Paediatric Hepatology and National Reference Centre for Rare Paediatric Liver Diseases, DMU 3 Santé de l'enfant et de l'adolescent, Bicêtre Hospital, APHP Paris Saclay University, France
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11
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Proffit M, Magni M, Desbois G, Morin L. P311 The effect of Simeox airway clearance technology on resting hyperinflation in cystic fibrosis patients. J Cyst Fibros 2020. [DOI: 10.1016/s1569-1993(20)30640-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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12
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Morin L, Pierre A, Tissieres P, Miatello J, Durand P. Actualités sur le sepsis et le choc septique de l’enfant. Méd Intensive Réa 2019. [DOI: 10.3166/rea-2018-0080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
L’incidence du sepsis de l’enfant augmente en réanimation pédiatrique. La définition du sepsis et du choc septique de l’enfant est amenée à évoluer à l’instar de celle du choc septique de l’adulte pour détecter les patients nécessitant une prise en charge urgente et spécialisée. La prise en charge d’un patient septique repose sur une oxygénothérapie, une expansion volémique au sérum salé isotonique, une antibiothérapie et un transfert dans un service de réanimation ou de surveillance continue pédiatrique. Le taux et la cinétique d’élimination du lactate plasmatique est un bon critère diagnostic et pronostic qui permet de guider la prise en charge. La présence de plusieurs défaillances d’organes ou une défaillance circulatoire aiguë signe le diagnostic de sepsis encore dit sévère, et leur persistance et/ou la non-correction de l’hypotension artérielle malgré un remplissage vasculaire d’au moins 40 ml/kg définit le choc septique chez l’enfant. Dans ce cas, la correction rapide de l’hypotension artérielle persistante repose sur la noradrénaline initiée sur une voie intraveineuse périphérique dans l’attente d’un accès veineux central. L’échographie cardiaque est un examen clé de l’évaluation hémodynamique du patient, pour guider la poursuite de l’expansion volémique ou détecter une cardiomyopathie septique. Des thérapeutiques additionnelles ont été proposées pour prendre en charge certains patients avec des défaillances d’organes particulières. L’immunomonitorage et la modulation sont un ensemble de techniques qui permettent la recherche et le traitement de certaines complications. La Surviving Sepsis Campaign a permis d’améliorer la prise en charge de ces patients par l’implémentation d’algorithmes de détection et de prise en charge du sepsis de l’enfant. Une révision pédiatrique de cette campagne est attendue prochainement.
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13
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Morin L, Wastesson J, Agahi N, Johnell K. Advanced Topics for End-of-Life Care. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- L Morin
- Aging Research Center, Karolinska Institutet
| | - J Wastesson
- Aging Research Center, Karolinska Institutet
| | - N Agahi
- Aging Research Center, Karolinska Institutet
| | - K Johnell
- Aging Research Center, Karolinska Institutet
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14
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Devresse A, Tinel C, Vermorel A, Morin L, Avettand-Fenoel V, Amrouche L, Zuber J, Legendre C, Rabant M, Anglicheau D. Une baisse rapide de l’immunosuppression réduit la durée de la virémie BK virus chez le patient transplanté rénal, mais augmente le risque d’émergence d’anticorps spécifiques du donneur (DSA) de novo. Nephrol Ther 2018. [DOI: 10.1016/j.nephro.2018.07.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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15
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Tamisier R, Damy T, Goutorbe F, Palot A, Levy P, Davy JM, Lavergne F, Morin L, D’ortho MP, Pepin JL. Morbi-mortalité des patients insuffisants cardiaques chroniques (ICC) avec apnées centrales traités par Ventilation auto-asservie (VAA) : résultats intermédiaires à 2 ans de suivi de la cohorte observationnelle FACE. Rev Mal Respir 2018. [DOI: 10.1016/j.rmr.2017.10.114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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16
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Davy JM, Tamisier R, D'Ortho MP, Levy P, Goutorbe F, Morin L, Pepin JL, Damy T. 3861Morbidity and mortality of chronic heart failure (CHF) patients with central sleep apnoea (CSA) treated by adaptive servoventilation (ASV): Interim results of FACE cohort study. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.3861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- J.-M. Davy
