45 results on '"E. Descamps"'
Search Results
2. POS0375 EVALUATION OF PATIENTS WITH RHEUMATOID ARTHRITIS IN TELECONSULTATION DURING THE FIRST WAVE OF THE COVID-19 PANDEMIC
- Author
-
J. Avouac, A. Moltó, C. Frantz, S. Wanono, E. Descamps, O. Fogel, A. Combier, L. Poiroux, C. Miceli Richard, and Y. Allanore
- Subjects
Rheumatology ,Immunology ,Immunology and Allergy ,General Biochemistry, Genetics and Molecular Biology - Abstract
BackgroundThe sudden emergence of SARS-CoV-2 onto the world stage has accelerated a major change in the management of patients with chronic rheumatic diseases and has catalyzed the rapid emergence of telemedicine.ObjectivesOur aim was to describe which parameters were used by rheumatologists to monitor patients with rheumatoid arthritis (RA) in teleconsultation during the first wave of the pandemic and identify the most relevant for decision making.MethodsRetrospective monocentric routine care cross-sectional study including RA patients seen in teleconsultation between March and September 2020. Available parameters assessing disease status were collected in teleconsultation files. Clinician intervention was defined by treatment escalation and/or the need for a rapid face-to-face consultation or day hospitalization.Results143 RA patients were included (117 females, mean age of 58±16 years, mean disease duration of 14±11 years). The presence or absence of patient self-reported RA flares was mentioned in all medical files, followed by the presence and/or the number of tender joints (76%), the duration of morning stiffness (66%), the number of pain-related nocturnal awakenings (66%) and the CRP value (54%).Patient self-reported RA flares concerned 43/143 patients (30%). The presence of self-reported RA flares was associated with a more detailed evaluation of patient in teleconsultation: The presence (or number) of tender joints and swollen joints were more significantly reported in patients who presented a flare (39/43, 91% vs. 70/100, 70%, p=0.008 and 25/43, 58% vs. 23/100, 23%, pTeleconsultation led to a clinician intervention in 22/143 patients (14%), representing 51% of patients with self-reported flares (22/43 patients). Therapeutic escalation was necessary in 13 patients: introduction or dose increase of corticosteroids in 8 patients, introduction or dose increase of methotrexate in 4 patients and introduction of hydroxychloroquine in 1 patient. Face-to-face consultation or day hospitalization were organized for 10 patients. Active disease was confirmed during this next face-to-face visit in 9 patients, with DAS28 ranging from 3.35 to 5.62, leading to therapeutic modification. The 133 other patients were seen in face-to-face consultation 6±2 months after the teleconsultation. No DMARD modification was recorded during this next face-to-face consultation.The following variables were associated with clinician intervention during the teleconsultation in univariate analysis: patient self-reported RA flares since the last visit (p10 mg/mL (p=0.012) and a morning stiffness > 30 minutes (p10 mg/L (OR: 3.32, 95% CI % 1.12-13.27) as the variables independently associated with clinician intervention.ConclusionOur study identified patient reported RA flares and increased CRP values as 2 red flags in teleconsultation, independently associated with therapeutic modification and/or the need for a rapid face-to-face consultation. These indicators may help clinician’s decision making in teleconsultation.Disclosure of InterestsJerôme Avouac Speakers bureau: Bristol Myers Squibb, SANOFI, galapagos, Lilly, Abbvie, Pfizer, Novartis, Biogen, Fresenius Kabi, Janssen, MSD, Roche-Chugai, Medac, Consultant of: galapagos, Abbvie, Pfizer, Bristol Myers Squibb, SANOFI, Nordic-Pharma, Grant/research support from: Bristol-Myers Squibb, Pfizer (Passerelle), Novartis (Dreamer), Fresenius Kabi, Anna Moltó: None declared, CAMELIA FRANTZ: None declared, Sarah Wanono: None declared, Elise Descamps: None declared, Olivier Fogel: None declared, Alice Combier: None declared, Lucile Poiroux: None declared, Corinne Miceli Richard: None declared, Yannick Allanore: None declared
- Published
- 2022
- Full Text
- View/download PDF
3. Étude prospective de séroprévalence du Sars-Cov-2 chez 249 patients suivis pour un rhumatisme inflammatoire chronique
- Author
-
F. Rozenberg, C. Miceli Richard, J. Avouac, J. Morel, A. Combier, O. Fogel, J.F. Méritet, A.A. Mariaggi, Margaux Boisson, E. Descamps, S. Wanono, Camelia Frantz, and E. André
