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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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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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Pomar L, Lambert V, Madec Y, Vouga M, Pomar C, Matheus S, Fontanet A, Panchaud A, Carles G, Baud D. Placental infection by Zika virus in French Guiana. Ultrasound Obstet Gynecol 2020; 56:740-748. [PMID: 31773804 DOI: 10.1002/uog.21936] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Revised: 11/13/2019] [Accepted: 11/14/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVES To describe placental findings on prenatal ultrasound and anatomopathological examination in women with Zika virus (ZIKV) infection, and to assess their association with congenital ZIKV infection and severe adverse outcome, defined as fetal loss or congenital Zika syndrome (CZS). METHODS This was a prospective study of pregnancies undergoing testing for maternal ZIKV infection at a center in French Guiana during the ZIKV epidemic. In ZIKV-positive women, congenital infection was defined as either a positive reverse transcription polymerase chain reaction result or identification of ZIKV-specific immunoglobulin-M in at least one placental, fetal or neonatal sample. Placental ZIKV-infection status was classified as non-exposed (placentae from non-infected women), exposed (placentae from ZIKV-infected women without congenital infection) or infected (placentae from ZIKV-infected women with proven congenital infection). Placentae were assessed by monthly prenatal ultrasound examinations, measuring placental thickness and umbilical artery Doppler parameters, and by anatomopathological examination after live birth or intrauterine death in women with ZIKV infection. The association of placental thickness during pregnancy and anatomopathological findings with the ZIKV status of the placenta was assessed. The association between placental findings and severe adverse outcome (CZS or fetal loss) in the infected group was also assessed. RESULTS Among 291 fetuses/neonates/placentae from women with proven ZIKV infection, congenital infection was confirmed in 76 cases, of which 16 resulted in CZS and 11 resulted in fetal loss. The 215 remaining placentae from ZIKV-positive women without evidence of congenital ZIKV infection represented the exposed group. A total of 334 placentae from ZIKV-negative pregnant women represented the non-exposed control group. Placentomegaly (placental thickness > 40 mm) was observed more frequently in infected placentae (39.5%) than in exposed placentae (17.2%) or controls (7.2%), even when adjusting for gestational age at diagnosis and comorbidities (adjusted hazard ratio (aHR), 2.02 (95% CI, 1.22-3.36) and aHR, 3.23 (95% CI, 1.86-5.61), respectively), and appeared earlier in infected placentae. In the infected group, placentomegaly was observed more frequently in cases of CZS (62.5%) or fetal loss (45.5%) than in those with asymptomatic congenital infection (30.6%) (aHR, 5.43 (95% CI, 2.17-13.56) and aHR, 4.95 (95% CI, 1.65-14.83), respectively). Abnormal umbilical artery Doppler was observed more frequently in cases of congenital infection resulting in fetal loss than in those with asymptomatic congenital infection (30.0% vs 6.1%; adjusted relative risk (aRR), 4.83 (95% CI, 1.09-20.64)). Infected placentae also exhibited a higher risk for any pathological anomaly than did exposed placentae (62.8% vs 21.6%; aRR, 2.60 (95% CI, 1.40-4.83)). CONCLUSIONS Early placentomegaly may represent the first sign of congenital infection in ZIKV-infected women, and should prompt enhanced follow-up of these pregnancies. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.
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Affiliation(s)
- L Pomar
- Materno-fetal and Obstetrics Research Unit, Department 'Femme-Mère-Enfant', University Hospital, Lausanne, Switzerland
- Department of Obstetrics and Gynecology, Centre Hospitalier de l'Ouest Guyanais Franck Joly, Saint-Laurent-du-Maroni, France
| | - V Lambert
- Department of Obstetrics and Gynecology, Centre Hospitalier de l'Ouest Guyanais Franck Joly, Saint-Laurent-du-Maroni, France
| | - Y Madec
- Emerging Diseases Epidemiology Unit, Institut Pasteur, Paris, France
| | - M Vouga
- Materno-fetal and Obstetrics Research Unit, Department 'Femme-Mère-Enfant', University Hospital, Lausanne, Switzerland
| | - C Pomar
- Department of Obstetrics and Gynecology, Centre Hospitalier de l'Ouest Guyanais Franck Joly, Saint-Laurent-du-Maroni, France
| | - S Matheus
- Laboratory of Virology, National Reference Center for Arboviruses, Institut Pasteur, Cayenne; Environment and Infections Risks Unit, Institut Pasteur, Paris, France
| | - A Fontanet
- Emerging Diseases Epidemiology Unit, Institut Pasteur, Paris, France
- PACRI Unit, Conservatoire National des Arts et Métiers, Paris, France
| | - A Panchaud
- Service of Pharmacy, Lausanne University Hospital, Lausanne, Switzerland
- Institute of Primary Health Care, University of Bern, Bern, Switzerland
| | - G Carles
- Department of Obstetrics and Gynecology, Centre Hospitalier de l'Ouest Guyanais Franck Joly, Saint-Laurent-du-Maroni, France
| | - D Baud
- Materno-fetal and Obstetrics Research Unit, Department 'Femme-Mère-Enfant', University Hospital, Lausanne, Switzerland
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Rawdon C, Gallagher P, Glacken M, Swallow V, Lambert V. Parent and adolescent communication with healthcare professionals about Type 1 diabetes management at adolescents' outpatient clinic appointments. Diabet Med 2020; 37:785-796. [PMID: 31295361 DOI: 10.1111/dme.14075] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/09/2019] [Indexed: 12/25/2022]
Abstract
AIM This study aimed to identify the ways in which adolescents living with Type 1 diabetes and their parents communicate about Type 1 diabetes management with healthcare professionals in a clinical setting. METHODS Twenty-nine adolescents (aged 11-17 years) and their parents were purposively recruited from two outpatient clinics for non-participant observations. Outpatient clinic appointments, which consisted of multiple consultations with healthcare professionals, were observed and audio-recorded. Outpatient clinic appointments were categorized based on the nature and extent of communication by the adolescent and their parent(s) in relation to Type 1 diabetes management activities. RESULTS Data from 29 outpatient clinic appointments, consisting of a total of 68 observed consultations, were analysed and a continuum consisting of three patterns of communication was identified (parent-led, collaborative and adolescent-led). Healthcare professionals should attend to the nature and extent of communication by adolescents and their parents in relation to Type 1 diabetes management activities because parent and adolescent engagement in communication during clinic appointments may also reflect their degree of involvement in daily Type 1 diabetes management. CONCLUSIONS This continuum provides a framework for healthcare professionals to use to identify communication patterns in consultations which in turn may allow healthcare professionals to encourage more effective communication about Type 1 diabetes management from adolescents and their parents in clinic consultations. This may have a positive impact on the sharing of Type 1 diabetes management responsibilities and adolescents' developing self-management skills as roles change during this developmental period.