- University Hospital Arnaud de Villeneuve, Cardiology, Montpellier, France
| | - R. Tamisier
- University Hospital of Grenoble, Physiology, sleep and Exercise, Grenoble, France
| | - M.-P. D'Ortho
- University Hospital Bichat-Claude Bernard, Physiology and Functional Explorations, Paris, France
| | - P. Levy
- University Hospital of Grenoble, Physiology, sleep and Exercise, Grenoble, France
| | - F. Goutorbe
- Centre Hospitalier de Béziers, Pneumology, Béziers, France
| | | | - J.-L. Pepin
- University Hospital of Grenoble, Physiology, sleep and Exercise, Grenoble, France
| | - T. Damy
- University Hospital Henri Mondor, Heart Failure and Amyloidosis, Creteil, France
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17
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Kelfve S, Wastesson J, Fors S, Johnell K, Morin L. HOW DOES EDUCATION AFFECT TRANSITIONS BETWEEN CARE SETTINGS IN OLDER ADULTS NEAR THE END OF LIFE? Innov Aging 2017. [DOI: 10.1093/geroni/igx004.256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- S. Kelfve
- National Institute for the Study of Ageing and Later Life, Linköping University, Norrköping, Sweden,
- Aging Research Center, Karolinska Institutet & Stockholm University, Stockholm, Sweden
| | - J.W. Wastesson
- Aging Research Center, Karolinska Institutet & Stockholm University, Stockholm, Sweden
| | - S. Fors
- Aging Research Center, Karolinska Institutet & Stockholm University, Stockholm, Sweden
| | - K. Johnell
- Aging Research Center, Karolinska Institutet & Stockholm University, Stockholm, Sweden
| | - L. Morin
- Aging Research Center, Karolinska Institutet & Stockholm University, Stockholm, Sweden
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18
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Wastesson J, Morin L, Johnell K. INCIDENCE AND DURATION OF POLYPHARMACY IN OLDER ADULTS: A NATIONWIDE LONGITUDINAL COHORT STUDY. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- J.W. Wastesson
- Aging Research Center, Karolinska Institutet & Stockholm University, Stockholm, Sweden
| | - L. Morin
- Aging Research Center, Karolinska Institutet & Stockholm University, Stockholm, Sweden
| | - K. Johnell
- Aging Research Center, Karolinska Institutet & Stockholm University, Stockholm, Sweden
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19
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Rochigneux P, Raoul JL, Beaussant Y, Aubry R, Goldwasser F, Tournigand C, Morin L. Use of chemotherapy near the end of life: what factors matter? Ann Oncol 2017; 28:809-817. [PMID: 27993817 DOI: 10.1093/annonc/mdw654] [Citation(s) in RCA: 73] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background Use of chemotherapy near the end of life in patients with metastatic cancer is often ineffective and toxic. Data about the factors associated with its use remain scarce, especially in Europe. Methods Nationwide, register-based study including all hospitalized patients aged ≥20 years who died from metastatic solid tumors in France between 2010 and 2013. Results A total of 279 846 hospitalized patients who died from metastatic cancer were included. During the last month before death, 19.5% received chemotherapy (including 11.3% during the last 2 weeks). Female sex (OR= 0.96, 95% CI= 0.93-0.98), older age (OR= 0.70, 95% CI= 0.69-0.71 for each 10-year increase) and higher number of chronic comorbidities (OR= 0.83, 95% CI= 0.82-0.84) were independently associated with lower rates of chemotherapy. Although patients with chemosensitive tumors were statistically more likely to receive chemotherapy during the last month before death (OR= 1.21, 1.18-1.25), this association was mostly fueled by testis and ovary tumors and we found no obvious pattern between the expected chemosensitivity of different cancers and the rates of chemotherapy use close to death. Compared with university hospitals, patients who died in for-profit clinics/hospital (OR= 1.40, 95% CI= 1.34-1.45), or comprehensive cancer centers (OR= 1.43, 95% CI= 1.36-1.50) were more likely to receive chemotherapy. Finally, high-volume centers and hospitals without palliative care units reported greater-than-average rates of chemotherapy near the end of life. Conclusion among hospitalized patients with cancer, young individuals, treated in comprehensive cancer centers or in high-volume centers without palliative care units were the most likely to receive chemotherapy near the end of life. We found no evident pattern between the expected chemosensitivity of different cancers and the probability for patients to receive chemotherapy close to death.