- Subjects
Rheumatology ,Pe.349 - Abstract
Introduction La prévalence des formes asymptomatiques d’infection COVID-19 en population générale est mal connue à ce jour (
- Published
- 2020
- Full Text
- View/download PDF
4. Évaluation des patients atteints de polyarthrite rhumatoïde en téléconsultation pendant la première vague de Covid-19
- Author
-
Y. Allanore, C. Miceli Richard, A. Molto, Lucile Poiroux, A. Combier, E. Descamps, O. Fogel, S. Wanono, Camelia Frantz, and J. Avouac
- Subjects
PE.Lu-022 ,Rheumatology - Abstract
Introduction La pandémie de COVID-19 a catalysé l’émergence rapide de la télémédecine. Cet outil a été l’unique moyen de poursuivre l’activité de consultation pendant la première vague de la pandémie. Notre objectif a été de décrire sur quels paramètres les malades atteints de polyarthrite rhumatoïde (PR) vus en téléconsultation ont été évalués, et d’identifier les éléments sur lesquels les rhumatologues se sont appuyés pour prendre leur décision. Patients et méthodes Il s’agit d’une étude rétrospective monocentrique observationnelle. Nous avons inclus l’ensemble des patients atteints de PR, définie par le rhumatologue dans le « catalogue rhumatologique » du logiciel ORBIS, vus pour leur suivi entre mars et septembre 2020 en consultation téléphonique ou en téléconsultation réalisée à partir du système ORTIF. Les paramètres ayant permis l’évaluation du patient ont été recueillis dans le dossier médical. L’intervention du rhumatologue a été définie par une intensification thérapeutique et/ou une convocation pour une visite présentielle en consultation ou hospitalisation (de jour ou conventionnelle). Résultats 143 patients atteints de PR ont été inclus (117 femmes, 82 %) avec un âge moyen de 58 ± 16 ans et une durée de la maladie de 14 ± 11 ans. Les anti-CCP étaient positifs chez 104 patients (73 %), les facteurs rhumatoïdes chez 100 patients (70 %) et 75 patients présentaient des érosions (52 %). Sur le plan thérapeutique, 96 recevaient du méthotrexate (67 %), 67 une corticothérapie (47 %) et 69 un traitement biologique ou synthétique ciblé (48 %). La téléconsultation a eu lieu par téléphone pour 106 patients (74 %) et par visioconsultation pour 37 patients (26 %). La survenue de poussées de la maladie a été recherchée pour l’ensemble des patients et a été détectée chez 43 d’entre eux (30 %). Un seul patient avec poussée avait arrêté ses traitements par crainte de la pandémie. Les indices utilisés pour évaluer la PR ont été, par ordre décroissant : la présence et/ou le nombre d’articulations douloureuses (n = 109, 76 %), la durée de la raideur matinale (n = 95, 66 %), le nombre de réveils nocturnes (n = 95, 66 %), la valeur de la CRP (n = 77, 54 %), l’EVA globale évaluée par le patient (n = 68, 48 %), la valeur de la vitesse de sédimentation (n = 51, 36 %), la présence et/ou le nombre d’articulations gonflées (n = 48, 33,5 %), le score DAS28 (VS ou CRP) (n = 37, 26 %), l’EVA douleur (n = 33, 23 %) et l’EVA Asthénie (n = 24, 17 %). La téléconsultation a conduit à une intensification thérapeutique chez 13 patients (introduction ou augmentation de la corticothérapie chez 8 patients, introduction ou majoration du méthotrexate chez 4 patients et introduction de l’hydroxychloroquine chez 1 patient) et à une demande de visite présentielle pour 7 patients. Après analyse multivariée par régression logistique, la survenue d’une ou plusieurs poussées (Odds Ratio, OR : 15,6 ; IC95 % : 3,37–68,28) et une CRP > 5 mg/L (OR : 3,32, IC95 % : 1,12–13,27) étaient les seules variables indépendamment associées à une intervention du médecin. Conclusion La survenue de poussées, le nombre d’articulations douloureuses, la durée de la raideur matinale, le nombre de réveils nocturnes et la valeur de la CRP étaient les paramètres les plus fréquemment collectés au cours de la téléconsultation. La survenue d’une ou plusieurs poussées de PR et une valeur de CRP élevée ont été les éléments principaux ayant motivé une intervention du rhumatologue en téléconsultation. La validation de ces paramètres pour une utilisation en pratique courante de télémédecine est en cours dans une étude prospective.
- Published
- 2021
5. Link between postoperative ileus and anastomotic leakage: A structural equation modelling approach
- Author
-