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Affiliation(s)
- C Rawdon
- School of Nursing and Human Sciences, Dublin City University, Dublin
| | - P Gallagher
- School of Nursing and Human Sciences, Dublin City University, Dublin
| | - M Glacken
- Institute of Technology, Sligo, Ireland
| | - V Swallow
- School of Healthcare, University of Leeds, Leeds, UK
| | - V Lambert
- School of Nursing and Human Sciences, Dublin City University, Dublin
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Boet A, Guihaire J, Le Bret E, Jourdain G, Hascoët S, Lambert V, Antigny F, Rucker-Martin C. Early detection of left ventricular failure in right ventricular congenital heart diseases. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.339] [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: 11/29/2022]
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Boet A, Guihaire J, Le Bret E, Jourdain G, Hascoet S, Lambert V, Antigny F, Crucker-Martin C. Electrical cardiometry: ICON (contractility index) and detection of left ventricular failure. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.354] [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]
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Perrot JL, Cinotti E, Kaspi M, Garcin T, Lambert V, Philidet F, Thuret G, Couty E, David C, Tognetti L, Grivet D. Consultation multidisciplinaire tumorale de l’appareil oculaire antérieur. Constat après 6 ans d’existence. Ann Dermatol Venereol 2019. [DOI: 10.1016/j.annder.2019.09.167] [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: 11/29/2022]
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Cinotti E, La Rocca A, Labeille B, Grivet D, Lambert V, Kaspi M, Nami N, Cambazard F, Fimiani M, Thuret G, Gain P, Tognetti L, Rubegni P, Perrot J. Dermoscopy for the diagnosis of eyelid margin tumours. Br J Dermatol 2019; 181:397-398. [DOI: 10.1111/bjd.17743] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- E. Cinotti
- Department of Medical Surgical and Neurological Science, Dermatology Section University of Siena Santa Maria alle Scotte Hospital SienaItaly
| | - A. La Rocca
- Department of Medical Surgical and Neurological Science, Dermatology Section University of Siena Santa Maria alle Scotte Hospital SienaItaly
| | - B. Labeille
- Department of Dermatology University Hospital of Saint‐Etienne 42055 Saint‐Etienne cedex 2France
| | - D. Grivet
- Department of Ophthalmology; University Hospital of Saint‐Etienne 42055 Saint‐Etienne cedex 2France
- Laboratory of Biology, Engineering and Corneal Graft Imaging Jean Monnet University 42000 Saint‐EtienneFrance
| | - V. Lambert
- Department of Ophthalmology; University Hospital of Saint‐Etienne 42055 Saint‐Etienne cedex 2France
- Laboratory of Biology, Engineering and Corneal Graft Imaging Jean Monnet University 42000 Saint‐EtienneFrance
| | - M. Kaspi
- Department of Ophthalmology; University Hospital of Saint‐Etienne 42055 Saint‐Etienne cedex 2France
- Laboratory of Biology, Engineering and Corneal Graft Imaging Jean Monnet University 42000 Saint‐EtienneFrance
| | - N. Nami
- Department of Medical Surgical and Neurological Science, Dermatology Section University of Siena Santa Maria alle Scotte Hospital SienaItaly
| | - F. Cambazard
- Department of Dermatology University Hospital of Saint‐Etienne 42055 Saint‐Etienne cedex 2France
| | - M. Fimiani
- Department of Medical Surgical and Neurological Science, Dermatology Section University of Siena Santa Maria alle Scotte Hospital SienaItaly
| | - G. Thuret
- Department of Ophthalmology; University Hospital of Saint‐Etienne 42055 Saint‐Etienne cedex 2France
- Laboratory of Biology, Engineering and Corneal Graft Imaging Jean Monnet University 42000 Saint‐EtienneFrance
- French University Institute Boulevard Saint‐Michel 75005 Paris France
| | - P. Gain
- Department of Ophthalmology; University Hospital of Saint‐Etienne 42055 Saint‐Etienne cedex 2France
- Laboratory of Biology, Engineering and Corneal Graft Imaging Jean Monnet University 42000 Saint‐EtienneFrance
| | - L. Tognetti
- Department of Medical Surgical and Neurological Science, Dermatology Section University of Siena Santa Maria alle Scotte Hospital SienaItaly
| | - P. Rubegni
- Department of Medical Surgical and Neurological Science, Dermatology Section University of Siena Santa Maria alle Scotte Hospital SienaItaly
| | - J.L. Perrot
- Department of Dermatology University Hospital of Saint‐Etienne 42055 Saint‐Etienne cedex 2France
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Castel-Lacanal E, Prudhomme M, Lambert V, Game X, De Boissezon X, Marque P. Study of urinary disorders in a cohort of 137 adult patients with cerebral palsy. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.629] [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]
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Mika D, Bobin P, Lindner M, Hodzic A, Boet A, Lefebvre F, Rucker-Martin C, Lambert V, Fischmeister R, Vandecasteele G, Leroy J. PDE4 controls the β-adrenergic stimulation of the cardiac excitation-contraction coupling in right ventricular cardiomyocytes isolated from healthy and heart failure pigs. Archives of Cardiovascular Diseases Supplements 2018. [DOI: 10.1016/j.acvdsp.2018.02.083] [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: 11/29/2022]
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Alidjinou EK, Bocket L, Pigot V, Lambert V, Hallaert C, Canva V, Hober D. Sanger sequencing versus INNO-LiPA® HBV PreCore assay for routine detection of precore and basal core promoter mutations in hepatitis virus B chronically infected patients. Diagn Microbiol Infect Dis 2017; 90:277-279. [PMID: 29310947 DOI: 10.1016/j.diagmicrobio.2017.12.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 08/08/2017] [Revised: 11/20/2017] [Accepted: 12/08/2017] [Indexed: 01/30/2023]
Abstract
We compared the Sanger sequencing and the commercial INNO-LiPA® HBV assay for the routine detection of precore (PC) and basal core promoter (BCP) mutations of hepatitis B virus in chronically infected patients. The overall agreement rate between assays was 94.2% and 98.8% for the detection of PC and BCP mutations, respectively.
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Affiliation(s)
- E K Alidjinou
- Univ Lille, Faculté de Médecine, CHU Lille, Laboratoire de Virologie EA3610, F-59000, Lille, France.
| | - L Bocket
- Univ Lille, Faculté de Médecine, CHU Lille, Laboratoire de Virologie EA3610, F-59000, Lille, France
| | - V Pigot
- Univ Lille, Faculté de Médecine, CHU Lille, Laboratoire de Virologie EA3610, F-59000, Lille, France
| | - V Lambert
- Univ Lille, Faculté de Médecine, CHU Lille, Laboratoire de Virologie EA3610, F-59000, Lille, France
| | - C Hallaert
- Univ Lille, Faculté de Médecine, CHU Lille, Laboratoire de Virologie EA3610, F-59000, Lille, France
| | - V Canva
- CHU de Lille, Service des Maladies de l'appareil Digestif, Lille, France
| | - D Hober
- Univ Lille, Faculté de Médecine, CHU Lille, Laboratoire de Virologie EA3610, F-59000, Lille, France
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Renault D, Courrier E, Kaspi M, Marcon A, Lambert V, Garcin T, Chiambaretta F, Garhofer G, Thuret G, Gain P. Micro-instillation of fluorescein with an inoculation loop for ocular surface staining in dry eye syndrome. Acta Ophthalmol 2017. [DOI: 10.1111/j.1755-3768.2017.0s007] [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: 11/27/2022]
Affiliation(s)
- D. Renault
- Corneal Graft Biology- Engineering and Imaging Laboratory- EA 2521; University Jean Monnet; Saint Etienne France
- Laboratoires Thea; Clinical Research R&D; Clermont-Ferrand France
| | - E. Courrier
- Corneal Graft Biology- Engineering and Imaging Laboratory- EA 2521; University Jean Monnet; Saint Etienne France
| | - M. Kaspi
- Ophthalmology; University Hospital; Saint Etienne France
| | - A. Marcon
- Ophthalmology; University Hospital; Saint Etienne France
| | - V. Lambert
- Ophthalmology; University Hospital; Saint Etienne France
| | - T. Garcin
- Ophthalmology; University Hospital; Saint Etienne France
