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Bérard M, Manneville F, Minary L, Ligier F, Bitar S, Agrinier N. Mediating effect of sleep in the association between social media use and mental health among French adolescents during the COVID-19 sanitary crisis. Sleep Med 2023; 112:223-231. [PMID: 37922784 DOI: 10.1016/j.sleep.2023.10.020] [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] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 10/17/2023] [Accepted: 10/18/2023] [Indexed: 11/07/2023]
Abstract
OBJECTIVE/BACKGROUND Social media use could have deleterious effects on mental health through short sleep duration and poor sleep quality among adolescents. This study aimed to investigate the mediating role of both sleep duration and sleep quality in the association between social media use and mental health among adolescents. PATIENTS/METHODS We used cross-sectional data collected from adolescents in the EXIST pilot project conducted during COVID-19 pandemic. Adolescents self-reported wellbeing (WEMWBS), anxiety and depression (HADS) as mental health outcomes. We used ad-hoc questionnaires to assess social media use during weekdays and weekend days, and sleep duration and quality. Mediation analyses were carried out following Baron and Kenny's method, using adjusted linear regression models. RESULTS A total of 340 adolescents (13.5 ± 0.6 years, 45.3 % girls) were included. Greater social media use, poorer sleep quality, and shorter sleep duration were associated with poorer mental health. Greater social media use was associated with poorer sleep quality only during the weekend days. The total effect of social media use during weekend days on anxiety (β = 2.54; 95%CI [-1.59; 6.68]) was significantly conveyed through sleep quality (β = 1.22; 95%CI [0.17; 2.62]; mediated proportion = 48.0 %) and duration (mediated proportion = 46.8 %). Mediated proportions ranged from 12.5 % to 20.6 % for wellbeing and depression. Mediating effects were not evident during weekdays. CONCLUSIONS Sleep duration and quality mediated the association between social media use and mental health among adolescents during weekend days but not weekdays. Our findings highlight the importance of promoting healthy social media habits, especially during periods of increased reliance on digital platforms, such as COVID-19 pandemic.
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Affiliation(s)
- M Bérard
- Université de Lorraine, APEMAC, F-54000, Nancy, France
| | - F Manneville
- Université de Lorraine, APEMAC, F-54000, Nancy, France; CHRU-Nancy, INSERM, Université de Lorraine, CIC, Epidémiologie Clinique, F-54000, Nancy, France.
| | - L Minary
- Université de Lorraine, APEMAC, F-54000, Nancy, France
| | - F Ligier
- Université de Lorraine, APEMAC, F-54000, Nancy, France
| | - S Bitar
- Université de Lorraine, APEMAC, F-54000, Nancy, France
| | - N Agrinier
- Université de Lorraine, APEMAC, F-54000, Nancy, France; CHRU-Nancy, INSERM, Université de Lorraine, CIC, Epidémiologie Clinique, F-54000, Nancy, France
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2
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Bucy L, Erpelding ML, Boursier C, Lefevre B, Alauzet C, Liu Y, Chevalier E, Huttin O, Agrinier N, Selton-Suty C, Goehringer F. Real world experience of therapeutic monitoring of medically treated prosthetic valve infective endocarditis by 18F-FDG-PET/CT. J Nucl Cardiol 2023; 30:2096-2103. [PMID: 37524996 DOI: 10.1007/s12350-023-03339-8] [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: 10/12/2022] [Accepted: 06/16/2023] [Indexed: 08/02/2023]
Abstract
INTRODUCTION 18F-FDG-PET/CT is recommended to improve the diagnosis of prosthetic valve infective endocarditis (PVIE) and is a major criterion in the ESC-2015 classification. However, there is little evidence for its usefulness in the follow-up of medically treated PVIE patients. METHODS A monocentric retrospective analysis of patients hospitalized for PVIE between January 2013 and December 2019 who were not treated with surgery and who had at least two 18F-FDG-PET/CT examinations during their medical management. RESULTS Among 170 patients with PVIE, 117 were treated with antibiotic therapy but no surgery. Of these, 36 (31%) had at least two 18F-FDG-PET/CT examinations. At initial imaging, 28 patients had heterogeneous FDG uptake on their prosthetic valve and eight on their associated aortic graft. Hypermetabolism of spleen and bone marrow (HSBM) was observed in 18 and 19 patients, respectively. At the first follow-up 18F-FDG-PET/CT, 21 (58%) patients still had heterogeneous uptake, indicating persistent active endocarditis. HSBM was still present at the last follow-up imaging in four of the six patients with recurrent PVIE. CONCLUSION 18F-FDG-PET/CT monitoring of medically treated patients with PVIE provides valuable additional information and prospective multicentric study should be conducted to assess its usefulness.