Aurélien Venara, Jean-Francois Hamel, Laura Beyer-Berjot, Timothée Vignaud, Karem Slim, M. Abderrazak, H. Abolo, N. Abras, M. Aissou, S. Albertini, P. Alfonsi, A. Andre, J.M. Arimont, L. Arnalsteen, J. Atger, A. Attias, O. Aumont, S. Auvray, R. Bachmann, G. Barabino, P. Barsotti, B. Beauchesne, N. Beaupel, A. Beliard, A. Bellouard, H. Beloeil, F. Ben Salem, A. Benhamou, V. Billard, M. Binhas, D. Binot, J.L. Blache, A. Blet, J.P. Bongiovanni, A. Bonnal, M. Bonnet, H. Boret, A.E. Bossard, H. Bothereau, N. Bouarroudj, A. Bouayed, F. Bouchard, M. Boumadani, M. Bousquet, V. Bouygues, G. Bozio, A. Brek, P. Cadi, P. Caillon, A. Camerlo, C. Capito, J.L. Cardin, M. Castiglioni, M.L. Catinois, P. Cattan, C. Chambrier, G. Chambrier, O. Chapuis, M. Chauvin, S. Chokairi, X. Chopin Laly, V. Collange, E. Cotte, E. Cuellar, E. D'errico, S. Dahmani, M. Danan, C. De La Fontaine, P. De Wailly, C. Degauque, F. Delacoste, C. Denet, Q. Denost, P. Desaint, E. Descamps, V Desfourneaux., J. Desmet, G. Desolneux, S. Dileon, J.B. Dolbeau, R. Douard, F. Dufour, E. Dupont-Bierre, A. Dupré, A. Entremont, J.L. Faucheron, P. Fernoux, S. Figuet, A. Finianos, R. Flamein, D. Fletcher, J.P. Fontes, E. Fourn, S. Gergeanu, A. Germain, B. Gignoux, P. Goater, P Gres., M. Grigoroiu, P. Grillo, B. Guignard, D. Guinier, J.L. Guiot, C. Gutton, H. Hadjadj, K. Hail, M.H. Hausermann, S. Hennequin, B. Homsy-Hubert, S. Jambet, T. Janecki, V. Jannier-Guillou, J. Jaspart, F. Joly, J. Joris, F. Journe, F. Kattou, G. Kemoun, M. Khalaf, F. Klack, K. Kothonidis, O. Kurdi, A. Laforest, A. Lamblin, S. Lammens, S. Laporte, M.V. Launay-Savary, A.L. Le Maho, J.M. Lemée, D. Leonard, J. Leporrier, J.L. Lorin, E. Magne, F. Maisonnette, V. Malherbe, G. Manceau, P. Mariani, D. Massalou, J.L. Massard, F. Mauvais, J. Mbuyamba, J. Mbuyamba Katapile, T. Mehila, H. Meillat, C. Mergui, P. Michaud, F. Milou, F. Mirre, C. Mor Martinez, S. Mouchon, F. Mouilhade, Y.L. Nguyen, S. Ostermann Bucher, M. Page, S. Parent, A.L. Payen, R. Pedicone, P. Peluchon, V. Pichot-Delahaye, A. Piquard, I. Pirlet, L. Plard, M. Poiblanc, G. Poinas, J. Poincenot, C. Ponchel, A. Pontallier, R. Pop, E. Potiron, J.M. Proske, B. Prunet, E. Ras, O. Raspado, M. Raux, J.M. Regimbeau, C. Remue, F. Renacco, R. Riboud, A.L. Richard-Payen, D. Rio, M. Sage, P.Y. Sage, M. Saint Denis, P. Salaun, B. Samyn, M. Sbai Idrissi, G. Schmitt, E. Secq, A. Seddiki, N. Sens, D. Sirieix, F. Siriser, M. Tarcea, M. Tavernier, B. Tete, O. Theissen-Laval, A. Thevenot, R. Thievenaz, B. Vacher, R. Verhaeghe, J.F. Verrier, C. Vieuille, C. Voilin, C. Vuagnat, and S. Zaepfel
- Subjects
Stoma ,medicine.medical_specialty ,Postoperative ileus ,Anastomotic leakage ,business.industry ,Open surgery ,Right Colectomy ,medicine ,business ,Enhanced recovery after surgery ,Structural equation modeling ,Male gender ,Surgery - Abstract
Introduction Postoperative ileus(POI) and anastomotic leakage(AL) are highly associated but the direction of this link is unknown. Indeed, it has traditionally been stated that AL leads to POI(secondary POI). The objective was to statistically determine the best model of link between POI and AL by comparing different Structural Equation Models(SEM). Methods This is a retrospective analysis of a prospective multicentric database from the Francophone Group for Enhanced Recovery after surgery(GRACE) including patients undergoing colorectal resection or Hartmann reversal between 2014 and 2017. The main outcome measure was the occurrence of postoperative ileus defined by the absence of Gastrointestinal (GI)-3 recovery in or after postoperative day 4 and the occurrence of AL. Results Among the 2227 patients included, 223 patients experienced POI (10 %) and 72 patients experienced anastomotic leakage (3.2 %). In all the models, POI was significantly increased in case of male gender, older age, opioids consumption, right colectomy, chronic obstructive bronchopneumopathy disease and performance of a stoma, and reduced by Enhanced Recovery Programs (ERP) compliance ≥ 70 % and intake of Non-Steroidal Anti-Inflammatory Drugs. Open surgery was not significantly associated with POI in all the models. In contrast, the male gender was the only factor increasing AL in the model drawn with ERP risk factors for AL. In all the models, POI was highly associated with AL and statistical analyses advocate for POI leading to AL. Conclusion The findings of the present large study suggest that the more statistically probable model is the one in which POI come first before AL.