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Affiliation(s)
- P Rochigneux
- Department of Medical Oncology, Paoli-Calmettes Institute, Marseille, France
| | - J L Raoul
- Department of Medical Oncology, Paoli-Calmettes Institute, Marseille, France
| | - Y Beaussant
- Department of Palliative Care, Besancon University Hospital, Besancon, France.,Inserm CIT808, Besancon University Hospital, Besançon, France
| | - R Aubry
- Department of Palliative Care, Besancon University Hospital, Besancon, France.,Inserm CIT808, Besancon University Hospital, Besançon, France
| | - F Goldwasser
- Department of Medical Oncology, Cochin University Hospital (AP-HP) Paris, France
| | - C Tournigand
- Department of Medical Oncology, Henri Mondor University Hospital (AP-HP), Créteil, France.,Department of Oncology, Paris-Est University, Créteil, France
| | - L Morin
- Aging Research Center, Karolinska Institutet, Stockholm, Sweden
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Boulkedid R, Teixeira M, Rouault A, Prot-Labarthe S, Morin L, Alberti C, Bourdon O, Angoulvant F. Apport de l’anthropologie à l’élaboration et à la validation d’un questionnaire d’évaluation d’un programme d’éducation thérapeutique à la prise en charge de la fièvre de l’enfant. Rev Epidemiol Sante Publique 2017. [DOI: 10.1016/j.respe.2017.03.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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21
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Tamisier R, Damy T, Davy JM, Levy P, Goutorbe F, Morin L, Lavergne F, D’Ortho MP, Pepin J. Morbi-mortalité des patients insuffisants cardiaques chroniques (ICC) avec apnées centrales traités par ventilation auto-asservie (VAA) : résultats intermédiaires de l’étude de cohorte FACE. Rev Mal Respir 2017. [DOI: 10.1016/j.rmr.2016.10.106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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22
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Meurice J, Attali V, Collet J, D’ortho M, Goutorbe F, Kerbrat J, Khemliche H, Leger D, Lerousseau L, Martin F, Monaca C, Monteyrol P, Morin L, Mullens E, Pigearias B, Vecchierini M. Résultats à 2 ans de suivi de l’étude ORCADES : orthèse d’avancée mandibulaire (OAM) sur mesure CAD/CAM chez les patients traités pour un syndrome d’apnées hypopnées obstructives du sommeil (SAHOS). Rev Mal Respir 2017. [DOI: 10.1016/j.rmr.2016.10.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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23
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Galichon P, Amrouche L, Hertig A, Brocheriou I, Rabant M, Xu-Dubois YC, Ouali N, Dahan K, Morin L, Terzi F, Rondeau E, Anglicheau D. Urinary mRNA for the Diagnosis of Renal Allograft Rejection: The Issue of Normalization. Am J Transplant 2016; 16:3033-3040. [PMID: 27232948 DOI: 10.1111/ajt.13891] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2016] [Revised: 05/10/2016] [Accepted: 05/25/2016] [Indexed: 01/25/2023]
Abstract
Urinary messenger RNA (mRNA) quantification is a promising method for noninvasive diagnosis of renal allograft rejection (AR), but the quantification of mRNAs in urine remains challenging due to degradation. RNA normalization may be warranted to overcome these issues, but the strategies of gene normalization have been poorly evaluated. Herein, we address this issue in a case-control study of 108 urine samples collected at time of allograft biopsy in kidney recipients with (n = 52) or without (n = 56) AR by comparing the diagnostic value of IP-10 and CD3ε mRNAs-two biomarkers of AR-after normalization by the total amount of RNA, normalization by one of the three widely used reference RNAs-18S, glyceraldehyde-3-phosphate dehydrogenase (GAPDH) and Hypoxanthine-guanine phosphoribosyltransferase (HPRT)-or normalization using uroplakin 1A (UPK) mRNA as a possible urine-specific reference mRNA. Our results show that normalization based on the total quantity of RNA is not substantially improved by additional normalization and may even be worsened with some classical reference genes that are overexpressed during rejection. However, considering that normalization by a reference gene is necessary to ensure polymerase chain reaction (PCR) quality and reproducibility and to suppress the effect of RNA degradation, we suggest that GAPDH and UPK1A are preferable to 18S or HPRT RNA.
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Affiliation(s)
- P Galichon
- INSERM U1155, Hôpital Tenon, Paris, France.,Université Pierre et Marie Curie, Paris 6, Sorbonne Universités, Paris, France.,Urgences Néphrologiques et Transplantation Rénale, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - L Amrouche
- INSERM U1151, Hôpital Necker, Paris, France
| | - A Hertig
- INSERM U1155, Hôpital Tenon, Paris, France.,Université Pierre et Marie Curie, Paris 6, Sorbonne Universités, Paris, France.,Urgences Néphrologiques et Transplantation Rénale, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - I Brocheriou
- INSERM U1155, Hôpital Tenon, Paris, France.,Université Pierre et Marie Curie, Paris 6, Sorbonne Universités, Paris, France.,Service d'anatomie pathologique, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - M Rabant