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Affiliation(s)
- L Bucy
- Maladies infectieuses et Tropicales, CHRU-Nancy, Université de Lorraine, 54000, Nancy, France.
| | - M L Erpelding
- CHRU-Nancy, INSERM, Université de Lorraine, CIC, Épidémiologie Clinique, 54000, Nancy, France
| | - C Boursier
- Département de Médecine Nucléaire et Nancyclotep Plateforme d'imagerie moléculaire, CHRU-Nancy, 54000, Nancy, France
| | - B Lefevre
- Maladies infectieuses et Tropicales, CHRU-Nancy, Université de Lorraine, 54000, Nancy, France
- APEMAC, Université de Lorraine, 54000, Nancy, France
| | - C Alauzet
- CHRU-Nancy, Microbiologie, Université de Lorraine, 54000, Nancy, France
| | - Y Liu
- CHRU-Nancy, Chirurgie cardio-vasculaire et transplantation, Université de Lorraine, 54000, Nancy, France
| | - E Chevalier
- Département de Médecine Nucléaire et Nancyclotep Plateforme d'imagerie moléculaire, CHRU-Nancy, 54000, Nancy, France
| | - O Huttin
- CHRU-Nancy, Cardiologie, 54000, Nancy, France
| | - N Agrinier
- CHRU-Nancy, INSERM, Université de Lorraine, CIC, Épidémiologie Clinique, 54000, Nancy, France
| | | | - F Goehringer
- Maladies infectieuses et Tropicales, CHRU-Nancy, Université de Lorraine, 54000, Nancy, France
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Habermacher C, Lalloué B, Lamouille V, Thilly N, Agrinier N. Family physicians' practices and attitudes towards HPV vaccination since extension of HPV vaccination to males. Infect Dis Now 2023; 53:104669. [PMID: 36736826 DOI: 10.1016/j.idnow.2023.104669] [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: 09/01/2022] [Revised: 01/06/2023] [Accepted: 01/28/2023] [Indexed: 02/04/2023]
Abstract
OBJECTIVES To describe family physicians' (FP) practices and attitudes towards HPV vaccination guidelines since its extension to males in 2021, and to identify levers to promote HPV vaccination in all adolescents. PATIENTS AND METHODS Cross-sectional study among FPs established in France in 2021. We collected sociodemographic data, practices, opinions, and attitudes towards vaccination, and FPs' demands regarding training and information about HPV. We used logistic regression models to identify the variables associated with HPV vaccination proposal. RESULTS Of 530 FPs included, 469 (88.5%) reported that they systematically proposed HPV vaccines to girls vs 335 (63.2%) to boys. A total of 366 (69.0%) FPs reported an increase in HPV vaccines proposal to all adolescents since the extension of HPV vaccination to males recommended by French guidelines. However, factors associated with HPV vaccination proposal differed by target females and target males. Setting and mode of practice, opinion about the number of recommended vaccines and HPV vaccines, and demands of training on HPV vaccines were associated with HPV vaccination proposal to target females. Whereas academic status, opinion about HPV vaccination guidelines extension to males, using continuing medical education as the main source of information on HPV vaccines, and demands for training on HPV vaccines were associated with HPV vaccination proposal to target males. CONCLUSIONS Extension of HPV vaccination to males in French guidelines might have had a favorable impact on HPV vaccination proposal by FPs to adolescents. However, levers to promote HPV vaccination might differ according to the target population sex.
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Affiliation(s)
- C Habermacher
- Université de Lorraine, Faculté de médecine, F-54000 Nancy, France
| | - B Lalloué
- CHRU-Nancy, INSERM, Université de Lorraine, CIC, Epidémiologie clinique, F-54000 Nancy, France
| | - V Lamouille
- Université de Lorraine, Faculté de médecine, F-54000 Nancy, France
| | - N Thilly
- Université de Lorraine, APEMAC, F-54000 Nancy, France; Université de Lorraine, CHRU-Nancy, Département Méthodologie, Promotion, Investigation, F-54000 Nancy, France
| | - N Agrinier
- CHRU-Nancy, INSERM, Université de Lorraine, CIC, Epidémiologie clinique, F-54000 Nancy, France; Université de Lorraine, APEMAC, F-54000 Nancy, France.
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Girerd N, Pereira O, Welter A, Tangre P, Agrinier N. Healthcare consumption, readmission and death rates after heart failure hospitalization: Insights from reimbursement databases of the France Grand Est region. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.052] [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: 12/31/2022]
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Buzzi M, Minar L, Kestens Y, Agrinier N, Ricci L, Epstein J. Création et validation de l'instrument d’évaluation écologique momentanée du bien-être (EMOWI, « Ecological Momentary Well-being Instrument ») chez les adolescents. Rev Epidemiol Sante Publique 2022. [DOI: 10.1016/j.respe.2021.11.007] [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] Open
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6
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Lefèvre B, Hoen B, Goehringer F, Sime WN, Aissa N, Alauzet C, Jeanmaire E, Hénard S, Filippetti L, Selton-Suty C, Agrinier N. Antistaphylococcal penicillins vs. cefazolin in the treatment of methicillin-susceptible Staphylococcus aureus infective endocarditis: a quasi-experimental monocentre study. Eur J Clin Microbiol Infect Dis 2021; 40:2605-2616. [PMID: 34383175 DOI: 10.1007/s10096-021-04313-3] [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: 03/03/2021] [Accepted: 07/09/2021] [Indexed: 10/20/2022]
Abstract
Whether cefazolin is as effective and safer than antistaphylococcal penicillins (ASPs) for the treatment of methicillin-susceptible Staphylococcus aureus (MSSA) infective endocarditis (IE) is still debated in the absence of a randomized controlled trial. In this quasi-experimental study, we aimed to assess the effectiveness and safety of these two treatments in MSSA-IE, using the ASPs nationwide shortage in April 2016 as a unique opportunity to overcome the indication bias associated with observational studies. In this single-centre study, we compared patients with Duke-Li definite MSSA-IE treated with ASPs from January 2015 to March 2016 versus those treated with cefazolin from April 2016 to December 2018, when ASPs were not available. Effectiveness outcome was 90-day all-cause mortality. Safety outcomes included significant decrease in GFR and significant increase in serum liver enzymes. Logrank test was used to compare survival rates. Of 73 patients with MSSA-IE, 35 and 38 were treated with ASPs and cefazolin, respectively. Baseline patients' characteristics (demography, native or prosthetic valve IE, clinical characteristics, cardiac and septic complications) were similar between groups. Ninety-day all-cause mortality was 28.6% and 21.1%, in patients treated with ASPs and cefazolin, respectively (logrank p = 0.5727). There was no difference between groups for incident renal or liver toxicity events: acute kidney injury 45.7% vs. 44.7% (p = 0.933), increased ALT 5.7% vs. 13.2% (p = 0.432), bilirubin increase 5.7% vs. 10.5% (p = 0.676), in ASPs vs. cefazolin groups, respectively. In this quasi-experimental, effectiveness and safety did not statistically differ between ASPs and cefazolin for MSSA-IE treatment.