- Published
- 2021
- Full Text
- View/download PDF
6. AB0665 SWITCHING INTRAVENOUS ABATACEPT AND TOCILIZUMAB TO SUBCUTANEOUS INJECTIONS DURING THE COVID-19 PANDEMIC: A FRENCH EXPERIENCE
- Author
-
Margaux Boisson, Camelia Frantz, C. Bottois, Y. Allanore, A. Combier, O. Fogel, E. Descamps, J. Avouac, S. Wanono, X. Ayral, and L. Poiroux
- Subjects
medicine.medical_specialty ,business.industry ,Abatacept ,Immunology ,Arthritis ,Pain scale ,medicine.disease ,General Biochemistry, Genetics and Molecular Biology ,Polymyalgia rheumatica ,Route of administration ,chemistry.chemical_compound ,Tocilizumab ,Rheumatology ,chemistry ,Rheumatoid arthritis ,Internal medicine ,Pandemic ,Immunology and Allergy ,Medicine ,business ,medicine.drug - Abstract
Background:The COVID-19 pandemic requires measures to reduce patient exposure to the risk of contamination, in particular by limiting hospital admissions and promoting lockdown. In order to respond to these healthcare measures, patients were offered to replace intravenous infusions (IV) of abatacept (ABT) and tocilizumab (TCZ) to subcutaneous injections (SC).Objectives:To assess the outcome of patients who switched from IV ABT or TCZ to SC during the COVID-19 pandemic.Methods:A survey was conducted in December 2020 in partnership with the national AFP-RIC patient association to assess the outcome and satisfaction of patients who switched from ABT or TCZ IV to SC during the first wave of COVID-19 pandemic.We also analysed the outcome of patients who switched from IV ABT or TCZ to SC in the rheumatology department of Cochin Hospital during the lockdown in April/may 2020. Articular activity parameters (swollen joint count, pain joint count, visual analogic pain scale, CRP, DAS-28 activity score) were assessed at medical visits before and 6 months after switching from IV to SC.The data collected from the AFP-RIC patient association and the rheumatology department of Cochin Hospital were then aggregated and analyzed by Chi-square and Wilcoxon tests.Results:81 patients responded to the survey carried out by AFP-RIC patient association, including 29 treated with IV ABT (n=15, 52%) or TCZ (n=14, 48%). 17/29 (59%) were offered to switch from IV to SC, 14/17 patients (82%) accepted and 7 patients were still receiving ABT or TCZ SC injections in December 2020. In the rheumatology department of Cochin hospital, 71 patients were scheduled in April/May 2020 to receive IV ABT or TCZ, and 27 (38%) switched to SC. After 6 months, 19 patients (70%) had maintained SC injections, were satisfied with this injection route of administration and their articular activity parameters were unchanged (Table 1).Table 1.Course of Disease parameters evaluated in the 19 patients who maintained abatacept or tocilizumab SC injections in the Rheumatology department of Cochin HospitalParameter, mean(SD)Inclusion visitSwitch to SC(n=19)6 month visit (n=19)P-valueDAS282.3 (1.2)2.3 (0.7)0.62Tender joint count2.5 (3.5)1.3 (1.7)0.49Swollen joint count1.3 (2.5)0.9 (0.6)0.35Patient Global Health (cm)3.2 (1.9)2.6 (1.8)0.60CRP (mg/L)3.2 (4.1)5.2 (4.9)0.56CRP: C-Reactive Protein, SD: Standard DeviationThe combined analysis of these two populations included 41 patients (33 rheumatoid arthritis, RA, 7 juvenile idiopathic arthritis, JIA and 1 polymyalgia rheumatica) who switched to SC ABT or TCZ. 26/41 (63.5%) patients maintained SC injections and IV was re-established in 15/41 (36.5%). Reasons for returning to IV were poor tolerance of SC injections (n=6, 40%), worsening symptoms (n=11, 73%), patient preference to see a rheumatologist in hospital (n=10, 67%) and the high number of SC injections (n=2, 13%). The proportion of patients returning to IV was higher in RA patients compared to patients with JIA (42% vs. 14%, p = 0.08). Age and disease duration were not significantly different between patients who maintained SC injections and those who returned to IV (respectively p=0.97 and p=0.63).Conclusion:Our study suggests that switching from IV ABT or TCZ to SC is an acceptable procedure during the COVID-19 pandemic, especially for patients with JIA.Acknowledgements:Association AFP-RIC (Angélique Hochedé, Cyrielle Beller, Sandrine Rollot) and the members of the association for their help in the conduction of the surveyDisclosure of Interests:None declared.
- Published
- 2021
- Full Text
- View/download PDF
7. The Role of Nutraceuticals in Statin Intolerant Patients
- Author
-
Banach, M. Patti, A.M. Giglio, R.V. Cicero, A.F.G. Atanasov, A.G. Bajraktari, G. Bruckert, E. Descamps, O. Djuric, D.M. Ezhov, M. Fras, Z. von Haehling, S. Katsiki, N. Langlois, M. Latkovskis, G. Mancini, G.B.J. Mikhailidis, D.P. Mitchenko, O. Moriarty, P.M. Muntner, P. Nikolic, D. Panagiotakos, D.B. Paragh, G. Paulweber, B. Pella, D. Pitsavos, C. Reiner, Ž. Rosano, G.M.C. Rosenson, R.S. Rysz, J. Sahebkar, A. Serban, M.-C. Vinereanu, D. Vrablík, M. Watts, G.F. Wong, N.D. Rizzo, M. International Lipid Expert Panel (ILEP)
- Subjects
lipids (amino acids, peptides, and proteins) - Abstract
Statins are the most common drugs administered for patients with cardiovascular disease. However, due to statin-associated muscle symptoms, adherence to statin therapy is challenging in clinical practice. Certain nutraceuticals, such as red yeast rice, bergamot, berberine, artichoke, soluble fiber, and plant sterols and stanols alone or in combination with each other, as well as with ezetimibe, might be considered as an alternative or add-on therapy to statins, although there is still insufficient evidence available with respect to long-term safety and effectiveness on cardiovascular disease prevention and treatment. These nutraceuticals could exert significant lipid-lowering activity and might present multiple non–lipid-lowering actions, including improvement of endothelial dysfunction and arterial stiffness, as well as anti-inflammatory and antioxidative properties. The aim of this expert opinion paper is to provide the first attempt at recommendation on the management of statin intolerance through the use of nutraceuticals with particular attention on those with effective low-density lipoprotein cholesterol reduction. © 2018 American College of Cardiology Foundation
- Published
- 2018
8. AB1209-HPR The prevalence of dental and sinus infection in patients with rheumatoid arthritis before biologic therapy initiation: usefulness of a systematic screening?