| | | | - G. Garhofer
- Clinical Pharmacology; Medical University; Vienna Austria
| | - G. Thuret
- Corneal Graft Biology- Engineering and Imaging Laboratory- EA 2521; University Jean Monnet; Saint Etienne France
- Ophthalmology; University Hospital; Saint Etienne France
| | - P. Gain
- Corneal Graft Biology- Engineering and Imaging Laboratory- EA 2521; University Jean Monnet; Saint Etienne France
- Ophthalmology; University Hospital; Saint Etienne France
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Macdonell R, Lambert V, Fitzsimons J, Horkan S. ISQUA17-3305DEVELOPING AND IMPLEMENTING A NATIONAL PAEDIATRIC EARLY WARNING SYSTEM FOR MANAGING CHILD CLINICAL DETERIORATION. Int J Qual Health Care 2017. [DOI: 10.1093/intqhc/mzx125.57] [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: 11/13/2022] Open
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Affiliation(s)
- L Pomar
- Department of Obstetrics and Gynecology, St-Laurent du Maroni's Hospital, Centre Hospitalier de l'Ouest Guyanais, Saint-Laurent-du-Maroni, French Guiana
| | - D Rousset
- Institut Pasteur of French Guiana, Laboratory of Virology, National Reference Center for Arboviruses, Cayenne, French Guiana
| | - A Jolivet
- Public Health Department, St-Laurent du Maroni's Hospital, Centre Hospitalier de l'Ouest Guyanais, Saint-aurent-du-Maroni, French Guiana
| | - C Pomar
- Department of Obstetrics and Gynecology, St-Laurent du Maroni's Hospital, Centre Hospitalier de l'Ouest Guyanais, Saint-Laurent-du-Maroni, French Guiana
| | - V Lambert
- Department of Obstetrics and Gynecology, St-Laurent du Maroni's Hospital, Centre Hospitalier de l'Ouest Guyanais, Saint-Laurent-du-Maroni, French Guiana
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Pomar L, Malinger G, Benoist G, Carles G, Ville Y, Rousset D, Hcini N, Pomar C, Jolivet A, Lambert V. Association between Zika virus and fetopathy: a prospective cohort study in French Guiana. Ultrasound Obstet Gynecol 2017; 49:729-736. [PMID: 28078779 DOI: 10.1002/uog.17404] [Citation(s) in RCA: 68] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2016] [Revised: 12/27/2016] [Accepted: 01/09/2017] [Indexed: 06/06/2023]
Abstract
OBJECTIVE To establish the incidence of fetal central nervous system (CNS) anomalies (including microcephaly), signs of congenital infection and fetal loss in pregnant women infected with Zika virus (ZIKV) and non-infected pregnant women in western French Guiana. METHODS This prospective cohort study was conducted between 1 January and 15 July 2016. We evaluated and compared clinical and fetal ultrasound examinations of 301 pregnant women with biological confirmation of ZIKV infection and 399 pregnant women who were negative for ZIKV infection. RESULTS Overall, the total number of fetuses with CNS involvement was higher in the infected than in the control group (9.0% vs 4.3%; relative risk, 2.11 (95% CI, 1.18-4.13)). Anomalies of the corpus callosum and presence of cerebral hyperechogenicities were significantly more common in the infected group. There was an increased risk of microcephaly in the infected compared with the control group (1.7% vs 0.3%; relative risk, 6.63 (95% CI, 0.78-57.83)), although this was not statistically significant. When the mother was infected during the first or second trimester, there was a greater risk of severe CNS involvement, more signs of infection and intrauterine fetal death than with infection in the third trimester. The rate of vertical transmission in the exposed group was 10.9%. CONCLUSION ZIKV infection during pregnancy is associated with a significant risk of fetal CNS involvement and intrauterine fetal death, particularly when infection occurs during the first or second trimesters. Microcephaly was not present in every case of congenital ZIKV syndrome that we observed. Until more is known about this disease, it is paramount to evaluate suspected cases by detailed neurosonography on a monthly basis, paying particular attention to the corpus callosum and the presence of hyperechogenic foci. Copyright © 2017 ISUOG. Published by John Wiley & Sons Ltd.
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Affiliation(s)
- L Pomar
- Department of Obstetrics and Gynecology, St-Laurent du Maroni's Hospital, Centre Hospitalier de l'Ouest Guyanais, Saint-Laurent du Maroni, French Guiana
| | - G Malinger
- Division of Ultrasound in Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - G Benoist
- Service de Gynécologie-Obstétrique et Médecine de la Reproduction, CHU de Caen, Université de Caen, Caen, Normandy, France
| | - G Carles
- Department of Obstetrics and Gynecology, St-Laurent du Maroni's Hospital, Centre Hospitalier de l'Ouest Guyanais, Saint-Laurent du Maroni, French Guiana
| | - Y Ville
- Department of Obstetrics and Fetal Medicine, Université Paris Descartes, Hospital Necker-Enfants Malades, Paris, France
| | - D Rousset
- Institut Pasteur of French Guiana, Laboratory of Virology, National Referral Center for Arboviruses, Cayenne, French Guiana
| | - N Hcini
- Department of Obstetrics and Gynecology, St-Laurent du Maroni's Hospital, Centre Hospitalier de l'Ouest Guyanais, Saint-Laurent du Maroni, French Guiana
| | - C Pomar
- Department of Obstetrics and Gynecology, St-Laurent du Maroni's Hospital, Centre Hospitalier de l'Ouest Guyanais, Saint-Laurent du Maroni, French Guiana
| | - A Jolivet
- Sorbonne Universités, UPMC Universités Paris 06, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Department of Social Epidemiology, Paris, France
- Public Health Department, St-Laurent du Maroni's Hospital, Centre Hospitalier de l'Ouest Guyanais, Saint-Laurent du Maroni, French Guiana
| | - V Lambert
- Department of Obstetrics and Gynecology, St-Laurent du Maroni's Hospital, Centre Hospitalier de l'Ouest Guyanais, Saint-Laurent du Maroni, French Guiana
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Thompson S, Lambert V. Racial Differences in Undergraduate Weight Gain, Sleep Quality, and Food Choices. J Acad Nutr Diet 2016. [DOI: 10.1016/j.jand.2016.06.330] [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: 11/25/2022]
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O'Toole S, Lambert V, Gallagher P, Shahwan A, Austin JK. "I don't like talking about it because that's not who I am": Challenges children face during epilepsy-related family communication. Chronic Illn 2016; 12:216-26. [PMID: 27068112 DOI: 10.1177/1742395316644307] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2015] [Accepted: 02/15/2016] [Indexed: 11/17/2022]
Abstract
OBJECTIVES Childhood epilepsy not only significantly impacts a child's social relationships and psychosocial wellbeing, but it can also cause disruptions in family relations. Children living with epilepsy often rely on parental figures for guidance in relation to their condition. A paucity of research has examined the challenges for children when communicating about epilepsy with parental figures. This qualitative study explored the challenges faced by children when talking about epilepsy with their parent(s). METHODS Semi-structured interviews were conducted with 29 children (aged 6-16 years) living with epilepsy. Participants were recruited from a neurology department of a major pediatric hospital and from a national epilepsy association. Interviews were transcribed verbatim and thematically analyzed. RESULTS Findings revealed four themes: communication impeding normalcy, parental overprotection, parental reactions to epilepsy-related communication, and restriction of activities as a consequence of epilepsy-related communication. DISCUSSION The study highlights the need for a greater understanding of parent-child dialogue surrounding epilepsy and where challenges lie for children in conversing about their condition. Parents and health care professionals play a pivotal role in facilitating an environment where children feel comfortable talking about epilepsy. This information will be instrumental in the development of a communication-based intervention for families living with epilepsy.