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Affiliation(s)
- B Lefèvre
- Infectious and Tropical Diseases, CHRU-Nancy, Université de Lorraine, 54000, Nancy, France. .,APEMAC, Université de Lorraine, 54000, Nancy, France. .,Service Maladies Infectieuses Et Tropicales, Bâtiment Des Spécialités Médicales, Hôpitaux de Brabois, Centre Hospitalier Régional Universitaire de Nancy, Route de Morvan, 54511, Vandœuvre-Lès-Nancy Cedex, France.
| | - B Hoen
- Infectious and Tropical Diseases, CHRU-Nancy, Université de Lorraine, 54000, Nancy, France
| | - F Goehringer
- Infectious and Tropical Diseases, CHRU-Nancy, Université de Lorraine, 54000, Nancy, France
| | - W Ngueyon Sime
- INSERM, CIC-EC, Epidémiologie clinique, CHRU-Nancy, 54000, Nancy, France
| | - N Aissa
- Service de Microbiologie, CHRU-Nancy, 54000, Nancy, France
| | - C Alauzet
- Service de Microbiologie, CHRU-Nancy, 54000, Nancy, France.,SIMPA, Université de Lorraine, 54000, Nancy, France
| | - E Jeanmaire
- Infectious and Tropical Diseases, CHRU-Nancy, Université de Lorraine, 54000, Nancy, France
| | - S Hénard
- Infectious and Tropical Diseases, CHRU-Nancy, Université de Lorraine, 54000, Nancy, France
| | | | | | - N Agrinier
- APEMAC, Université de Lorraine, 54000, Nancy, France.,INSERM, CIC-EC, Epidémiologie clinique, CHRU-Nancy, 54000, Nancy, France
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Bitar S, Thilly N, Agrinier N. Impact pronostic des trajectoires médicamenteuses sur la mortalité à trois ans dans l’insuffisance cardiaque et la fraction d’éjection préservée : résultats de l’étude de cohorte EPICAL2. Rev Epidemiol Sante Publique 2021. [DOI: 10.1016/j.respe.2021.04.065] [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: 12/01/2022] Open
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8
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Lefèvre B, Legoff A, Boutrou M, Goehringer F, Ngueyon-Sime W, Aïssa N, Alauzet C, Hoen B, Jeanmaire E, Hénard S, Selton-Suty C, Filippetti L, Agrinier N. Les endocardites à Staphylococcus aureus – À propos d’une méthode inspirée des réunions de morbi-mortalité pour identifier de nouveaux facteurs pronostiques potentiels. Rev Epidemiol Sante Publique 2021. [DOI: 10.1016/j.respe.2021.04.055] [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: 10/21/2022] Open
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9
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Bitar S, Thilly N, Agrinier N. L’adhésion continue des prescriptions médicamenteuses aux recommandations européennes dans l’insuffisance cardiaque est associée à une diminution de la mortalité à long terme : cohorte EPICAL2 suivie sur 36 mois. Rev Epidemiol Sante Publique 2020. [DOI: 10.1016/j.respe.2020.03.043] [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] Open
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10
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Collonnaz M, Hoen B, Alla F, Delahaye F, Lung B, Le Moing V, Selton-Suty C, Agrinier N. Évaluation de l’impact du « referral bias » sur les résultats des études pronostiques, à partir des données d’une étude de cohorte populationnelle sur l’endocardite infectieuse. Rev Epidemiol Sante Publique 2020. [DOI: 10.1016/j.respe.2020.03.071] [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: 11/15/2022] Open
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11
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Lefèvre B, Goehringer F, Hoen B, Ngueyon Sime W, Aissa N, Alauzet C, Selton-Suty C, Agrinier N. (Cl)oxacilline versus céfazoline pour le traitement des endocardites infectieuses à Staphylococcus aureus sensibles à la méthicilline : une étude quasi-expérimentale. Med Mal Infect 2020. [DOI: 10.1016/j.medmal.2020.06.008] [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: 11/28/2022]
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Delannoy M, Agrinier N, Charmillon A, Degand N, Dellamonica J, Leone M, Pulcini C, Novy E. Implementation of antibiotic stewardship programmes in French ICUs in 2018: a nationwide cross-sectional survey. J Antimicrob Chemother 2020; 74:2106-2114. [PMID: 30934049 DOI: 10.1093/jac/dkz113] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2018] [Revised: 02/13/2019] [Accepted: 02/26/2019] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Antibiotic stewardship programmes have a pivotal role in ICUs, but the level of implementation of these programmes at the regional or national level is not well known. OBJECTIVES The aim of our study was to assess the level of implementation of antibiotic stewardship programmes in French ICUs. METHODS We conducted a nationwide cross-sectional survey from January to March 2018 using an online questionnaire sent as an E-mail link to ICU specialists (one questionnaire per ICU). RESULTS Overall, 113 out of 206 (55%) ICUs participated. Access to local epidemiology regarding bacterial resistance and antibiotic consumption data was reported in 84% and 65% of ICUs, respectively. Local guidelines for antibiotic use were available in 54% of ICUs. The duration of empirical antibiotic therapy was limited in 46% of cases, following the recommendation of an external expert in 33%. An antibiotic stewardship programme leader was reported at the hospital level by 94% of respondents, being an infectious disease physician in 80%. His/her role in the ICU was mostly to discuss specific cases (50%) and to provide advice on antibiotic prescriptions (26%). Regarding microbiological diagnosis, blood cultures were not processed at night or during weekends in 57%. Molecular biology and MS techniques were available in 62% and 59% of cases, respectively. Therapeutic drug monitoring of β-lactams was available in 46% of cases. Forty-three percent of respondents knew the expression 'antimicrobial/antibiotic stewardship'. CONCLUSIONS Antibiotic stewardship programmes are not optimally implemented in French ICUs. Improvement efforts and regular monitoring of the level of implementation are needed.