- Author
-
C. Tawil, Marine Forien, E. Descamps, E. Palazzo, Anaïs Gardette, S. Ottaviani, and Philippe Dieudé
- Subjects
medicine.medical_specialty ,Univariate analysis ,business.industry ,Retrospective cohort study ,medicine.disease ,Asymptomatic ,Surgery ,Prednisone ,Internal medicine ,Rheumatoid arthritis ,medicine ,Rheumatoid factor ,medicine.symptom ,Sinusitis ,business ,Adverse effect ,medicine.drug - Abstract
Background Introduction of the biologic therapies has dramatically improved the outcome of severe rheumatoid arthritis (RA). Biologic therapies play a central role in the control of synovial inflammation. However they also decrease host defenses leading to an increased rate of infection. Because of their adverse effects, a careful assessment is needed before their initiation. A systematic assessment of dental or sinus infection before a biologic therapy is not required. Objectives The aim of our study was to assess the prevalence and the usefulness of a systematic screening of oral (dental and/or sinus) infection of RA patients before biologic therapy initiation. Methods This was a monocentric retrospective study. We included RA (ACR/EULAR 2010 criteria) patients with active disease despite disease-modifying anti-rheumatic drugs (DMARDs) and requiring biologic therapy initiation between 2010 and 2016. The following parameters were collected: demographic and disease characteristics, disease activity (C-reactive protein, disease activity score (DAS) 28), currents therapies (DMARDS, corticosteroids). Dental infection was assessed by stomatologist after clinical and panoramic dental X- ray evaluation. Sinusitis was defined on sinus computed tomography as partial or complete opacification of one or more sinus cavities. Factors associated with oral infections were analyzed in uni- and multivariate models. Results We included 223 RA patients (79.4% of female, mean ± SD disease duration of 8.9±8.6 years). The mean age was 54±10.9 years, 70.8% rheumatoid factor (RF) positive, 84.4% anti–citrullinated protein antibody (ACPA) positive and 68.1% had radiographic damages. The mean DAS 28 was 5.5±2.6; 71% of patients received corticosteroids (mean 7mg per day of equivalent prednisone) and 63% methotrexate (mean 17.8mg per week). No patient had pain or other sinus or dental symptoms. Before biologic agent initiation, systematic dental and sinus screening revealed an oral infection in 31.5% of patients (dental: 20.2% and sinus: 14.8%). In univariate analysis, active smoking was associated with a higher risk of oral infection (OR=2.16 [1.02–4.57], p=0.038) and methotrexate with a lower rate (OR=0.43 [0.23–0.81], p=0.006). Corticosteroid, disease duration, DAS 28, RF, ACPA and structural damages were not associated with oral infection. No significant association was confirmed with oral infection using multivariate analysis. Conclusions In our study, one third of RA patients requiring biologic agents had asymptomatic oral infection. The high prevalence of oral infection in RA patients suggests the usefulness of systematic dental and sinus screening before biologic therapy initiation. Disclosure of Interest None declared
- Published
- 2017
- Full Text
- View/download PDF
9. Acoustic televiewer logging in glacier boreholes
- Author
-
L. DeWayne Cecil, Roger H. Morin, and Guillaume E. Descamps
- Subjects
010506 paleontology ,geography ,geography.geographical_feature_category ,Hydrogeology ,010504 meteorology & atmospheric sciences ,Orientation (computer vision) ,Well logging ,Borehole ,Glacier ,Acoustic wave ,01 natural sciences ,Inclinometer ,Reflection coefficient ,Geomorphology ,Seismology ,Geology ,0105 earth and related environmental sciences ,Earth-Surface Processes - Abstract
The acoustic televiewer is a geophysical logging instrument that is deployed in a water-filled borehole and operated while trolling. It generates a digital, magnetically oriented image of the borehole wall that is developed from the amplitudes and transit times of acoustic waves emitted from the tool and reflected at the water–wall interface. The transit-time data are also converted to radial distances, from which cross-sectional views of the borehole shape can be constructed. Because the televiewer is equipped with both a three-component magnetometer and a two-component inclinometer, the borehole’s trajectory in space is continuously recorded as well. This instrument is routinely used in mining and hydrogeologic applications, but in this investigation it was deployed in two boreholes drilled into Upper Fremont Glacier, Wyoming, U.S.A. The acoustic images recorded in this glacial setting are not as clear as those typically obtained in rocks, due to a lower reflection coefficient for water and ice than for water and rock. Results indicate that the depth and orientation of features intersecting the boreholes can be determined, but that interpreting their physical nature is problematic and requires corroborating information from inspection of cores. Nevertheless, these data can provide some insight into englacial structural characteristics. Additional information derived from the cross-sectional geometry of the borehole, as well as from its trajectory, may also be useful in studies concerned with stress patterns and deformation processes.
- Published
- 2000
- Full Text
- View/download PDF
10. Intérêt de la recherche systématique de foyers infectieux bucco-dentaire et ORL avant l’introduction d’une biothérapie pour une polyarthrite rhumatoïde
- Author
-
C. Tawil, Sébastien Ottaviani, E. Descamps, Marine Forien, Anaïs Gardette, E. Palazzo, and Philippe Dieudé
- Subjects
Rheumatology - Published
- 2016
- Full Text
- View/download PDF
11. Nanostructured flexible implantable microelectrodes for stimulation and recording neural activity
- Author
-
S. Charlot, C. Blatché, Christian Bergaud, E. Descamps, and V. Castagnola
- Subjects
Rapid prototyping ,Neural activity ,Software ,Process (engineering) ,Computer science ,business.industry ,Human–computer interaction ,Arduino ,Rehabilitation ,Orthopedics and Sports Medicine ,business - Abstract
devices like arduino, teensy, raspberry ft, or software tools), the public’s enthusiasm for the ‘‘DIY’’ (Do It Yourself – Do It Yourself own) (Hurst, 2011) and dissemination of knowledge in human-computer interaction (HCI) show that it is possible to design ‘‘customized and personalized’’ assistive technologies. Moreover, empowering disabled users with development of such aids may improve the adoption and diffusion of these technologies. In HCI, one of the goals of rapid prototyping is to test a number of innovative solutions that can be useful to users. The feedback process can then be used for example to guide further developments. We believe that this process is adequate to design useful systems for deficiencies. We illustrate this process through an experiment conducted for the design and the implementation of assistive technologies for quadriplegics.