- Laboratoire d'anatomie pathologique, Hôpital Necker, Assistance Publique-Hôpitaux de Paris, Paris, France
| | | | - N Ouali
- Urgences Néphrologiques et Transplantation Rénale, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - K Dahan
- Service de Néphrologie et Dialyses, Hôpital Necker, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - L Morin
- Service de Néphrologie et Transplantation Adulte, Hôpital Necker, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - F Terzi
- INSERM U1151, Hôpital Necker, Paris, France
| | - E Rondeau
- INSERM U1155, Hôpital Tenon, Paris, France.,Université Pierre et Marie Curie, Paris 6, Sorbonne Universités, Paris, France.,Urgences Néphrologiques et Transplantation Rénale, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - D Anglicheau
- INSERM U1151, Hôpital Necker, Paris, France.,Service de Néphrologie et Transplantation Adulte, Hôpital Necker, Assistance Publique-Hôpitaux de Paris, Paris, France.,Université Paris Descartes, Sorbonne Paris Cité, Paris, France.,RTRS "Centaure", Labex "Transplantex", Hôpital Necker, Paris, France
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24
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25
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Kempf E, Morin L. Use of treatments of questionable benefit in hospitalized patients with metastatic gastric or esophageal cancer near the end of life. A country-wide, register-based study. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw384.08] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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26
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Gallais Sérézal I, Beaussant Y, Rochigneux P, Tournigand C, Aubry R, Lindelöf B, Morin L. End-of-life care for hospitalized patients with metastatic melanoma in France: a nationwide, register-based study. Br J Dermatol 2016; 175:583-92. [DOI: 10.1111/bjd.14631] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/29/2016] [Indexed: 11/29/2022]
Affiliation(s)
- I. Gallais Sérézal
- Department of Dermatovenereology; Karolinska Hospital and Department of Medicine; Karolinska Institutet; Stockholm Sweden
| | - Y. Beaussant
- Department of Palliative Care; Besançon University Hospital; Besançon France
- INSERM CIT808; Besançon University Hospital; Besançon France
| | - P. Rochigneux
- Medical Oncology; Institut Paoli-Calmettes; Marseille France
| | - C. Tournigand
- Oncology Department; Hôpital Henri Mondor; Assistance Publique Hôpitaux de Paris; Créteil France
- Paris-Est Créteil University; Créteil France
| | - R. Aubry
- Department of Palliative Care; Besançon University Hospital; Besançon France
- INSERM CIT808; Besançon University Hospital; Besançon France
| | - B. Lindelöf
- Department of Dermatovenereology; Karolinska Hospital and Department of Medicine; Karolinska Institutet; Stockholm Sweden
| | - L. Morin
- Aging Research Center; Karolinska Institutet and Stockholm University; Gävlegatan 16 11330 Stockholm Sweden
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27
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Rabant M, Amrouche L, Morin L, Bonifay R, Lebreton X, Aouni L, Benon A, Sauvaget V, Le Vaillant L, Aulagnon F, Sberro R, Snanoudj R, Mejean A, Legendre C, Terzi F, Anglicheau D. Early Low Urinary CXCL9 and CXCL10 Might Predict Immunological Quiescence in Clinically and Histologically Stable Kidney Recipients. Am J Transplant 2016; 16:1868-81. [PMID: 26694099 DOI: 10.1111/ajt.13677] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2015] [Revised: 12/01/2015] [Accepted: 12/01/2015] [Indexed: 01/25/2023]
Abstract
We monitored the urinary C-X-C motif chemokine (CXCL)9 and CXCL10 levels in 1722 urine samples from 300 consecutive kidney recipients collected during the first posttransplantation year and assessed their predictive value for subsequent acute rejection (AR). The trajectories of urinary CXCL10 showed an early increase at 1 month (p = 0.0005) and 3 months (p = 0.0009) in patients who subsequently developed AR. At 1 year, the AR-free allograft survival rates were 90% and 54% in patients with CXCL10:creatinine (CXCL10:Cr) levels <2.79 ng/mmoL and >2.79 ng/mmoL at 1 month, respectively (p < 0.0001), and 88% and 56% in patients with CXCL10:Cr levels <5.32 ng/mmoL and >5.32 ng/mmoL at 3 months (p < 0.0001), respectively. CXCL9:Cr levels also associate, albeit less robustly, with AR-free allograft survival. Early CXCL10:Cr levels predicted clinical and subclinical rejection and both T cell- and antibody-mediated rejection. In 222 stable patients, CXCL10:Cr at 3 months predicted AR independent of concomitant protocol biopsy results (p = 0.009). Although its positive predictive value was low, a high negative predictive value suggests that early CXCL10:Cr might predict immunological quiescence on a triple-drug calcineurin inhibitor-based immunosuppressive regimen in the first posttransplantation year, even in clinically and histologically stable patients. The clinical utility of this test will need to be addressed by dedicated prospective clinical trials.