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Affiliation(s)
- M Delannoy
- Université de Lorraine, CHRU-Nancy, Département d'Anesthésie-Réanimation Brabois, Nancy, France
| | - N Agrinier
- Université de Lorraine, APEMAC, Nancy, France.,CHRU-Nancy, INSERM, Université de Lorraine, CIC, Epidémiologie Clinique, Nancy, France
| | - A Charmillon
- Université de Lorraine, CHRU-Nancy, Infectious Diseases Department, Nancy, France
| | - N Degand
- Centre Hospitalier Universitaire de Nice, Hôpital de l'Archet 2, Laboratoire de Bactériologie, Nice, France
| | - J Dellamonica
- Université Nice Cote d'Azur, CHU de Nice, Service de médecine Intensive Réanimation, Archet 1 CS 23079, Nice, France.,INSERM 1065 C3M, Nice, France
| | - M Leone
- Aix Marseille Université, APHM, Hôpital Nord, Service d'Anesthésie et de Réanimation, Marseille, France
| | - C Pulcini
- Université de Lorraine, APEMAC, Nancy, France.,Université de Lorraine, CHRU-Nancy, Infectious Diseases Department, Nancy, France
| | - E Novy
- Université de Lorraine, CHRU-Nancy, Département d'Anesthésie-Réanimation Brabois, Nancy, France
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Dubouis L, Ngueyon-Sime W, Peter W, Vallata A, Epstein J, Rat AC, Agrinier N, Terwee CB, Guillemin F. Comparison of a video versus paper questionnaire on functional limitation in lower limb osteoarthritis. BMC Musculoskelet Disord 2019; 20:507. [PMID: 31679508 PMCID: PMC6825726 DOI: 10.1186/s12891-019-2868-6] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Accepted: 10/09/2019] [Indexed: 11/10/2022] Open
Abstract
INTRODUCTION The video Animated Activity Questionnaire (AAQ) was developed to assess the impact of lower limb osteoarthritis (OA) on daily functional activities. The objective of the study was to compare the video and the HOOS/KOOS paper questionnaires and to assess the effect of order of administration. MATERIAL AND METHODS Patients recruited in the KHOALA cohort were randomized in two groups: AAQ questionnaire first (AAQ-first group) and HOOS (hip)/KOOS (knee) questionnaire first (H/KOOS-first group). Within group differences between AAQ and HOOS/KOOS scores were compared using a Student t-test. The Spearman correlation coefficient between AAQ score and HOOS/KOOS score was calculated in each group then compared, using Fisher z-transformation. RESULTS Among 200 randomized patients, 188 (65.8 years, 66.0% women) completed the questionnaires: 99 in the AAQ-first group and 89 in the H/KOOS-first group. The AAQ score was 85.9 (SD: 13.7) in the AAQ-first versus 87.8 (SD: 13.1) in the H/KOOS-first group (p = 0.34). The H/KOOS score was 72.5 (SD: 21.2) in the AAQ-first versus 73.5 (SD: 18.4) in the H/KOOS-first group (p = 0.71). The Spearman correlation coefficient between AAQ and H/KOOS in the AAQ-first was 0.84[0.77-0.89] and 0.73[0.61-0.81] in H/KOOS-first group. These correlations differed between groups significantly (p = 0.02). CONCLUSION This study found video AAQ and paper HOOS/KOOS questionnaire highly correlated, with a moderate but significant effect of order administration of video and paper questionnaires evidencing a stronger correlation when the videos were viewed first.
