Manioc : Portail | resultats 21 - 40 pour la recherche: Surgery

Éditeur(s) : HAL CCSD Springer Verlag
Résumé : International audience
Glioblastoma (GB) is the most frequent and aggressive type of primary brain tumor. Recurrences are mostly located at the margin of the resection cavity in the peritumoral brain zone (PBZ). Although it is widely believed that infiltrative tumor cells in this zone are responsible for GB recurrence, few studies have examined this zone. In this study, we analyzed PBZ left after surgery with a variety of techniques including radiology, histopathology, flow cytometry, genomic, transcriptomic, proteomic, and primary cell cultures. The resulting PBZ profiles were compared with those of the GB tumor zone and normal brain samples to identify characteristics specific to the PBZ. We found that tumor cell infiltration detected by standard histological analysis was present in almost one third of PBZ taken from an area that was considered normal both on standard MRI and by the neurosurgeon under an operating microscope. The panel of techniques used in this study show that the PBZ, similar to the tumor zone itself, is characterized by substantial inter-patient heterogeneity, which makes it difficult to identify representative markers. Nevertheless, we identified specific alterations in the PBZ such as the presence of selected tumor clones and stromal cells with tumorigenic and angiogenic properties. The study of GB-PBZ is a growing field of interest and this region needs to be characterized further. This will facilitate the development of new, targeted therapies for patients with GB and the development of approaches to refine the per-operative evaluation of the PBZ to optimize the surgical resection of the tumor.
ISSN: 0167-594X

hal-01117083
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01117083
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01117083/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01117083/file/Characterizing%20the%20Peritumoral%20Brain%20Zone_accepted.pdf
DOI : 10.1007/s11060-014-1695-8

| Plus

Histoire militaire de la révolution de Saint-Domingue
Auteur(s) : Poyen-Bellisle, Henry de (1839-....)
Année de publication :

| Plus

Which Donor for Uterus Transplants: Brain-Dead Donor or Living Donor? A Systematic Review
Auteur(s) : Lavoué, Vincent Vigneau, Cécile Duros, Solène Boudjema, Karim Lévêque, Jean Piver, Pascal Aubard, Yves Gauthier, Tristan
Auteurs secondaires : Service de Gynécologie et Obstétrique [Rennes] ; Université de Rennes 1 (UR1) - CHU Pontchaillou [Rennes] - Hôpital Sud Chemistry, Oncogenesis, Stress and Signaling (COSS) ; Université de Rennes 1 (UR1) - CRLCC Eugène Marquis (CRLCC) - Institut National de la Santé et de la Recherche Médicale (INSERM) CHU Pontchaillou [Rennes] Institut de recherche, santé, environnement et travail [Rennes] (Irset) ; Université d'Angers (UA) - Université des Antilles et de la Guyane (UAG) - Université de Rennes 1 (UR1) - École des Hautes Études en Santé Publique [EHESP] (EHESP) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ) Service de Chirurgie Hépatobiliaire et Digestive ; Université de Rennes 1 (UR1) - Hôpital Pontchaillou - CHU Pontchaillou [Rennes] Centre d'Investigation Clinique [Rennes] (CIC) ; Université de Rennes 1 (UR1) - Hôpital Pontchaillou - Institut National de la Santé et de la Recherche Médicale (INSERM) Foie, métabolismes et cancer ; Université de Rennes 1 (UR1) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ) Service de Gynécologie-Obstétrique [CHU Limoges] ; CHU Limoges

| Plus

Time interval between infective endocarditis first symptoms and diagnosis: relationship to infective endocarditis characteristics, microorganisms and prognosis.
Auteur(s) : N’Guyen, Yohan Duval, Xavier Revest, Matthieu Saada, Matthieu Erpelding, Marie-Line Selton-Suty, Christine Bouchiat, Coralie Delahaye, François
Auteurs secondaires : Modèles et méthodes de l'évaluation thérapeutique des maladies chroniques ; Université Paris Diderot - Paris 7 (UPD7) - Institut National de la Santé et de la Recherche Médicale (INSERM) INSERA CIC ; Hôpital Bichat - Claude Bernard ; Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Bichat - Claude Bernard [Paris] - Université Paris Diderot - Paris 7 (UPD7) - Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Bichat - Claude Bernard [Paris] - Université Paris Diderot - Paris 7 (UPD7) Service des maladies infectieuses et réanimation médicale ; Université de Rennes 1 (UR1) - Hôpital Pontchaillou Maladies chroniques, santé perçue, et processus d'adaptation. Approches épidémiologiques et psychologiques. (APEMAC - EA 4360) ; Université Paris Descartes - Paris 5 (UPD5) - Université de Lorraine (UL) Centre d'Investigation Clinique - Epidemiologie Clinique/essais Cliniques Nancy ; Cancéropôle du Grand Est - Institut National de la Santé et de la Recherche Médicale (INSERM) Institut Lorrain du Coeur et des Vaisseaux Louis Mathieu [Nancy] Institut Pasteur de Dakar ; Institut Pasteur de Dakar - Réseau International des Instituts Pasteur (RIIP) Laboratoire Chrono-environnement (LCE) ; Université Bourgogne Franche-Comté (UBFC) - Université de Franche-Comté (UFC) - Centre National de la Recherche Scientifique (CNRS)