- Published
- 2012
- Full Text
- View/download PDF
12. The iFlow design factory: evolving chip design from an art to a process, through adaptive resource management, and qualified data exchange
- Author
-
S. Ganesan, S. Subramaniam, S. Bagalkotkar, H. Hingarh, and G.-E. Descamps
- Subjects
Engineering ,Application-specific integrated circuit ,Computer architecture ,business.industry ,Data exchange ,Embedded system ,Factory (object-oriented programming) ,Resource management ,System on a chip ,Process design ,Integrated circuit design ,business ,Design methods - Abstract
With advancing semiconductor technology, growing design complexities, companies have turned to a global design team to build their system on a chip (SoC). The major challenge is the capacity to scale infrastructure and methodology, along with ASIC design. Silicon Access Networks recently shipped for revenue from first silicon, a family of four high performance SoC products. These high-end networking products were designed in state-of-the-art 0.13 /spl mu/m process and collectively had about 750-million transistors and a variety of analog, digital and memory functional blocks to provide the industry's highest performance OC-192 Data Plane Processing solution. This paper describes some of the key aspects of Silicon Access Networks' design methodology that enabled to accomplish repeatable "first pass silicon" successes. We gained predictability in our chip design cycle through real-time visibility of the processes. Quality enhancing strategies were applied to the chip design cycles. Adaptive resource management, and qualified data exchange were the two main techniques. Multi site design teams working in different time zones may be a pitfall, or may allow for true 24/7 operation, depending on whether the right data and resources are available. Building such large designs in parallel requires efficient management of resources - machines, tools and users - in a transparent but truly global environment.
- Published
- 2004
- Full Text
- View/download PDF
13. The iFlow design factory infrastructure for a 17M-gate, 0.13μm, 333MHz design [SoC design]
- Author
-
S. Bagalkotkar and G.-E. Descamps
- Subjects
Engineering ,Access network ,Network on a chip ,business.industry ,Return on investment ,Embedded system ,Hardware_INTEGRATEDCIRCUITS ,Factory (object-oriented programming) ,System on a chip ,Integrated circuit design ,Physical design ,business ,Power network design - Abstract
To be able to meet the aggressive time-to-market requirements, and solve the challenges inherent to the multi-site design of large system-on-a-chips (SoCs), Silicon Access Networks had to evolve its art of chip design into an industrial process. This contribution describes a unique infrastructure which is quality-driven rather than time-committed. The chip design process is streamlined, visible, and measured, achieving predictability. By managing resources, Silicon Access Networks realized significant savings in time and maximized its return on investment (ROI). Bring-up and pre-production showed that first silicon met all its targets: power, speed, yield and complete functionality with no mask change. Four chips were designed using state-of-the-art 0.13 /spl mu/m technology and collectively represent 730-million transistors, implementing a variety of analog, digital, high-speed memory, and functional blocks.
- Published
- 2004
- Full Text
- View/download PDF
14. [Localized giant pseudo polyposis of the colon. Apropos of a case]
- Author
-
C, Bognel, E, Descamps, S, Papadopoulos, D, Elias, and P, Lasser
- Subjects
Diagnosis, Differential ,Male ,Colonic Neoplasms ,Colonic Polyps ,Humans ,Colitis, Ulcerative ,Colonoscopy ,Colectomy ,Aged ,Follow-Up Studies - Abstract
A giant pseudo-polyposis lesion was diagnosed clinically and radiologically as cancer of right side of colon. The etiopathology of this lesion can probably be explained by the hemorrhagic rectocolitis that developed three years after its excision.
- Published
- 1988
15. Le génie des langues et le problème de la parenté linguistique
- Author
-
E. Descamps
- Subjects
Earth-Surface Processes - Abstract
Descamps E. Le génie des langues et le problème de la parenté linguistique. In: Revue néo-scolastique de philosophie. 26ᵉ année, Deuxième série, n°4, 1924. pp. 389-416.
- Published
- 1924
16. La Science de l'Ordre. Essai d'harmologie
- Author
-
E. Descamps
- Subjects
Ecology ,Insect Science ,Ecology, Evolution, Behavior and Systematics - Abstract
Descamps E. La Science de l'Ordre. Essai d'harmologie. In: Revue néo-scolastique. 5ᵉ année, n°17, 1898. pp. 30-44.
- Published
- 1898
17. The Congo State
- Author
-
E. Descamps
- Subjects
Government ,Free state ,Civilization ,State (polity) ,media_common.quotation_subject ,Political science ,Geography, Planning and Development ,Foundation (evidence) ,Public administration ,Administration (government) ,Earth-Surface Processes ,media_common - Published
- 1903
- Full Text
- View/download PDF
18. Silk and PEG as means to stiffen a parylene probe for insertion in the brain: toward a double time-scale tool for local drug delivery.