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Affiliation(s)
- L Dubouis
- CHRU-Nancy, Inserm, Université de Lorraine CIC Clinical epidemiology, Nancy, France
| | - W Ngueyon-Sime
- CHRU-Nancy, Inserm, Université de Lorraine CIC Clinical epidemiology, Nancy, France
| | - W Peter
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, de Boelelaan 1117, Amsterdam, the Netherlands
| | - A Vallata
- CHRU-Nancy, Inserm, Université de Lorraine CIC Clinical epidemiology, Nancy, France
| | - J Epstein
- CHRU-Nancy, Inserm, Université de Lorraine CIC Clinical epidemiology, Nancy, France.,Université de Lorraine, APEMAC, Nancy, France
| | - A-C Rat
- CHRU-Nancy, Inserm, Université de Lorraine CIC Clinical epidemiology, Nancy, France.,Université de Lorraine, APEMAC, Nancy, France
| | - N Agrinier
- CHRU-Nancy, Inserm, Université de Lorraine CIC Clinical epidemiology, Nancy, France.,Université de Lorraine, APEMAC, Nancy, France
| | - C B Terwee
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, de Boelelaan 1117, Amsterdam, the Netherlands
| | - F Guillemin
- CHRU-Nancy, Inserm, Université de Lorraine CIC Clinical epidemiology, Nancy, France. .,Université de Lorraine, APEMAC, Nancy, France.
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Delannoy M, Agrinier N, Charmillon A, Dellamonica J, Degand N, Leone M, Pulcini C, Novy E. Application de programmes de bon usage des antibiotiques dans les services de réanimation français en 2018 : enquête nationale multicentrique. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.160] [Citation(s) in RCA: 1] [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: 11/29/2022]
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Bitar S, Agrinier N, Alla F, Rossignol P, Mebazaa A, Thilly N. Adhésion des prescriptions médicamenteuses aux recommandations de la société européenne de cardiologie, après une hospitalisation pour insuffisance cardiaque : résultats de la cohorte Epical2. Rev Epidemiol Sante Publique 2019. [DOI: 10.1016/j.respe.2019.03.006] [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: 10/27/2022] Open
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16
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Nguyen-Huu N, Thilly N, Rossignol P, Alla F, Mebazaa A, Girerd N, Agrinier N. Impact des profils phénotypiques identifiés à partir des caractéristiques cliniques sur la mortalité à un an chez les patients hospitalisés pour aggravation de leur insuffisance cardiaque à fraction d’éjection préservée : cohorte EPICAL2. Rev Epidemiol Sante Publique 2019. [DOI: 10.1016/j.respe.2019.03.023] [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: 11/26/2022] Open
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17
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Nguyen-Huu NH, Thilly N, Rossignol P, Alla F, Mebazaa A, Girerd N, Agrinier N. Impact des profils phénotypiques identifiés à partir des caractéristiques cliniques sur la mortalité à un an chez les patients hospitalisés pour aggravation de leur insuffisance cardiaque à fraction d’éjection préservée : cohorte EPICAL2. Rev Epidemiol Sante Publique 2019. [DOI: 10.1016/j.respe.2018.11.016] [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: 10/27/2022] Open
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Popovic B, Agrinier N, Bouchahda N, Metzdorf P, Maigrat C, Juilliere Y, Camenzind E. Acute myocardial infarction and coronary embolism: Mechanisms and management. Archives of Cardiovascular Diseases Supplements 2018. [DOI: 10.1016/j.acvdsp.2017.11.032] [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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19
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Le Marechal M, Fressard L, Agrinier N, Verger P, Pulcini C. General practitioners' perceptions of vaccination controversies: a French nationwide cross-sectional study. Clin Microbiol Infect 2017; 24:858-864. [PMID: 29104170 DOI: 10.1016/j.cmi.2017.10.021] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [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: 07/22/2017] [Revised: 10/12/2017] [Accepted: 10/28/2017] [Indexed: 01/23/2023]
Abstract
OBJECTIVES We aimed to study general practitioners' (GPs') perceptions of vaccines that have been a subject of controversy in France. METHODS A cross-sectional survey in 2014 asked a representative national sample of GPs, randomly selected from the exhaustive database of health professionals in France, about their perceptions of the likelihood of serious adverse events potentially associated with six different vaccines: for two of them the association was based on some scientific evidence, whereas for the other four this is not the case. We performed a cluster analysis to construct a typology of GPs' perceptions about the likelihood of these potential six associations. Factors associated with certain clusters of interest were identified using logistic regression models. RESULTS Overall, 1582 GPs participated in the questionnaire survey (1582/1712 GPs who agreed to participate, 92%). Cluster analysis identified four groups of GPs according to their susceptibility to vaccine controversies: 1) limited susceptibility to controversies (52%); 2) overall unsure, but rejected the association between hepatitis B vaccine and multiple sclerosis (32%); 3) highly susceptible to controversies (11%); and 4) unsure (5%). We found that GPs who occasionally practised alternative medicine (OR 2.71, 95% CI 1.65-4.45), and those who considered information provided by mass media as reliable (OR 2.04, 95% CI 1.65-3.99) were more susceptible to controversies. CONCLUSIONS GPs had different profiles of susceptibility to vaccination controversies, and most of their perceptions of these controversies were not based on scientific evidence.
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Affiliation(s)
- M Le Marechal
- Université de Lorraine, EA 4360 APEMAC, Nancy, France
| | - L Fressard
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Marseille, France; ORS PACA, Observatoire régional de la santé Provence-Alpes-Côte d'Azur, Marseille, France
| | - N Agrinier
- Université de Lorraine, EA 4360 APEMAC, Nancy, France; INSERM, CIC-1433 Epidémiologie clinique, CHRU de Nancy, Nancy, France
| | - P Verger
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Marseille, France; ORS PACA, Observatoire régional de la santé Provence-Alpes-Côte d'Azur, Marseille, France; INSERM, F-CRIN, I-Reivac (Innovative clinical research network in vaccinology), France
| | - C Pulcini
- Université de Lorraine, EA 4360 APEMAC, Nancy, France; Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Marseille, France; CHRU de Nancy, Service de Maladies Infectieuses et Tropicales, Nancy, France.