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Affiliation(s)
- M Rabant
- Necker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France.,Paris Descartes, Sorbonne Paris Cité University, Paris, France.,Pathology Department, Necker Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - L Amrouche
- Necker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France
| | - L Morin
- Department of Nephrology and Kidney Transplantation, Necker Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - R Bonifay
- Necker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France
| | - X Lebreton
- Department of Nephrology and Kidney Transplantation, Necker Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.,Centaure Foundation and Labex Transplantex, Necker Hospital, Paris, France
| | - L Aouni
- Department of Nephrology and Kidney Transplantation, Necker Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - A Benon
- Necker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France
| | - V Sauvaget
- Necker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France
| | - L Le Vaillant
- Department of Nephrology and Kidney Transplantation, Necker Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - F Aulagnon
- Department of Nephrology and Kidney Transplantation, Necker Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - R Sberro
- Department of Nephrology and Kidney Transplantation, Necker Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - R Snanoudj
- Department of Nephrology and Kidney Transplantation, Necker Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - A Mejean
- Paris Descartes, Sorbonne Paris Cité University, Paris, France.,Department of Urology, Georges Pompidou European Hospital-Necker, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - C Legendre
- Necker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France.,Paris Descartes, Sorbonne Paris Cité University, Paris, France.,Department of Nephrology and Kidney Transplantation, Necker Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.,Centaure Foundation and Labex Transplantex, Necker Hospital, Paris, France
| | - F Terzi
- Necker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France
| | - D Anglicheau
- Necker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France.,Paris Descartes, Sorbonne Paris Cité University, Paris, France.,Department of Nephrology and Kidney Transplantation, Necker Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.,Centaure Foundation and Labex Transplantex, Necker Hospital, Paris, France
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28
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Meurice J, Attali V, D’ortho M, Goutorbe F, Leger D, Lerousseau L, Martin F, Monaca C, Monteyrol P, Morin L, Pigearias B, Vecchierini M. Bénéfices cliniques d’une orthèse d’avancée mandibulaire (OAM) sur mesure CAD/CAM sur la pression artérielle dans le syndrome d’apnées hypopnées obstructives du sommeil (SAHOS). Rev Mal Respir 2016. [DOI: 10.1016/j.rmr.2015.10.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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29
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Thompson S, Tan Y, Shivas R, Neate S, Morin L, Bissett A, Aitken E. Green and brown bridges between weeds and crops reveal novel Diaporthe species in Australia. Persoonia 2015; 35:39-49. [PMID: 26823627 PMCID: PMC4713110 DOI: 10.3767/003158515x687506] [Citation(s) in RCA: 59] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/02/2014] [Accepted: 10/30/2014] [Indexed: 01/05/2023]
Abstract
Diaporthe (syn. Phomopsis) species are well-known saprobes, endophytes or pathogens on a range of plants. Several species have wide host ranges and multiple species may sometimes colonise the same host species. This study describes eight novel Diaporthe species isolated from live and/or dead tissue from the broad acre crops lupin, maize, mungbean, soybean and sunflower, and associated weed species in Queensland and New South Wales, as well as the environmental weed bitou bush (Chrysanthemoides monilifera subsp. rotundata) in eastern Australia. The new taxa are differentiated on the basis of morphology and DNA sequence analyses based on the nuclear ribosomal internal transcribed spacer region, and part of the translation elongation factor-1α and ß-tubulin genes. The possible agricultural significance of live weeds and crop residues ('green bridges') as well as dead weeds and crop residues ('brown bridges') in aiding survival of the newly described Diaporthe species is discussed.
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Affiliation(s)
- S.M. Thompson
- Centre for Crop Health, University of Southern Queensland, West Street, Toowoomba. Queensland 4350 Australia
- School of Agriculture and Food Science, The University of Queensland, St Lucia, Queensland 4072, Australia
| | - Y.P. Tan
- Plant Pathology Herbarium, Department of Agriculture, Fisheries and Forestry, Ecosciences Precinct, Dutton Park, Queensland 4102, Australia
| | - R.G. Shivas
- Plant Pathology Herbarium, Department of Agriculture, Fisheries and Forestry, Ecosciences Precinct, Dutton Park, Queensland 4102, Australia
| | - S.M. Neate
- Centre for Crop Health, University of Southern Queensland, West Street, Toowoomba. Queensland 4350 Australia
| | - L. Morin
- CSIRO Ecosystem Sciences and Biosecurity Flagship, G.P.O. Box 1700, Canberra, Australian Capital Territory 2601, Australia
| | - A. Bissett
- CSIRO Plant Industry, G.P.O. Box 1600, Canberra, Australian Capital Territory 2601, Australia
| | - E.A.B. Aitken
- School of Agriculture and Food Science, The University of Queensland, St Lucia, Queensland 4072, Australia
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Rabant M, Amrouche L, Morin L, Lebreton X, Aouni L, Levaillant L, Benon A, Sauvaget V, Legendre C, Terzi F, Anglicheau D. La valeur précoce de CXCL10 urinaire prédit la survenue ultérieure d’un rejet du greffon rénal au cours de la première année. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Attali V, Chaumereuil C, Arnulf I, Morin L, Goudot P, Collet JM. QUOVADIS : étude monocentrique en vie réelle évaluant à long terme le traitement par orthèse d’avancée mandibulaire (OAM) sur mesure dans le syndrome d’apnées obstructives du sommeil (SAOS). Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Ferrari F, Morin L. [Description of a new method of changing eye color: case report of aesthetic annular keratopigmentation (AAK)]. J Fr Ophtalmol 2014; 38:e3. [PMID: 25530350 DOI: 10.1016/j.jfo.2014.04.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2014] [Accepted: 04/14/2014] [Indexed: 11/29/2022]
Affiliation(s)
- F Ferrari
- Expert Vision Center, 6, rue Simonis, 67100 Strasbourg, France.