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Affiliation(s)
- S O'Toole
- School of Nursing and Human Sciences, Faculty of Science and Health, Dublin City University, Dublin, Ireland
| | - V Lambert
- School of Nursing and Human Sciences, Faculty of Science and Health, Dublin City University, Dublin, Ireland
| | - P Gallagher
- School of Nursing and Human Sciences, Faculty of Science and Health, Dublin City University, Dublin, Ireland
| | - A Shahwan
- Neurology Department, Temple Street Children's University Hospital, Temple Street, Dublin, Ireland
| | - J K Austin
- Professor Emerita, Indiana University School of Nursing, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA
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Jolivet A, Rimbaud D, Restrepo M, Louison A, Lambert V, Carles G. Intoxication au plomb chez la femme enceinte dans l’Ouest Guyanais : émergence d’un problème de santé publique. Rev Epidemiol Sante Publique 2016. [DOI: 10.1016/j.respe.2016.06.005] [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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Méry B, Vallard A, Espenel S, Badie N, Thiermant M, Lambert V, Soulier V, Piqueres S, Del Santo K, Ben Mrad M, Wang G, Diao P, Langrand-Escure J, Rivoirard R, Guy JB, Guillot A, Chanelière AF, Gonthier R, Achour E, Fournel P, Magné N. Cancer de prostate des sujets âgés : place et rôle de l’évaluation gériatrique. Prog Urol 2016; 26:524-31. [DOI: 10.1016/j.purol.2016.07.002] [Citation(s) in RCA: 2] [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] [Received: 08/25/2015] [Revised: 06/13/2016] [Accepted: 07/22/2016] [Indexed: 11/30/2022]
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20
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Benedetti G, Mossoko M, Nyakio Kakusu JP, Nyembo J, Mangion JP, Van Laeken D, Van den Bergh R, Van den Boogaard W, Manzi M, Kibango WK, Hermans V, Beijnsberger J, Lambert V, Kitenge E. Sparks creating light? Strengthening peripheral disease surveillance in the Democratic Republic of Congo. Public Health Action 2016; 6:54-9. [PMID: 27358796 DOI: 10.5588/pha.15.0080] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [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: 12/25/2016] [Accepted: 03/24/2016] [Indexed: 11/10/2022] Open
Abstract
SETTING The Democratic Republic of Congo suffers from an amalgam of disease outbreaks and other medical emergencies. An efficient response to these relies strongly on the national surveillance system. The Pool d'Urgence Congo (PUC, Congo Emergency Team) of Médecins Sans Frontières is a project that responds to emergencies in highly remote areas through short-term vertical interventions, during which it uses the opportunity of its presence to reinforce the local surveillance system. OBJECTIVE To investigate whether the ancillary strengthening of the peripheral surveillance system during short-term interventions leads to improved disease notification. DESIGN A descriptive paired study measuring disease notification before and after 12 PUC interventions in 2013-2014. RESULTS A significant increase in disease notification was observed after seven mass-vaccination campaigns and was sustained over 6 months. For the remaining five smaller-scaled interventions, no significant effects were observed. CONCLUSION The observed improvements after even short-term interventions underline, on the one hand, how external emergency actors can positively affect the system through their punctuated actions, and, on the other hand, the dire need for investment in surveillance at peripheral level.
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Affiliation(s)
- G Benedetti
- Médecins Sans Frontières (MSF), Kinshasa, Democratic Republic of Congo
| | - M Mossoko
- Ministère de la Santé Publique, Secrétariat Général à la Santé, Direction de Lutte contre la Maladie, Kinshasa, Democratic Republic of Congo
| | - J P Nyakio Kakusu
- Médecins Sans Frontières (MSF), Kinshasa, Democratic Republic of Congo
| | - J Nyembo
- Médecins Sans Frontières (MSF), Kinshasa, Democratic Republic of Congo
| | - J P Mangion
- Médecins Sans Frontières (MSF), Kinshasa, Democratic Republic of Congo
| | - D Van Laeken
- Médecins Sans Frontières (MSF), Kinshasa, Democratic Republic of Congo
| | - R Van den Bergh
- MSF, Medical Department (Operational Research), Operational Centre Brussels (OCB), Luxembourg, Luxembourg
| | - W Van den Boogaard
- MSF, Medical Department (Operational Research), Operational Centre Brussels (OCB), Luxembourg, Luxembourg
| | - M Manzi
- MSF, Medical Department (Operational Research), Operational Centre Brussels (OCB), Luxembourg, Luxembourg
| | | | - V Hermans
- Médecins Sans Frontières (MSF), Kinshasa, Democratic Republic of Congo
| | - J Beijnsberger
- Médecins Sans Frontières (MSF), Kinshasa, Democratic Republic of Congo
| | | | - E Kitenge
- Ministère de la Santé Publique, Secrétariat Général à la Santé, Direction de Lutte contre la Maladie, Kinshasa, Democratic Republic of Congo
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Haland T, Neglia L, Mas-Stachurska A, Malanin D, Baruteau AE, Pontnau F, Capotosto L, Hristova K, Sevilla T, Wojtkowska A, Almaas VM, Hasselberg NE, Saberniak J, Leren IS, Hopp E, Edvardsen T, Haugaa KH, Piazza R, Doronzo A, Leonelli V, Morosin M, Leiballi E, Pecoraro R, Lutman C, Dragos A, Cassin M, Sitges M, Meirelles T, Hernandez V, Egea G, Bijnens B, Poggio D, Ferrazzi P, Spirito P, Specchia G, Grillo M, Amigoni P, Bersano C, Pisani M, Chioffi M, Hascoet S, Piot D, Lambert V, Petit J, Ladouceur M, Ferreira A, Iserin L, Mousseaux E, D'angeli I, Conde Y, Ashurov R, Miraldi F, Vitarelli A, Dasheva A, Marinov R, Lasarov S, Mitev I, Mitev P, Konstantinov G, Kaneva A, Katova TZ, Revilla-Orodea A, Uruena-Martinez N, Fuertes-Alija JJ, Rodriguez-Velasco M, Gomez-Salvador I, San Roman-Calvar JA, Tomaszewski A, Czekajska-Chehab E, Wysokinski A, Adamczyk P, Siek E, Zakoscielna M. Moderated Posters session: advanced echo techniques in congenital heart diseaseP526Systolic function by strain echocardiography is related to cardiac fibrosis and arrhythmias in hypertrophic cardiomyopathyP527Natural history of bicuspid aortic valve valvulo-aortopathy in affected patients followed in a single centerP528Postsystolic thickening as a likely sign of altered deformation due to pressure overload in a Marfan murine model.P529Strain rate echocardiography in patients with hypertrophic cardiomyopathy undergoing surgical myectomy.P530Transthoracic echocardiography is a safe alternative for assessment and guidance of transcatheter closure of secundum atrial septal defect in childrenP531Aortic root dilatation and stiffness assessed by magnetic resonance imaging in adults with repaired tetralogy of FallotP532Assessment of biventricular and vascular function using three-dimensional speckle tracking echocardiography in adult patients with surgical repair of tetralogy of FallotP533A study of functional anatomy of aortic-mitral valve coupling using 3D echocardiography in patients with double orifice mitral valveP534Evaluation of bicuspid aortic valve and its repercussion in the left ventricle with cardiovascular magnetic resonanceP535Echocardiographic assessment of anomalous pulmonary venous connection. Eur Heart J Cardiovasc Imaging 2015. [DOI: 10.1093/ehjci/jev252] [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: 11/14/2022] Open
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Benson A, O'Toole S, Lambert V, Gallagher P, Shahwan A, Austin JK. To tell or not to tell: A systematic review of the disclosure practices of children living with epilepsy and their parents. Epilepsy Behav 2015; 51:73-95. [PMID: 26262936 DOI: 10.1016/j.yebeh.2015.07.013] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2015] [Revised: 07/04/2015] [Accepted: 07/06/2015] [Indexed: 11/18/2022]
Abstract
Disclosing an epilepsy diagnosis to others is complex due to the condition's largely invisible nature and associated stigma. Despite this, little has been documented in terms of what this process involves for children living with epilepsy (CWE) and their parents. A systematic review was conducted to examine and synthesize evidence pertaining to: (i) the disclosure practices of CWE and their parents, (ii) enablers and barriers for disclosure, (iii) the impact of disclosure practices, and (iv) the relationship between disclosure management and other variables. The electronic databases PsycINFO, PubMed, MEDLINE, CINAHL, Scopus, and Web of Science were searched systematically. Any empirical, peer-reviewed journal articles with findings reported regarding the self- or proxy-reported disclosure practices of children aged 0-18years with any type of epilepsy and/or their parents were deemed eligible for inclusion. Two review authors completed all stages of screening, data extraction, and quality assessment independently with two additional review authors resolving any discrepancies. A total of 32 articles were included in the review. Only one dated study examined disclosure as a primary focus; in the remaining studies, disclosure was a subfocus of larger studies or pertinent qualitative themes/subthemes incidentally emerged. The limited evidence suggests that: 1) CWE and parents adopt varying disclosure management strategies - from concealment to voluntary disclosure; 2) disclosure decisions are challenging for CWE and parents; 3) many barriers to disclosure exist (e.g., fear of stigmatization and rejection); 4) only a limited number of factors that enable disclosure are known (e.g., openness by others to engage with and learn about epilepsy); 5) disclosure management is significantly related to a number of variables (e.g., child/maternal perceived stigma and seizure control); and 6) there are varying outcomes for CWE and/or their parents in accordance with the adoption of specific disclosure management strategies (e.g., disclosure resulting in greater acceptance and the receipt of support or evoking anxiety/fear in others; and concealment resulting in misunderstandings, embarrassment, and stigma-coaching), but the evidence remains inconclusive in terms of which disclosure management strategy is optimal. While some preliminary work has been conducted, disclosure of epilepsy is a topic that has been largely neglected to date. This is despite the fact that disclosure is a significant source of concern for CWE and parent populations. Future studies should focus on elucidating the unique contextual factors that inform disclosure decisions in order to develop a theoretical framework that can explain the epilepsy disclosure decision-making process.