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Erpelding M, Agrinier N, Labat C, Gautier S, Guillemin F, Benetos A. Impact pronostique de trajectoires d’évolution de fragilité chez le sujet très âgé. Rev Epidemiol Sante Publique 2017. [DOI: 10.1016/j.respe.2017.03.061] [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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Agrinier N, Le Maréchal M, Fressard L, Verger P, Pulcini C. COL 5-05 - Discordances chez les médecins généralistes entre la vaccination de leurs patients et celle de leur(s) enfant(s) : une étude transversale. Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30280-3] [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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22
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Charmillon A, Novy E, Agrinier N, Leone M, Kimmoun A, Levy B, Demoré B, Dellamonica J, Pulcini C. The ANTIBIOPERF study: a nationwide cross-sectional survey about practices for β-lactam administration and therapeutic drug monitoring among critically ill patients in France. Clin Microbiol Infect 2016; 22:625-31. [PMID: 27145210 DOI: 10.1016/j.cmi.2016.04.019] [Citation(s) in RCA: 49] [Impact Index Per Article: 6.1] [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: 03/06/2016] [Revised: 04/16/2016] [Accepted: 04/23/2016] [Indexed: 11/25/2022]
Abstract
Our objective was to assess current practices about the administration (intermittent, extended, or continuous infusions) and therapeutic drug monitoring (TDM) of β-lactam antibiotics and vancomycin in France. We conducted a nationwide cross-sectional survey in May-August 2015, using an online questionnaire, sent as an e-mail link to infectious disease specialists and intensive care specialists through national mailing lists. We used clinical vignettes of critically ill patients to assess physicians' practices about administration and TDM practices for amoxicillin, cloxacillin, piperacillin/tazobactam, cefotaxime, ceftazidime, cefepime, meropenem and vancomycin. In all, 507 physicians participated (507/1200, response rate 42%). TDM was rarely available for β-lactams (from 16.5% (81/490) for cloxacillin to 30% (145/490) for ceftazidime), whereas vancomycin TDM was available in 97% (477/490) of the cases. In the clinical vignettes, ceftazidime and piperacillin/tazobactam were the β-lactams administered most frequently by extended or continuous infusions (76% (336/440) and 57% (252/444), respectively). Gaps in knowledge about the duration of stability of intravenous β-lactams were common (correct answers ranged from 8% (35/432) for cloxacillin to 33% (146/438) for ceftazidime). Most physicians (77%, 339/442) were convinced of the value of extended or continuous infusions for β-lactams in critically ill patients, but 48% (211/442) did not have access to practical guidelines. Our survey found that most infectious disease and intensive care specialists are favourable to optimized administration of β-lactams in critically ill patients. But the lack of guidelines and limited TDM availability for β-lactams in hospitals are potential barriers to its implementation.
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Affiliation(s)
- A Charmillon
- CHU de Nancy, Service de Maladies Infectieuses et Tropicales, Nancy, France; Université de Lorraine, Nancy, France
| | - E Novy
- Université de Lorraine, Nancy, France; CHU de Nancy, Service de Réanimation Médicale Brabois, Nancy, France
| | - N Agrinier
- CHU de Nancy, Inserm, CIC-1433 Epidémiologie Clinique, Nancy, France; Université de Lorraine, EA 4360 APEMAC, Nancy, France
| | - M Leone
- Université de Marseille, Assistance Publique Hôpitaux de Marseille, Hôpital Nord, Service d'anesthésie et de Réanimation, Marseille, France
| | - A Kimmoun
- CHU de Nancy, Service de Réanimation Médicale Brabois, Nancy, France; Université de Lorraine, Inserm U1116, Nancy, France
| | - B Levy
- CHU de Nancy, Service de Réanimation Médicale Brabois, Nancy, France; Université de Lorraine, Inserm U1116, Nancy, France
| | - B Demoré
- CHU de Nancy, Pharmacie de Brabois, Nancy, France; Université de Lorraine, SRSMC, UMR 7565, Nancy, France
| | - J Dellamonica
- CHU de Nice, Service de réanimation médicale, Nice, France; Université de Nice Sophia Antipolis, INSERM 1065 team 3 'Metabolic Control of cell death' C3M Nice, Nice, France
| | - C Pulcini
- CHU de Nancy, Service de Maladies Infectieuses et Tropicales, Nancy, France; Université de Lorraine, EA 4360 APEMAC, Nancy, France; Antibiolor, Nancy, France.