Éditeur(s) : HAL CCSD Taylor & Francis
Résumé : International audience
To analyze the characteristics and outcome of infective endocarditis (IE) according to the time interval between IE first symptoms and diagnosis.
Among the IE cases of a French population-based epidemiological survey, patients having early-diagnosed IE (diagnosis of IE within 1 month of first symptoms) were compared with those having late-diagnosed IE (diagnosis of IE more than 1 month after first symptoms).
Among the 486 definite-IE, 124 (25%) had late-diagnosed IE whereas others had early-diagnosed IE. Early-diagnosed IE were independently associated with female gender (OR = 1.8; 95% CI [1.0-3.0]), prosthetic valve (OR= 2.6; 95% CI [1.4-5.0]) and staphylococci as causative pathogen (OR = 3.7; 95% CI [2.2-6.2]). Cardiac surgery theoretical indication rates were not different between early and late-diagnosed IE (56.3% vs 58.9%), whereas valve surgery performance was lower in early-diagnosed IE (41% vs 53%; p = .03). In-hospital mortality rates were higher in early-diagnosed IE than in late-diagnosed IE (25.1% vs 16.1%; p < .001).
The time interval between IE first symptoms and diagnosis is closely related to the IE clinical presentation, patient characteristics and causative microorganism. Better prognosis reported in late-diagnosed IE may be related to a higher rate of valvular surgery. KEY MESSAGES Infective endocarditis, which time interval between first symptoms and diagnosis was less than one month, were mainly due to Staphylococcus aureus in France. Staphylococcus aureus infective endocarditis were associated with septic shock, transient ischemic attack or stroke and higher mortality rates than infective endocarditis due to other bacteria or infective endocarditis, which time interval between first symptoms and diagnosis was more than one month. Infective endocarditis, which time interval between first symptoms and diagnosis was more than one month, were accounting for one quarter of all infective endocarditis in our study and were associated with vertebral osteomyelitis and a higher rate of cardiac surgery performed for hemodynamic indication than other infective endocarditis.
ISSN: 0785-3890

hal-01509563
https://hal.archives-ouvertes.fr/hal-01509563
PUBMED : 27607562

| Plus

Modélisation des écoulements de gravité et des ondes longues : application à l'évaluation des risques de catastrophes naturelles dans les Antilles françaises ; Modeling gravity flows and long waves : applications to risk assessment of natural hazards in the french Lesser Antilles
Auteur(s) : Nikolkina, Irina
Auteurs secondaires : Antilles-Guyane Université technique d'Etat Nijni Novgorod Zahibo, Narcisse Pelinovsky, Efim Soomere, Tarmo

Résumé : La thèse est consacrée à la recherche des catastrophes marines (tsunamis, ondes de tempête) dans les Antilles françaises, en utilisant des modèles analytiques et numériques de mécanique des fluides. L'accent est mis sur le développement de modèles de mouvement de glissements de terrain et des vagues causées par ces glissements. Le modèle le plus simple du glissement de terrain «solide block» est utilisé pour évaluer les caractéristiques des flux pyroclastiques du volcan Soufrière-Hills (Montserrat). Un modèle plus complexe de modélisation de glissement de terrain (modèle de Savage-Hutter) a été étudié analytiquement, donnant ainsi une nouvelle famille de solutions exactes décrivant le mouvement de l'écoulement par gravité non linéaire dans une vallée ou dans un canyon sous-marin. Le modèle comprend des ondes simples (Riemann waves),le cas d'un barrage qui cède (dam-break problem), des solutions auto-similaires dans la M-fonne et « chapeaux paraboliques ». Grâce à la théorie linéaire de l'eau peu profonde nous avons étudié le processus de génération de tsunamis par des glissements de terrain de volume variable, se déplaçant à une vitesse variable dans un bassin de profondeur variable. Dans le cas d'un fond marin particulier (cas sans "réflexion"), les phénomènes de résonnance ont été étudiés dans un bassin à profondeur variable. Nous avons utilisé des méthodes numériques pour la résolution non-linéaire des équations des eaux peu profondes afin d'analyser des catastrophes marines réelles (les ondes de tempête causées par le cyclone Lili en 2002, le tsunami volcanique de 2003 à Montserrat) et probables (un tsunami prés des côtes de la Martinique). Des données sur les catastrophes
The dissertation is devoted to research in the field of marine natural hazards (tsunamis, storm surges) in the French West Indies, using analytical and numerical models of fluid mechanics. Emphasis is placed on the development of models of landslide motion and generated tsunami waves. The simple "solid block" model is used to evaluate the characteristics of pyroclastic flow Soufriere Hills volcano (Montserrat). The "fluid model" of a landslide (so called Savage-Hutter model) is studied analytically; within this model a new family of exact solutions that describe the motion of nonlinear gravity flow in a valley or underwater canyon is found: nonlinear Riemann wave, dan break problem, self-similar solutions (M - wave and parabolic cap). In the framework of the linear shallow water theory the process of generation of tsunami waves by landslides of variable volume moving with variable velocity above the basin of variable depth is studied. For the specific bottom profile ("reflectionless" one) the resonant phenomena is investigated in the basin of variable depth. Numerical methods are used to analyze marine hazards: historical (storm surges, caused by Cyclone LILI in 2002; volcanic tsunami 2003 on Montserrat) and possible events (possible tsunami of the coast of Martinique). Various data on marine natural disasters are obtained during field surveys (volcanic tsunami in 2003, stonn surges caused by Hurricane Dean in 2007). Designed catalogs of tsunamis and storm surges are created based on results of numerical modeling and field studies; some statistical analysis is perfomed

http://www.theses.fr/2011AGUY0435/document

| Plus