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Affiliation(s)
- A Benson
- School of Nursing and Human Sciences, Faculty of Science and Health, Dublin City University, Dublin 9, Ireland
| | - S O'Toole
- School of Nursing and Human Sciences, Faculty of Science and Health, Dublin City University, Dublin 9, Ireland
| | - V Lambert
- School of Nursing and Human Sciences, Faculty of Science and Health, Dublin City University, Dublin 9, Ireland.
| | - P Gallagher
- School of Nursing and Human Sciences, Faculty of Science and Health, Dublin City University, Dublin 9, Ireland
| | - A Shahwan
- Neurology Department, Temple Street Children's University Hospital, Temple Street, Dublin 1, Ireland
| | - J K Austin
- Indiana University School of Nursing, Indiana University-Purdue University Indianapolis, Indianapolis, IN 46202, USA
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O'Toole S, Benson A, Lambert V, Gallagher P, Shahwan A, Austin JK. Family communication in the context of pediatric epilepsy: A systematic review. Epilepsy Behav 2015; 51:225-39. [PMID: 26298868 DOI: 10.1016/j.yebeh.2015.06.043] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2015] [Revised: 06/06/2015] [Accepted: 06/29/2015] [Indexed: 01/27/2023]
Abstract
In childhood chronic illness, family communication can impact the child's and parents' psychosocial well-being. However, little is known about family communication in the context of epilepsy in childhood. The aim of this systematic review was to identify the existing evidence available on communication strategies adopted by families living with childhood epilepsy, including; the facilitators, barriers and challenges experienced by families when choosing to communicate, or not, about epilepsy; and the consequences of this communication. Papers published in the English language prior to March 2015 were identified following a search of six electronic databases: PubMed, MEDLINE, Web of Science, PsycINFO, CINAHL, and Scopus. Studies were included if they involved a sample of parents of children with epilepsy or children/young people with epilepsy (0-18years of age) and used qualitative, quantitative, or mixed methods. Following a comprehensive search and screening process, 26 studies were identified as eligible for inclusion in the review. No studies identified specific communication strategies adopted by families living with childhood epilepsy. Some studies found that talking about epilepsy with family members had positive consequences (e.g., communication as an effective coping strategy), with no negative consequences reported in any of the studies. The main barrier to communication for parents was an unwillingness to use the word "epilepsy" because of the perceived negative social connotations associated with the health condition. For children with epilepsy, barriers were as follows: parental desire to keep epilepsy a secret, parents' tendency to deny that the child had epilepsy, parental overprotection, and parents' tendency to impose greater restrictions on the child with epilepsy than on siblings without epilepsy. Future research investigating the communication strategies of families living with epilepsy is needed in order to create effective communication-based interventions for discussing epilepsy within the home.
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Affiliation(s)
- S O'Toole
- School of Nursing and Human Sciences, Faculty of Science and Health, Dublin City University, Dublin 9, Ireland
| | - A Benson
- School of Nursing and Human Sciences, Faculty of Science and Health, Dublin City University, Dublin 9, Ireland
| | - V Lambert
- School of Nursing and Human Sciences, Faculty of Science and Health, Dublin City University, Dublin 9, Ireland.
| | - P Gallagher
- School of Nursing and Human Sciences, Faculty of Science and Health, Dublin City University, Dublin 9, Ireland
| | - A Shahwan
- Neurology Department, Temple Street Children's University Hospital, Temple Street, Dublin 1, Ireland
| | - J K Austin
- Professor Emerita, Indiana University School of Nursing, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA
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Zuniga I, Van den Bergh R, Ndelema B, Bulckaert D, Manzi M, Lambert V, Zachariah R, Reid AJ, Harries AD. Characteristics and mortality of neonates in an emergency obstetric and neonatal care facility, rural Burundi. Public Health Action 2015; 3:276-81. [PMID: 26393046 DOI: 10.5588/pha.13.0050] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [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: 06/24/2013] [Accepted: 09/05/2013] [Indexed: 11/10/2022] Open
Abstract
SETTING A Médecins Sans Frontières emergency obstetric and neonatal care facility specialising as a referral centre for three districts for women with complications during pregnancy or delivery in rural Burundi. OBJECTIVE To describe the characteristics and in-facility mortality rates of neonates born in 2011. DESIGN Descriptive study involving a retrospective review of routinely collected facility data. RESULTS Of 2285 women who delivered, the main complications were prolonged labour 331 (14%), arrested labour 238 (10%), previous uterine intervention 203 (9%), breech 171 (8%) and multiple gestations 150 (7%). There were 175 stillbirths and 2110 live neonates, of whom 515 (24%) were of low birth weight, 963 (46%) were delivered through caesarean section and 267 (13%) required active birth resuscitation. Overall, there were 102 (5%) neonatal deaths. A total of 453 (21%) neonates were admitted to dedicated neonatal special services for sick and low birth weight babies. A high proportion of these neonates were delivered by caesarean section and needed active birth resuscitation. Of 67 (15%) neonatal deaths in special services, 85% were due to conditions linked to low birth weight and birth asphyxia. CONCLUSION Among neonates born to women with complications during pregnancy or delivery, in-facility deaths due to low birth weight and birth asphyxia were considerable. Sustained attention is needed to reduce these mortality rates.