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Castrejon I, Carmona L, Agrinier N, Andres M, Briot K, Caron M, Christensen R, Consolaro A, Curbelo R, Ferrer M, Foltz V, Gonzalez C, Guillemin F, Machado PM, Prodinger B, Ravelli A, Scholte-Voshaar M, Uhlig T, van Tuyl LHD, Zink A, Gossec L. The EULAR Outcome Measures Library: development and an example from a systematic review for systemic lupus erythematous instruments. Clin Exp Rheumatol 2015; 33:910-916. [PMID: 25797345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2014] [Accepted: 01/09/2015] [Indexed: 06/04/2023]
Abstract
OBJECTIVES Patient reported outcomes (PROs) are relevant in rheumatology. Variable accessibility and validity of commonly used PROs are obstacles to homogeneity in evidence synthesis. The objective of this project was to provide a comprehensive library of "validated PROs". METHODS A launch meeting with rheumatologists, PROs methodological experts, and patients, was held to define the library's aims and scope, and basic requirements. To feed the library we performed systematic reviews on selected diseases and domains. Relevant information on PROs was collected using standardised data collection forms based on the COSMIN checklist. RESULTS The EULAR Outcomes Measures Library (OML), whose aims are to provide and to advise on PROs on a user-friendly manner albeit based on scientific grounds, has been launched and made accessible to all. PROs currently included cover any domain and, are generic or specifically target to the following diseases: rheumatoid arthritis, osteoarthritis, spondyloarthritis, low back pain, systemic lupus erythematosus, gout, osteoporosis, juvenile idiopathic arthritis, and fibromyalgia. Up to 236 instruments (106 generic and 130 specific) have been identified, evaluated, and included. The systematic review for SLE, which yielded 10 specific instruments, is presented here as an example. The OML website includes, for each PRO, information on the construct being measured and the extent of validation, recommendations for use, and available versions; it also contains a glossary on common validation terms. CONCLUSIONS The OML is an in progress library led by rheumatologists, related professionals and patients, that will help to better understand and apply PROs in rheumatic and musculoskeletal diseases.
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Affiliation(s)
- I Castrejon
- Division of Rheumatology, Rush University Medical Center, Chicago, USA.
| | - L Carmona
- Instituto de Salud Musculoesquelética, Madrid, Spain
| | - N Agrinier
- University of Lorraine, APEMAC EA 4360, Nancy, F-54500; France & Inserm CIC-EC, 1433, Nancy, F-54500, France
| | - M Andres
- Seccion de Reumatologia. Hospital, General Universitario de Alicante, Alicante, Spain
| | - K Briot
- Paris-Descartes University, Medicine Faculty, Cochin Hospital, Paris, France
| | | | - R Christensen
- Musculoskeletal Statistics Unit, The Parker Institute, Department of Rheumatology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Denmark
| | | | - R Curbelo
- Instituto de Salud Musculoesquelética and Universidad de Valladolid, Spain
| | - Montserrat Ferrer
- Health Services Research Group, Medical Research Institute (Hospital del Mar), Barcelona, Spain. Coordinator of BiblioPRO
| | - Violaine Foltz
- UPMC Univ Paris 06, GRC-UPMC 08 (EEMOIS); AP-HP, Pitié Salpêtrière Hospital, Department of Rheumatology, Paris, France
| | - C Gonzalez
- Universidad Camilo José Cela, Madrid, Spain
| | - F Guillemin
- University of Lorraine, APEMAC EA 4360, Nancy, F-54500; France & Inserm CIC-EC, 1433, Nancy, F-54500, France
| | - P M Machado
- Coimbra University Hospital, Coimbra, Portugal; and MRC Centre for Neuromuscular Diseases, University College London, London, UK
| | | | - A Ravelli
- University of Genoa and Institute Giannina Gaslini, Genoa, Italy
| | - M Scholte-Voshaar
- Department of Psychology, Health and Technology, University of Twente, Enschede, The Netherlands
| | - T Uhlig
- National Resource Center for Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway
| | - L H D van Tuyl
- Department of Rheumatology, VU University Medical Center, Amsterdam, The Netherlands
| | - A Zink
- German Rheumatism Research Centre and Charité University Medicine, Berlin, Germany
| | - L Gossec
- UPMC Univ Paris 06, GRC-UPMC 08 (EEMOIS); AP-HP, Pitié Salpêtrière Hospital, Department of Rheumatology, Paris, France
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Collette C, Frimat L, Ayav C, Clerc-Urmes I, Martin A, Agrinier N, Laborde-Castérot H, Peters N, Thilly N. Risque hémorragique associé aux pratiques de prescription des antiagrégants plaquettaires et des anticoagulants oraux chez les hémodialysés chroniques. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.215] [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: 11/24/2022]
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25
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Agrinier N, Schockmel M, Thilly N, Laborde-Castérot H, Jourdain P, Leclercq C, Dany F, Druelle J, Mulak G, Juillière Y. Efficacité d’un programme d’éducation thérapeutique sur la survie des patients insuffisants cardiaques à fraction d’éjection préservée. Rev Epidemiol Sante Publique 2015. [DOI: 10.1016/j.respe.2015.03.120] [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] Open
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26
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Jeulin H, Foissac M, Boyer L, Agrinier N, Perrier P, Kennel A, Velay A, Goehringer F, Henard S, Rabaud C, May T, Schvoerer E. Real-life rilpivirine resistance and potential emergence of an E138A-positive HIV strain in north-eastern France. J Antimicrob Chemother 2014; 69:3095-102. [PMID: 25006240 DOI: 10.1093/jac/dku256] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
OBJECTIVES To assess the prevalence of resistance to rilpivirine and mutations at position 138 in reverse transcriptase and to identify associated epidemiological and biological characteristics. METHODS This retrospective study included 238 patients with available HIV-1 nucleotide sequences analysed at the Laboratory of Virology at the University Hospital of Nancy between January 2011 and June 2013. Resistance to non-nucleoside reverse transcriptase inhibitors (NNRTIs) was evaluated according to the ANRS algorithm (version 23) and correlated with clinico-epidemiological and therapeutic data. The virus strains were analysed by evaluating the distance and distribution of the phylogenetic tree (MEGAv5). RESULTS Among previously treated patients (111/238, 46.6%), 68/111 (61.3%) had received NNRTIs; all were rilpivirine-naive. The prevalence of rilpivirine resistance in the whole cohort was 12.6% (30/238), and was 10.2% (13/127) and 15.3% (17/111) in naive and pre-treated patients, respectively. The E138A mutation was the most frequent mutation associated with resistance to rilpivirine (P < 0.0001). The prevalence of the E138A mutation tended to increase over time, from 3.6% (2/55) during the first half of 2011 to 9.3% (4/43) during the first half of 2013 (P = 0.0614). Seven viral strains from seven naive male patients positive for the E138A mutation appeared in the same cluster. CONCLUSIONS In our cohort of patients, we observed significantly increased resistance to rilpivirine, mostly because of the E138A mutation, probably due to an E138A strain circulating in newly diagnosed men who have sex with men. Taken together, our results emphasize the need to investigate the prevalence of rilpivirine resistance-associated mutations in the coming years both in France and abroad.