- Author
-
A Lecomte, V Castagnola, E Descamps, L Dahan, M C Blatché, T M Dinis, E Leclerc, C Egles, and C Bergaud
- Subjects
PARYLENE ,POLYETHYLENE glycol ,SILK fibroin ,DRUG delivery systems ,MECHANICAL buckling - Abstract
The use of soft materials as substrate for neural probes aims at achieving better compliance with the surrounding neurons while maintaining minimal rejection. Many strategies have emerged to enable such probes to penetrate the cortex, among which the use of resorbable polymers. We performed several tests involving two resorbable polymers considered most promising: polyethylene glycol (PEG) and silk fibroin (SF) from Bombyx Mori silkworms. Our coating method provides a repeatable, uniform structure optimized for a stress-reduced insertion of a parylene-C neural probe. Standard compression tests as well as in vitro and in vivo insertion assessments show that both SF and PEG-coated probes are stiff enough to avoid the buckling effect during insertion in the cortex. However, with a buckling force of 300 mN and a mechanical holding in vitro of tens of minutes, we assess silk fibroin to be more reliable for practical handling. In vivo first try-outs in mouse brain showed neither buckling issues of the probe nor undesired alteration of the signal recording. Moreover, we evidenced two distinct time scales in the bioresorption of our polymer coatings: silk fibroin degrades itself in a matter of weeks and PEG dissolves itself within seconds in the presence of water. We then present a hybrid PEG and SF coating that could be used as a drug delivery system with different time scales to reduce both the acute and the chronic body reaction. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
19. The Role of Nutraceuticals in Statin Intolerant Patients
- Author
-
Dimitri P. Mikhailidis, Michel Langlois, Maria-Corina Serban, Rosaria Vincenza Giglio, György Paragh, G.B. John Mancini, Eric Bruckert, Zlatko Fras, Bernhard Paulweber, Daniel Pella, Michal Vrablík, Paul Muntner, Olivier S. Descamps, Gani Bajraktari, Arrigo F G Cicero, Marat V. Ezhov, Željko Reiner, Giuseppe M.C. Rosano, Olena Mitchenko, Angelo Maria Patti, Christos Pitsavos, Patrick M. Moriarty, Dragana Nikolic, Manfredi Rizzo, Nathan D. Wong, Jacek Rysz, Gerald F. Watts, Niki Katsiki, Robert S. Rosenson, Demosthenes B. Panagiotakos, Maciej Banach, Stephan von Haehling, Dragan M. Djuric, Atanas G. Atanasov, Amirhossein Sahebkar, Gustavs Latkovskis, Dragos Vinereanu, UCL - (SLuc) Service de pathologie cardiovasculaire, Banach M., Patti A.M., Giglio R.V., Cicero A.F.G., Atanasov A.G., Bajraktari G., Bruckert E., Descamps O., Djuric D.M., Ezhov M., Fras Z., von Haehling S., Katsiki N., Langlois M., Latkovskis G., Mancini G.B.J., Mikhailidis D.P., Mitchenko O., Moriarty P.M., Muntner P., Nikolic D., Panagiotakos D.B., Paragh G., Paulweber B., Pella D., Pitsavos C., Reiner Z., Rosano G.M.C., Rosenson R.S., Rysz J., Sahebkar A., Serban M.-C., Vinereanu D., Vrablik M., Watts G.F., Wong N.D., Rizzo Manfredi, and Banach M, Patti AM, Giglio RV, Cicero AFG, Atanasov AG, Bajraktari G, Bruckert E, Descamps O, Djuric DM, Ezhov M, Fras Z, von Haehling S, Katsiki N, Langlois M, Latkovskis G, Mancini GBJ, Mikhailidis DP, Mitchenko O, Moriarty PM, Muntner P, Nikolic D, Panagiotakos DB, Paragh G, Paulweber B, Pella D, Pitsavos C, Reiner Ž, Rosano GMC, Rosenson RS, Rysz J, Sahebkar A, Serban MC, Vinereanu D, Vrablík M, Watts GF, Wong ND, Rizzo M
- Subjects
Statin ,medicine.drug_class ,Disease ,cardiovascular risk ,dyslipidemia ,nutraceuticals ,position paper ,statin intolerance ,030204 cardiovascular system & hematology ,Bioinformatics ,Klinikai orvostudományok ,03 medical and health sciences ,0302 clinical medicine ,Nutraceutical ,Ezetimibe ,Statin intolerance ,Red yeast rice ,Medicine ,Humans ,Position paper ,030212 general & internal medicine ,Endothelial dysfunction ,Dyslipidemias ,business.industry ,Clinical Studies as Topic ,Orvostudományok ,medicine.disease ,Cardiovascular risk ,3. Good health ,Dyslipidemia ,Dietary Supplements ,Arterial stiffness ,lipids (amino acids, peptides, and proteins) ,nutraceutical ,Hydroxymethylglutaryl-CoA Reductase Inhibitor ,Nutraceuticals ,Hydroxymethylglutaryl-CoA Reductase Inhibitors ,Cardiology and Cardiovascular Medicine ,business ,medicine.drug ,Human - Abstract
Statins are the most common drugs administered for patients with cardiovascular disease. However, due to statin-associated muscle symptoms, adherence to statin therapy is challenging in clinical practice. Certain nutraceuticals, such as red yeast rice, bergamot, berberine, artichoke, soluble fiber, and plant sterols and stanols alone or in combination with each other, as well as with ezetimibe, might be considered as an alternative or add-on therapy to statins, although there is still insufficient evidence available with respect to long-term safety and effectiveness on cardiovascular disease prevention and treatment. These nutraceuticals could exert significant lipid-lowering activity and might present multiple non–lipid-lowering actions, including improvement of endothelial dysfunction and arterial stiffness, as well as anti-inflammatory and antioxidative properties. The aim of this expert opinion paper is to provide the first attempt at recommendation on the management of statin intolerance through the use of nutraceuticals with particular attention on those with effective low-density lipoprotein cholesterol reduction.