| | - L Morin
- Expert Vision Center, 6, rue Simonis, 67100 Strasbourg, France
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Pivodic L, Houttekier D, Morin L, Hunt K, Miccinesi G, Cardenas-Turanzas M, Onwuteaka-Philipsen B, Naylor W, Javier García León F, Pardon K, Van den Block L, Wilson D, Loucka M, Csikos A, Yong Joo R, Teno J, Deliens L, Cohen J. Place of death in populations potentially benefiting from palliative care: a population-level study in 14 countries. Eur J Public Health 2014. [DOI: 10.1093/eurpub/cku151.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Rabant M, Amrouche L, Lebreton X, Benon A, Sauvaget V, Morin L, Terzi F, Legendre C, Anglicheau D. Comparaison des performances diagnostiques des protéines IP10 et CXCL9 urinaires pour le diagnostic du rejet aigu du greffon rénal. Nephrol Ther 2014. [DOI: 10.1016/j.nephro.2014.07.360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Lanneaux J, Naudin J, Pham L, Gillet Y, Bosdure E, Chéron G, Morin L, Carbajal R, Dubos F, Vialet R, Dauger S, Angoulvant F. SFP PC-80 – Critères de gravité du paludisme d’importation pédiatrique en France. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)72229-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Angoulvant F, Jumel S, Prot-Labarthe S, Bellettre X, Kahil M, Smail A, Morin L, Alberti C. Multiple health care visits related to a pediatric emergency visit for young children with common illnesses. Eur J Pediatr 2013; 172:797-802. [PMID: 23404734 DOI: 10.1007/s00431-013-1968-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2012] [Revised: 01/17/2013] [Accepted: 01/31/2013] [Indexed: 10/27/2022]
Abstract
UNLABELLED We aim to describe the number of health care visits before and after pediatric emergency department (PED) visits for common illnesses in a French tertiary pediatric hospital. This was a prospective cohort study with 501 children under 6 years of age who were evaluated and discharged from a tertiary care PED. Enrollment occurred on eight randomly selected study days between November 2010 and June 2011. The caregivers were then contacted via telephone 8 days later to obtain follow-up data, including information about return visits to health care facilities. Multiple visits were made by 206 (41 %) children, previous visits had occurred for 139 (28 %) children, and return visits had occurred for 94 (19 %) children. Previous and return visits were made at the PED as well as in general practitioners' offices and private pediatric offices. The median age of the subjects was 18 months. Fever was the most common complaint and was associated with more frequent multiple heath care visits. CONCLUSION Multiple heath care visits for the same illness are frequent, especially for febrile children. Interestingly, this phenomenon concerns every type of health care facility, including the PED, general practitioners' offices, and private pediatric offices. Further studies should be performed to achieve a better understanding of this phenomenon and to test specific interventions, such as parental education and improvement of the information system.
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Affiliation(s)
- F Angoulvant
- Service d'Accueil des Urgences Pédiatriques, AP-HP, Hôpital Robert Debré, 48 Boulevard Sérurier, 75019 Paris, France.
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Ferrari F, Letsch J, Morin L, Guignier A, Marcellin L, Bourcier T. [Annular keratopigmentation (PresbyRing®) for treating presbyopia: postmortem animal feasibility study]. J Fr Ophtalmol 2013; 36:481-7. [PMID: 23582982 DOI: 10.1016/j.jfo.2013.01.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2012] [Revised: 01/02/2013] [Accepted: 01/21/2013] [Indexed: 10/27/2022]
Abstract
INTRODUCTION Annular keratopigmentation (PresbyRing(®)) is a new technique which creates an intrastromal ring centered on the visual axis, using a femtosecond laser, into which a black or a colored pigment is then injected. The internal diameter of the ring is dimensioned so as to create a pinhole and improve the near and intermediate vision of the non-dominant eye while only slightly altering the distance vision of that eye. MATERIAL AND METHODS We used five pig eyes for our postmortem feasibility study; all five were treated with the Intra Corneal Ring program (ICR(®)) of the Visumax(®) laser. The dye used (Biochromaderm(®)) has EU approval. RESULTS Spectral domain OCT examinations demonstrate complete opacity of the dye. Histological analysis with hematoxylin and eosin stain highlights a continuous pigmented layer located along the incision, which does not diffuse in the adjacent stroma. The possibility of rinsing the dye must be confirmed by future in-vivo animal studies. CONCLUSION To our knowledge, this study represents the first experimental attempt to combine two ideas which did not appear to have anything in common: the creation of an intracorneal pinhole to treat presbyopia, and corneal tattooing. The first postmortem feasibility study in animals for annular keratopigmentation (PresbyRing(®)) gave encouraging results. It must be confirmed by in vivo animal studies, and ultimately in humans.