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Affiliation(s)
- I Zuniga
- Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium
| | - R Van den Bergh
- Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium
| | - B Ndelema
- Ministry of Health, Bujumbura, Burundi
| | - D Bulckaert
- Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium
| | - M Manzi
- Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium
| | - V Lambert
- Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium
| | - R Zachariah
- Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium
| | - A J Reid
- Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium
| | - A D Harries
- International Union Against Tuberculosis and Lung Disease, Paris, France ; London School of Hygiene & Tropical Medicine, London, UK
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Lambert V, Game X, De Boissezon X, Braley-Berthoumieux E, Bourg V, Marque P, Castel-Lacanal E. Study of urinary disorders in a cohort of 94 adult patients with cerebral palsy. Ann Phys Rehabil Med 2015. [DOI: 10.1016/j.rehab.2015.07.294] [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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Laux D, Vergnat M, Lambert V, Stos B, Ly M, Roussin R, Belli E. 193 * ATRIOVENTRICULAR VALVE REGURGITATION IN UNIVENTRICULAR HEARTS: OUTCOMES AFTER REPAIR. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu276.193] [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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Charlet P, Lambert V, Carles G. [Acute pancreatitis and pregnancy: Cases study and literature review]. ACTA ACUST UNITED AC 2014; 44:541-9. [PMID: 25260603 DOI: 10.1016/j.jgyn.2014.08.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 11/17/2013] [Revised: 08/16/2014] [Accepted: 08/28/2014] [Indexed: 02/01/2023]
Abstract
OBJECTIVE To describe issues associated with the diagnosis of acute pregnancy-associated pancreatitis. MATERIALS AND METHODS Retrospective study of cases presenting at our establishment from 2002 to 2012. These cases were defined on the basis of the association of abdominal pain, serum lipase levels three times normal values, or signs of pancreatitis on ultrasound scans carried out on women pregnant at the time of diagnosis. A retrospective analysis of the medical files of these patients was carried out, considering epidemiological and etiological criteria, the treatments administered and maternal/fetal fate. RESULTS We identified 10 cases during the study period, corresponding to an incidence of 1/1942. In 70% of cases, the patient was in the last three months of pregnancy. The pain was atypical in 70% of cases and ultrasound revealed biliary lithiasis in 30% of cases. None of the women died. In terms of neonatal morbidity, there were five preterm births, including one of an infant that died at the age of seven days. We then carried out a literature review, from which we determined the most appropriate course of action in cases of acute pancreatitis during pregnancy. CONCLUSION Pancreatitis should be considered in pregnant women with abdominal pains because this diagnosis is easy to confirm and maternal and fetal outcomes are essentially dependent on the early etiological management of this condition. Preterm birth is the predominant factor for neonatal morbidity.
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Affiliation(s)
- P Charlet
- Service de gynécologie-obstétrique, centre hospitalier de l'Ouest Guyanais, boulevard de Gaulle, 97320 Saint-Laurent du Maroni-Guyane, Guiana, France
| | - V Lambert
- Service de gynécologie-obstétrique, centre hospitalier de l'Ouest Guyanais, boulevard de Gaulle, 97320 Saint-Laurent du Maroni-Guyane, Guiana, France
| | - G Carles
- Service de gynécologie-obstétrique, centre hospitalier de l'Ouest Guyanais, boulevard de Gaulle, 97320 Saint-Laurent du Maroni-Guyane, Guiana, France.
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Del Carro AP, Rosset E, Josson-Schramme A, Lambert V, Buff S. First Description of Scrotal Testicles in a Dog Affected by 78, XX Testicular Disorder of Sex Development. Reprod Domest Anim 2014; 49:E48-52. [DOI: 10.1111/rda.12382] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2014] [Accepted: 06/19/2014] [Indexed: 01/25/2023]
Affiliation(s)
- AP Del Carro
- Université de Lyon; VetAgro Sup; Biotechnologies et Pathologie de la Reproduction; CERREC & CRB-ANIM; Marcy l'Etoile France
| | - E Rosset
- Université de Lyon; VetAgro Sup; Biotechnologies et Pathologie de la Reproduction; CERREC & CRB-ANIM; Marcy l'Etoile France
| | - A Josson-Schramme
- Université de Lyon; VetAgro Sup; Biotechnologies et Pathologie de la Reproduction; CERREC & CRB-ANIM; Marcy l'Etoile France
| | - V Lambert
- Université de Lyon; VetAgro Sup; Unité Génétique and Biologie Moléculaire; Marcy l'Etoile France
| | - S Buff
- Université de Lyon; VetAgro Sup; Biotechnologies et Pathologie de la Reproduction; CERREC & CRB-ANIM; Marcy l'Etoile France
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Laux D, Vergnat M, Roussin R, Lambert V, Ly M, Gouton M, Belli E. Ventricular morphology does not impact mid-term outcome after extracardiac total cavopulmonary connection. Arch Cardiovasc Dis 2014. [DOI: 10.1016/j.acvd.2014.07.007] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Louison-Ferté A, Jolivet A, Lambert V, Bosquillon L, Carles G. Lutte contre l’anémie de la femme enceinte dans l’Ouest guyanais : diagnostic et mise en oeuvre d’actions par le réseau Périnat Guyane autour d’une évaluation des pratiques professionnelles. ACTA ACUST UNITED AC 2014. [DOI: 10.1007/s12611-014-0276-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [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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Abstract
BACKGROUND In the last number of years heightened interest has been attributed to the impact of hospital environments on children's psychosocial well-being. With policy largely built around adult assumptions, knowledge about what constitutes a child-friendly hospital environment from young children's perspectives has been lacking. If hospital environments are to aspire to being child friendly then the views of younger aged children must be taken into account. The current study investigated young children's perspectives of hospital social spaces to inform the design of the built environment of a new children's hospital. METHODS An exploratory qualitative participatory design was employed. Data were collected through semi-structured interviews (one-to-one and group workshops) which incorporated art-based activities to actively engage young children. Fifty-five young children aged 5 to 8 years with various acute and chronic illnesses were recruited from inpatient, outpatient and emergency departments of three children's hospitals. RESULTS Young children want a diversity of readily available, independently accessible, age, gender and developmentally appropriate leisure and entertainment facilities seamlessly integrated throughout the hospital environment. Such activities were invaluable for creating a positive hospital experience for children by combating boredom, enriching choice and control and reducing a sense of isolation through enhanced socialization. When in hospital, young children want to feel socially connected to the internal hospital community as well as to the outside world. Technology can assist to broaden the spectrum of children's social connectivity when in hospital - to home, school and the wider outside world. CONCLUSION While technology offers many opportunities to support children's psychosocial well-being when in confined healthcare spaces, the implementation and operation of such services and systems require much further research in the areas of ethics, facilitation, organizational impact and evaluation.
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Affiliation(s)
- V Lambert
- School of Nursing and Human Sciences, Faculty of Science and Health, Dublin City University, Dublin 9, Ireland
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El Guindi W, Dreyfus M, Carles G, Lambert V, Herlicoviez M, Benoist G. [Contribution of volume ultrasound in the evaluation and prenatal care of fetal cardiovascular anomalies]. ACTA ACUST UNITED AC 2013; 43:56-65. [PMID: 23978842 DOI: 10.1016/j.jgyn.2013.05.002] [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: 03/13/2012] [Revised: 05/02/2013] [Accepted: 05/15/2013] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To highlight the value of 3D ultrasound in the prenatal assessment of fetal cardiovascular abnormalities. PATIENTS AND METHODS A retrospective offline analysis of volume datasets of fetuses diagnosed with cardiovascular anomalies by 2D ultrasound was performed. RESULTS Thirty-four fetuses with 38 cardiac malformations were evaluated. Mean gestational age at diagnosis was 26 weeks. Isolated cardiovascular malformations were detected in 23 fetuses. Extracardiac abnormalities were identified in eight fetuses. Ten terminations of pregnancy were performed. CONCLUSION Offline analysis of cardiovascular anomalies conferred significant diagnostic advantages over 2D ultrasound. 3D ultrasound is a valuable tool for the prenatal diagnosis and the management of congenital heart diseases.