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Affiliation(s)
- H Jeulin
- CHU Nancy, Laboratoire de Virologie, Nancy, F-54000, France Université Lorraine, Faculté de Médecine, EA 7300, Vandoeuvre-les-Nancy, F-54500, France
| | - M Foissac
- CHU Nancy, Service de Maladies Infectieuses et Tropicales, Nancy, F-54000, France
| | - L Boyer
- CHU Nancy, Service de Maladies Infectieuses et Tropicales, Nancy, F-54000, France
| | - N Agrinier
- CHU Nancy, Service d'épidémiologie clinique, Nancy, F-54000, France
| | - P Perrier
- CHU Nancy, Laboratoire d'histocompatibilité, Nancy, F-54000, France
| | - A Kennel
- CHU Nancy, Laboratoire d'histocompatibilité, Nancy, F-54000, France
| | - A Velay
- CHU Nancy, Laboratoire de Virologie, Nancy, F-54000, France Université Lorraine, Faculté de Médecine, EA 7300, Vandoeuvre-les-Nancy, F-54500, France
| | - F Goehringer
- CHU Nancy, Service de Maladies Infectieuses et Tropicales, Nancy, F-54000, France
| | - S Henard
- CHU Nancy, Service de Maladies Infectieuses et Tropicales, Nancy, F-54000, France
| | - C Rabaud
- CHU Nancy, Service de Maladies Infectieuses et Tropicales, Nancy, F-54000, France
| | - T May
- CHU Nancy, Service de Maladies Infectieuses et Tropicales, Nancy, F-54000, France
| | - E Schvoerer
- CHU Nancy, Laboratoire de Virologie, Nancy, F-54000, France Université Lorraine, Faculté de Médecine, EA 7300, Vandoeuvre-les-Nancy, F-54500, France
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Bonsergent E, Agrinier N, Thilly N, Legrand K, Lecomte E, Briançon S. Prévention du surpoids et de l’obésité des adolescents en milieu scolaire : résultats d’un essai contrôlé, randomisé en grappe. Rev Epidemiol Sante Publique 2013. [DOI: 10.1016/j.respe.2013.07.142] [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] Open
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Bonsergent E, Briançon S, Agrinier N. Efficacité de trois stratégies de réduction du surpoids et de l’obésité à l’adolescence en milieu scolaire : un essai randomisé en cluster. Rev Epidemiol Sante Publique 2011. [DOI: 10.1016/j.respe.2011.02.089] [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: 10/14/2022] Open
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Briançon S, Bonsergent E, Agrinier N, Tessier S, Legrand K, Lecomte E, Aptel E, Hercberg S, Collin J. Improving nutritional behaviours and knowledge in high school adolescents: The PRALIMAP overweight and obesity prevention trial. Can J Diabetes 2011. [DOI: 10.1016/s1499-2671(11)52154-9] [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: 10/27/2022]
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Agrinier N, Cournot M, Dallongeville J, Arveiler D, Ducimetière P, Ruidavets JB, Ferrières J. Menopause and modifiable coronary heart disease risk factors: A population based study. Maturitas 2010; 65:237-43. [DOI: 10.1016/j.maturitas.2009.11.023] [Citation(s) in RCA: 53] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2009] [Revised: 10/28/2009] [Accepted: 11/25/2009] [Indexed: 11/26/2022]
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Agrinier N, Cournot M, Ferrières J. [Dyslipidemia in women after 50: age, menopause or both?]. Ann Cardiol Angeiol (Paris) 2009; 58:159-164. [PMID: 18980752 DOI: 10.1016/j.ancard.2008.09.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2008] [Accepted: 09/07/2008] [Indexed: 05/27/2023]
Abstract
A high prevalence of cardiovascular risk factors is reported in postmenopausal women. The objective of this review was to determine whether the effect of the menopause on lipid profile remained after adjusting for age in middle age women. The results of 10 cross sectional studies and nine longitudinal studies added evidence of a worsening effect of the menopause on total cholesterol, LDL cholesterol and triglyceride plasmatic levels. This effect remained after adjustment for age. Menopausal estrogenic deficiency could be an explanation for those results, even if the hormonal replacement therapy effect on the lipid profile remains unclear.
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Affiliation(s)
- N Agrinier
- Epidémiologie et Evaluation Cliniques, CHU de Nancy, Nancy, France.
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