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Affiliation(s)
- F Ferrari
- Expert Vision Center, 6, rue Simonis, 67100 Strasbourg, France.
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Abstract
To search for seasonal variations we analysed data on 1998 acute toxoplasmic infections diagnosed between 1988 and 2009 in pregnant women. Two distinctive transmission profiles were observed: one in rural areas, which was strongly influenced by seasons with significantly fewer infections in the first half of the year but maximal risks at the end of summer and end of autumn, and a stable urban distribution with only moderate peaks. Further studies on individual risks and environmental and climatic factors are needed to understand what prevention message should be given to susceptible pregnant women.
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Affiliation(s)
- L Morin
- Institut de Parasitologie et de Mycologie Médicale, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France
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Angoulvant F, Bellettre X, Houhou N, Dexpert JB, Morin L, Siriez JY, Soole F, de Lauzanne A, Cohen R, Brun-Vezinet F, Alberti C, Mercier JC. Sensitivity and specificity of a rapid influenza diagnostic test in children and clinical utility during influenza A (H1N1) 2009 outbreak. Emerg Med J 2010; 28:924-6. [PMID: 20943835 DOI: 10.1136/emj.2010.098533] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
INTRODUCTION The influenza A (H1N1) 2009 outbreak caused death and a disruption of public health services. Rapid influenza diagnostic tests (RIDT) could be helpful to ease the triage of patients and prevent an overload of emergency and laboratory facilities. OBJECTIVES To compare the sensitivity and specificity of the Clearview Exact Influenza A&B test and real-time reverse transcription(RT)-PCR to detect influenza A (H1N1) 2009 in a paediatric emergency department of a paediatric teaching hospital in Paris, France. METHODS 76 children with an influenza-like illness and either severe symptoms or an underlying medical condition were prospectively recruited between July 2009 and October 2009. RIDT and RT-PCR were simultaneously performed and compared. RESULTS Among 39 influenza A (H1N1) 2009 RT-PCR-positive children (median age 5 years), 23 Clearview Exact Influenza A&B tests were positive. Sensitivity was 59% (95% CI 42.2 to 74) and specificity was 94.6% (95% CI 80.5 to 99.1). CONCLUSIONS This study shows a sensitivity of RIDT of 59%, in agreement with other prospective studies, which could be useful in clinical practice for diagnosis influenza A (H1N1) 2009 in children. In outbreaks of a high prevalence, such as the 2009 outbreak, this test can help to prevent an overload of public health services.
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Affiliation(s)
- F Angoulvant
- AP-HP, Hôpital Robert Debré, Pôle de Pèdiatrie Aiguë et Mèdecine Interne, Serviced’Accueil des Urgences Pèdiatriques, Universitè Diderot-Paris 7, Paris, France.
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Paquer D, Morin L, Vazeux M, Andrieu CG. Etude des spectres de masse des thiocétones aliphatiques acycliques; mécanismes des fragmentations. ACTA ACUST UNITED AC 2010. [DOI: 10.1002/recl.19811000110] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Paquer D, Morin L, Vazeux M, Andrieu CG. Etude des spectres de masse des thiocétones cyclaniques et α-cyclaniques; mécanismes des fragmentations. ACTA ACUST UNITED AC 2010. [DOI: 10.1002/recl.19811000204] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Meltzer SJ, Snyder J, Penrod JR, Nudi M, Morin L. Gestational diabetes mellitus screening and diagnosis: a prospective randomised controlled trial comparing costs of one-step and two-step methods. BJOG 2010; 117:407-15. [DOI: 10.1111/j.1471-0528.2009.02475.x] [Citation(s) in RCA: 86] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Portha B, Serradas P, Giroix MH, Dachicourt N, Morin L, Saulnier C, Movassat J, Marie JC, Gangnerau MN, Bailbé D. Evolution of B-cell dysfunction in the spontaneously diabetic GK rat: Studies after and before the onset of overt hyperglycemia. Exp Clin Endocrinol Diabetes 2009. [DOI: 10.1055/s-0029-1211916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Fouron JC, Siles A, Montanari L, Morin L, Ville Y, Mivelaz Y, Proulx F, Bureau N, Bigras JL, Brassard M. Feasibility and reliability of Doppler flow recordings in the fetal aortic isthmus: a multicenter evaluation. Ultrasound Obstet Gynecol 2009; 33:690-693. [PMID: 19479677 DOI: 10.1002/uog.6411] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