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Affiliation(s)
- W El Guindi
- Service de gynécologie-obstétrique, centre hospitalier de l'ouest Guyanais, 16, boulevard du Général-Leclerc, BP 245, 94393 Saint-Laurent-du-Maroni, France.
| | - M Dreyfus
- Service de gynécologie-obstétrique et médecine de la reproduction, CHU de Caen, avenue Côte-de-Nacre, 14033 Caen cedex 9, France
| | - G Carles
- Service de gynécologie-obstétrique, centre hospitalier de l'ouest Guyanais, 16, boulevard du Général-Leclerc, BP 245, 94393 Saint-Laurent-du-Maroni, France
| | - V Lambert
- Service de gynécologie-obstétrique, centre hospitalier de l'ouest Guyanais, 16, boulevard du Général-Leclerc, BP 245, 94393 Saint-Laurent-du-Maroni, France
| | - M Herlicoviez
- Service de gynécologie-obstétrique et médecine de la reproduction, CHU de Caen, avenue Côte-de-Nacre, 14033 Caen cedex 9, France
| | - G Benoist
- Service de gynécologie-obstétrique et médecine de la reproduction, CHU de Caen, avenue Côte-de-Nacre, 14033 Caen cedex 9, France
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Tayler-Smith K, Zachariah R, Manzi M, Van den Boogaard W, Nyandwi G, Reid T, De Plecker E, Lambert V, Nicolai M, Goetghebuer S, Christiaens B, Ndelema B, Kabangu A, Manirampa J, Harries AD. An ambulance referral network improves access to emergency obstetric and neonatal care in a district of rural Burundi with high maternal mortality. Trop Med Int Health 2013; 18:993-1001. [PMID: 23682859 DOI: 10.1111/tmi.12121] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.2] [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: 11/27/2022]
Abstract
OBJECTIVES In 2006, Médecins sans Frontières (MSF) established an emergency obstetric and neonatal care (EmONC) referral facility linked to an ambulance referral system for the transfer of women with obstetric complications from peripheral maternity units in Kabezi district, rural Burundi. This study aimed to (i) describe the communication and ambulance service together with the cost; (ii) examine the association between referral times and maternal and early neonatal deaths; and (iii) assess the impact of the referral service on coverage of complicated obstetric cases and caesarean sections. METHODS Data were collected for the period January to December 2011, using ambulance log books, patient registers and logistics records. RESULTS In 2011, there were 1478 ambulance call-outs. The median referral time (time from maternity calling for an ambulance to the time the patient arrived at the MSF referral facility) was 78 min (interquartile range, 52-130 min). The total annual cost of the referral system (comprising 1.6 ambulances linked with nine maternity units) was € 85 586 (€ 61/obstetric case transferred or € 0.43/capita/year). Referral times exceeding 3 h were associated with a significantly higher risk of early neonatal deaths (OR, 1.9; 95% CI, 1.1-3.2). MSF coverage of complicated obstetric cases and caesarean sections was estimated to be 80% and 92%, respectively. CONCLUSION This study demonstrates that it is possible to implement an effective communication and transport system to ensure access to EmONC and also highlights some of the important operational factors to consider, particularly in relation to minimising referral delays.
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Affiliation(s)
- K Tayler-Smith
- Medical department Operational Research, Medecins sans Frontieres, Luxembourg.
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Katzmarzyk P, Church T, Chaput J, Hu G, Kurpad A, Lambert V, Maia J, Matsudo V, Olds T, Onywera V, Sarmiento O, Standage M, Tremblay M, Tudor-Locke C, Zhao P. The international study of childhood obesity, lifestyle and the environment. J Sci Med Sport 2012. [DOI: 10.1016/j.jsams.2012.11.107] [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]
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Tayler-Smith K, Zachariah R, Manzi M, Van den Boogaard W, Nyandwi G, Reid T, Van den Bergh R, De Plecker E, Lambert V, Nicolai M, Goetghebuer S, Christaens B, Ndelema B, Kabangu A, Manirampa J, Harries AD. Achieving the millennium development goal of reducing maternal mortality in rural Africa: an experience from Burundi. Trop Med Int Health 2012; 18:166-74. [PMID: 23163431 DOI: 10.1111/tmi.12022] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To estimate the reduction in maternal mortality associated with the emergency obstetric care provided by Médecins Sans Frontières (MSF) and to compare this to the fifth Millennium Development Goal of reducing maternal mortality. METHODS The impact of MSF's intervention was approximated by estimating how many deaths were averted among women transferred to and treated at MSF's emergency obstetric care facility in Kabezi, Burundi, with a severe acute maternal morbidity. Using this estimate, the resulting theoretical maternal mortality ratio in Kabezi was calculated and compared to the Millennium Development Goal for Burundi. RESULTS In 2011, 1385 women from Kabezi were transferred to the MSF facility, of whom 55% had a severe acute maternal morbidity. We estimated that the MSF intervention averted 74% (range 55-99%) of maternal deaths in Kabezi district, equating to a district maternal mortality rate of 208 (range 8-360) deaths/100,000 live births. This lies very near to the 2015 MDG 5 target for Burundi (285 deaths/100,000 live births). CONCLUSION Provision of quality emergency obstetric care combined with a functional patient transfer system can be associated with a rapid and substantial reduction in maternal mortality, and may thus be a possible way to achieve Millennium Development Goal 5 in rural Africa.
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Affiliation(s)
- K Tayler-Smith
- Medecins sans Frontieres, Medical Department (Operational Research), Operational Centre Brussels, MSF-Luxembourg, Luxembourg.
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Lambert V, Marque P, De Boissezon X, Terracol C, Scandella M, Gasq D. Proposal for a decision algorithm in the diagnostic and therapeutic management of stiff-knee in the neurological patient. Ann Phys Rehabil Med 2012. [DOI: 10.1016/j.rehab.2012.07.865] [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: 11/17/2022]
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Lambert V, Pathak A, Marque P, Labrunee M. Upper limb complex regional pain syndrome type 1 after stroke: Role of autonomic imbalance? Ann Phys Rehabil Med 2012. [DOI: 10.1016/j.rehab.2012.07.051] [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]
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Lambert V, Marque P, De Boissezon X, Terracol C, Scandella M, Gasq D. Proposition d’un arbre décisionnel diagnostique et thérapeutique dans la prise en charge du stiff-knee chez le patient neurologique. Ann Phys Rehabil Med 2012. [DOI: 10.1016/j.rehab.2012.07.856] [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: 11/17/2022]
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Lambert V, Pathak A, Marque P, Labrunee M. Algodystrophie sympathique réflexe après accident vasculaire cérébral : rôle du déséquilibre végétatif ? Ann Phys Rehabil Med 2012. [DOI: 10.1016/j.rehab.2012.07.044] [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]
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Nakle N, Biscardi S, Lambert V, Sigal-Cinqualbre A, Epaud R, Madhi F. Anomalie de naissance de la coronaire gauche à partir de l’artère pulmonaire révélée par une bronchiolite. Rev Mal Respir 2012; 29:912-5. [DOI: 10.1016/j.rmr.2012.03.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2011] [Accepted: 03/01/2012] [Indexed: 10/28/2022]
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El Guindi W, Dreyfus M, Carles G, Lambert V, Herlicoviez M, Benoit G. [Contribution of 3D-ultrasound in the heterotaxy syndromes: about four cases and review of the literature]. J Gynecol Obstet Hum Reprod 2012; 41:489-496. [PMID: 22704359 DOI: 10.1016/j.jgyn.2012.04.015] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2010] [Revised: 03/30/2012] [Accepted: 04/18/2012] [Indexed: 06/01/2023]
Abstract
The position or location of the organs and vessels is usually classified into three types: situs solitus, situs inversus, and situs ambigus. Situs solitus is the usual arrangement of organs and vessels within the body. Only 0.6 to 0.8% of patients with situs solitus and levocardia have associated congenital heart diseases. Situs inversus refers to an anatomic arrangement that is the mirror image of situs solitus. The incidence of congenital heart disease is increased to 3 to 5% in the patients with situs inversus. The patients with heterotaxy have congenital heart disease in high incidence, ranging from 50 to nearly 100%. We present four cases diagnosed in our department in a period of 18 months. With these four cases and a review in the literature, we explore the definitions and characteristics of heterotaxy syndromes and we study the role of 3D ultrasound.
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Affiliation(s)
- W El Guindi
- Service de gynécologie-obstétrique, centre hospitalier de l'Ouest Guyanais, 16 boulevard du Général-Leclerc, BP 245, Saint-Laurent-du-Maroni, Guyana.