OBJECTIVES To evaluate the performance of three different centers with respect to their ability to identify the fetal aortic isthmus (AoI) adequately and place a Doppler sample volume in the AoI correctly, and to address the reproducibility of the isthmic flow index (IFI) calculated from Doppler waveforms recorded in the three centers. METHODS The three collaborating centers sent several ultrasonographic recordings taken at random over a 6-week period to the Saint-Justine Fetal Cardiology Unit (StJ-FCU). A performance quotient ((number of total readings - number of unsatisfactory results)/number of total readings) was calculated for each center by each of three judges, who were experienced fetal cardiologists, to assess the ability of each center to identify the isthmus and to place the Doppler sample volume (DSV) adequately. Intraclass correlation coefficients (ICC) were computed to quantify the variability of IFI measurements ((systolic + diastolic)/systolic flow velocity integrals). RESULTS Fifty-five recordings were available for this study. Concerning isthmus identification, there was 100% agreement between the three judges from StJ-FCU and the performance quotients of Centers A, B and C were: 0.90, 0.95 and 1.00, respectively. For DSV positioning, agreement between the judges varied; for Judge 1 vs. Judge 2, kappa = 0.836 (95% CI, 0.651-1.000); for Judge 1 vs. Judge 3, kappa = 0.773 (95% CI, 0.557-1.000); for Judge 2 vs. Judge 3, kappa = 0.941 (95% CI, 0.805-1.000). The performance quotients of the three centers for DSV positioning were consistently lower than were those for identification of the isthmus, being 0.85, 0.76 and 0.92, respectively. The ICC between the first and second measurements of the IFI by Rater 1 was 0.96 (95% CI, 0.93-0.98, P < 0.001) and that between Raters 1 and 2 was 0.97 (95% CI, 0.95-0.99, P < 0.001). CONCLUSION Adequate imaging of the fetal AoI can be achieved easily by a trained sonographer, while DSV positioning is challenging. The intra- and interrater variability of the IFI are low.
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Affiliation(s)
- J-C Fouron
- Department of Pediatrics, Centre Hospitalier Universitaire (CHU) Saint-Justine, University of Montreal, Quebec, Canada.
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Champagne K, Schwartzman K, Opatrny L, Barriga P, Morin L, Mallozzi A, Benjamin A, Kimoff RJ. Obstructive sleep apnoea and its association with gestational hypertension. Eur Respir J 2009; 33:559-65. [DOI: 10.1183/09031936.00122607] [Citation(s) in RCA: 86] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Belletti F, Schifano S, Tripiccione R, Bodin F, Boucaud P, Micheli J, Pene O, Cabibbo N, de Luca S, Lonardo A, Rossetti D, Vicini P, Lukyanov M, Morin L, Paschedag N, Simma H, Morenas V, Pleiter D, Rapuano F. Computing for LQCD: apeNEXT. Comput Sci Eng 2006. [DOI: 10.1109/mcse.2006.4] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Ravina B, Eidelberg D, Ahlskog JE, Albin RL, Brooks DJ, Carbon M, Dhawan V, Feigin A, Fahn S, Guttman M, Gwinn-Hardy K, McFarland H, Innis R, Katz RG, Kieburtz K, Kish SJ, Lange N, Langston JW, Marek K, Morin L, Moy C, Murphy D, Oertel WH, Oliver G, Palesch Y, Powers W, Seibyl J, Sethi KD, Shults CW, Sheehy P, Stoessl AJ, Holloway R. The role of radiotracer imaging in Parkinson disease. Neurology 2005; 64:208-15. [PMID: 15668415 DOI: 10.1212/01.wnl.0000149403.14458.7f] [Citation(s) in RCA: 253] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Radiotracer imaging (RTI) of the nigrostriatal dopaminergic system is a widely used but controversial biomarker in Parkinson disease (PD). Here the authors review the concepts of biomarker development and the evidence to support the use of four radiotracers as biomarkers in PD: [18F]fluorodopa PET, (+)-[11C]dihydrotetrabenazine PET, [123I]beta-CIT SPECT, and [18F]fluorodeoxyglucose PET. Biomarkers used to study disease biology and facilitate drug discovery and early human trials rely on evidence that they are measuring relevant biologic processes. The four tracers fulfill this criterion, although they do not measure the number or density of dopaminergic neurons. Biomarkers used as diagnostic tests, prognostic tools, or surrogate endpoints must not only have biologic relevance but also a strong linkage to the clinical outcome of interest. No radiotracers fulfill these criteria, and current evidence does not support the use of imaging as a diagnostic tool in clinical practice or as a surrogate endpoint in clinical trials. Mechanistic information added by RTI to clinical trials may be difficult to interpret because of uncertainty about the interaction between the interventions and the tracer.
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Affiliation(s)
- B Ravina
- National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, USA.
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