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Lambert V, Marque P, Pathak A, Labrunee M. Effet sympatho-inhibiteur musculaire d’une séance d’Électromyostimulation dans l’insuffisance cardiaque. Ann Phys Rehabil Med 2011. [DOI: 10.1016/j.rehab.2011.07.522] [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: 11/29/2022]
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Lambert V, Marque P, Pathak A, Labrunee M. Acute inhibitory effect of neuromuscular electro stimulation on muscle sympathetic activity in chronic heart failure. Ann Phys Rehabil Med 2011. [DOI: 10.1016/j.rehab.2011.07.534] [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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Sigal-Cinqualbre A, Lambert V, Ronhean A, Paul JF. [Role of MSCT and MRI in the diagnosis of congenital heart disease]. Arch Pediatr 2011; 18:617-27. [PMID: 21414761 DOI: 10.1016/j.arcped.2011.02.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2009] [Revised: 01/23/2011] [Accepted: 02/01/2011] [Indexed: 12/23/2022]
Abstract
Initial diagnosis of congenital heart disease traditionally relies upon clinical examination and ultrasound. Development of non-invasive imaging, multislice CT (MSCT) and magnetic resonance imaging (MRI) has changed the way those patients are evaluated for diagnosis or follow-up. Cardiac catheterization is no longer the step two and in many clinical situations, non-invasive imaging is the method of choice, either before or instead of invasive angiography examination. Cross-sectional cardiovascular imaging brings thorough examination of the thorax, heart and great vessels, leading to three-dimensional volumes imaging, allowing diagnosis of the cardiopathy, evaluation of the anatomy and associated abnormalities. For each imaging technique advantages and drawbacks are discussed. X-ray use is the main disadvantage of MSCT, although it is a fast, easy and efficient technique, especially in babies because of its high spatial and temporal resolutions. Beside a precise 3D evaluation of the heart and great vessels, MSCT allows evaluation of small structures, like coronary arteries in routine, including in neonates and infants, at a fast cardiac rhythm, and in a short examination time. The air-filled structures are well-depicted with MSCT, and 3D imaging is helpful in evaluation of tracheal and bronchi compression as compared to MRI. MR imaging brings, aside from the morphologic evaluation, helpful functional information for the left and right ventricles, and evaluation of valvular disease (stenosis and regurgitation). Those are critical data in the follow-up of patients treated for tetralogy of fallot or after atrial switch for transposition of the great vessels. The technique is also very powerful in evaluating aortic disease, e.g. aortic coarctation and restenosis, and Marfan's disease. Disadvantages are mainly the accessibility and the examination time, which in young patients may require sedation or general anaesthesia. Cross-sectional cardiovascular imaging, MSCT and MRI, have considerably changed the diagnosis and follow-up of patients suffering of congenital cardiopathy. The techniques are complementary, and the choice will depend on the age, the clinical condition and the diagnosis of the patient.
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Affiliation(s)
- A Sigal-Cinqualbre
- Centre chirurgical Marie-Lannelongue, 133, avenue de la Résistance, 92350 Le-Plessis-Robinson, France
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Dubail J, Kesteloot F, Deroanne C, Motte P, Lambert V, Rakic JM, Lapière C, Nusgens B, Colige A. ADAMTS-2 functions as anti-angiogenic and anti-tumoral molecule independently of its catalytic activity. Cell Mol Life Sci 2010; 67:4213-32. [PMID: 20574651 DOI: 10.1007/s00018-010-0431-6] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2010] [Revised: 05/26/2010] [Accepted: 06/02/2010] [Indexed: 01/30/2023]
Abstract
ADAMTS-2 is a metalloproteinase that plays a key role in the processing of fibrillar procollagen precursors into mature collagen molecules by excising the amino-propeptide. We demonstrate that recombinant ADAMTS-2 is also able to reduce proliferation of endothelial cells, and to induce their retraction and detachment from the substrate resulting in apoptosis. Dephosphorylation of Erk1/2 and MLC largely precedes the ADAMTS-2 induced morphological alterations. In 3-D culture models, ADAMTS-2 strongly reduced branching of capillary-like structures formed by endothelial cells and their long-term maintenance and inhibited vessels formation in embryoid bodies (EB). Growth and vascularization of tumors formed in nude mice by HEK 293-EBNA cells expressing ADAMTS-2 were drastically reduced. A similar anti-tumoral activity was observed when using cells expressing recombinant deleted forms of ADAMTS-2, including catalytically inactive enzyme. Nucleolin, a nuclear protein also found to be associated with the cell membrane, was identified as a potential receptor mediating the antiangiogenic properties of ADAMTS-2.
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Affiliation(s)
- J Dubail
- Laboratory of Connective Tissues Biology, GIGA-R, Tour de Pathologie, B23/3, 4000, Sart Tilman, Belgium
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Peterschmitt M, Grain F, Arnaud B, Deléage G, Lambert V. Mutation in the melanocortin 1 receptor is associated with amber colour in the Norwegian Forest Cat. Anim Genet 2009; 40:547-52. [PMID: 19422360 DOI: 10.1111/j.1365-2052.2009.01864.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Amber (previously called X-Colour) is a yellow recessive coat colour observed in the Norwegian Forest Cat (NFC) population and apparently absent in other cat breeds. Until now, there has never been any scientific evidence of yellow recessive mutation (e) reported in the extension gene in Felidae. We sequenced the complete coding sequence region for the melanocortin 1 receptor in 12 amber, three carriers, two wild-type NFCs, one wild-type European Shorthair and two 'golden' Siberian cats and identified two single nucleotide polymorphisms (SNPs): a non-synonymous (FM180571: c.250G>A) and a synonymous (FM180571: c.840T>C) mutation. The c.250G>A SNP, further genotyped on 56 cats using PCR-RFLP, is associated with amber colour and only present in the amber cat lineages. It replaced an aspartic acid with a neutral polar asparagine in the second transmembrane helix (p.Asp84Asn), a position where e mutations have already been described. Three-dimensional models were built and showed electrostatic potential modification in the mutant receptor. With these results and together with those in the scientific literature, we can conclude that amber colour in NFCs is caused by a single MC1R allele called e, which has never been documented.
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Affiliation(s)
- M Peterschmitt
- Université de Lyon, Ecole Nationale Vétérinaire de Lyon, Unité Génétique & Biologie Moléculaire et Laboratoire Vétérinaire Départemental du Rhône, F-69280 Marcy l'Etoile, France
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Lambert V, Gouadon E, Brinon B, Raymond N, Maud P, Demolombe S, Renaud JF, Puceat M, Rucker-Martin C. N002 Contrôle ex vivo du processus de différenciation des progéniteurs cardiaques en cardiomyocytes par les myocytes et les fibroblastes cardiaques humains matures. Arch Cardiovasc Dis 2009. [DOI: 10.1016/s1875-2136(09)72431-3] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Gouadon E, Lambert V, Brinon B, Naud P, Demolombe S, Raymond N, Belli E, Puceat M, Rucker-Martin C, Renaud de la Faverie JF. N003 Caractérisation électrophysiologique de progéniteurs cardiaques issus de cellules souches embryonnaires humaines. Arch Cardiovasc Dis 2009. [DOI: 10.1016/s1875-2136(09)72432-5] [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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Losay J, Lambert V, Sigal A. Malformations artério-veineuses pulmonaires congénitales et acquises. Diagnostic et traitement. Arch Pediatr 2008; 15:518-9. [DOI: 10.1016/s0929-693x(08)71818-9] [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] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Lambert V, Paul JF, Belli E, Serraf A. Aortic root abscess with coronary artery involvement: diagnostic and surgical management. Pediatr Cardiol 2008; 29:653-5. [PMID: 17680297 DOI: 10.1007/s00246-007-9026-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2007] [Accepted: 06/12/2007] [Indexed: 10/23/2022]
Abstract
We describe two cases of infectious endocarditis in infants complicated by aortic root abscess involving the coronary artery treated by the Ross operation. Multislice computed tomography was important in defining the diagnosis and in planning subsequent surgical management.
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Affiliation(s)
- V Lambert
- Pediatric Cardiology and Cardiac Surgery Department, Marie-Lannelongue Hospital, 133 avenue de la Résistance, 92350 Le-Plessis-Robinson, France.
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