- Published
- 2018
20. The effectiveness and safety of non-pharmacological intervention for pain management in Parkinson's disease: A systematic review.
- Author
-
Huissoud M, Boussac M, Joineau K, Harroch E, Brefel-Courbon C, and Descamps E
- Subjects
- Humans, Randomized Controlled Trials as Topic, Treatment Outcome, Chronic Pain therapy, Chronic Pain etiology, Complementary Therapies adverse effects, Complementary Therapies methods, Pain Management adverse effects, Pain Management methods, Parkinson Disease complications, Parkinson Disease therapy
- Abstract
Chronic pain is a non-motor symptom affecting from 60 to 80% of patients with Parkinson's disease (PD). PD patients can suffer from different types of pain, either specific or not specific of the disease, and depending on various pathophysiological mechanisms (nociceptive, nociplastic or neuropathic), which can be present at any stage of the disease. Non-pharmacological interventions (NPIs) are essential to complement routine care interventions in PD pain management. Moreover, in the literature, it has been shown that 42% of PD patients are already using complementary therapies. Hence, our aim was to investigate the effectiveness and safety of NPIs for pain management in PD. A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Eighteen published randomized control trials (RCTs) were included between 2004 and 2021 leading to a total of 976 PD patients. From them, we reported fifteen different NPIs classified in seven categories: physical exercises, balneotherapy, manual therapy, acupuncture, botanical preparation, body-psychological practice and multiprotection care. Our results have shown that NPIs for PD pain management had a low-to-moderate level of evidence showing mainly favourable results, even if some NPIs presented inconclusive results. Moreover, our review highlighted the clinical relevance of some specific NPIs in PD pain management: NPIs consisting of active physical activities, opposed to passive activities. The safety of NPIs was also confirmed since only few minor transient adverse events were reported. Nevertheless, even if some interesting results were found, the methodology of future studies needs to be more robust and to include comprehensive descriptions in order to offer reliable and sound recommendations to clinicians., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF
21. Approaching Maximal Precision of Hong-Ou-Mandel Interferometry with Nonperfect Visibility.
- Author
-
Meskine O, Descamps E, Keller A, Lemaître A, Baboux F, Ducci S, and Milman P
- Abstract
In quantum mechanics, the precision achieved in parameter estimation using a quantum state as a probe is determined by the measurement strategy employed. The quantum limit of precision is bounded by a value set by the state and its dynamics. Theoretical results have revealed that in interference measurements with two possible outcomes, this limit can be reached under ideal conditions of perfect visibility and zero losses. However, in practice, these conditions cannot be achieved, so precision never reaches the quantum limit. But how do experimental setups approach precision limits under realistic circumstances? In this Letter, we provide a model for precision limits in two-photon Hong-Ou-Mandel interferometry using coincidence statistics for nonperfect visibility and temporally unresolved measurements. We show that the scaling of precision with visibility depends on the effective area in time-frequency phase space occupied by the state used as a probe, and we find that an optimal scaling exists. We demonstrate our results experimentally for different states in a setup where the visibility can be controlled and reaches up to 99.5%. In the optimal scenario, a ratio of 0.97 is observed between the experimental precision and the quantum limit, establishing a new benchmark in the field.
- Published
- 2024
- Full Text
- View/download PDF
22. Changes of cerebral functional connectivity induced by foot reflexology in a RCT.
- Author
-
Descamps E, Boussac M, Joineau K, and Payoux P
- Subjects
- Humans, Foot, Pain, Head, Magnetic Resonance Imaging methods, Brain, Brain Mapping methods
- Abstract
Non-Pharmacological Interventions (NPIs) are increasingly being introduced into healthcare, but their mechanisms are unclear. In this study, 30 healthy participants received foot reflexology (FR) and sham massage, and went through a resting-state functional magnetic resonance imaging (rs-fMRI) to evaluate NPIs effect on brain. Rs-fMRI revealed an effect of both NPIs on functional connectivity with changes occurring in the default-mode network, the sensorimotor network and a Neural Network Correlates of Pain (NNCP-a newly discovered network showing great robustness). Even if no differences were found between FR and SM, this study allowed to report brain biomarkers of well-being as well as the safety of NPIs. In further research, it could be relevant to study it in patients to look for a true reflexology induced-effect dependent of patient reported outcomes. Overall, these findings enrich the understanding of the neural correlates of well-being experienced with NPIs and provided insight into the basis of the mechanisms of NPIs., (© 2023. Springer Nature Limited.)
- Published
- 2023
- Full Text
- View/download PDF
23. Quantum Metrology Using Time-Frequency as Quantum Continuous Variables: Resources, Sub-Shot-Noise Precision and Phase Space Representation.
- Author
-
Descamps E, Fabre N, Keller A, and Milman P
- Abstract
We study the role of the electromagnetic field's frequency on the precision limits of time measurements from a quantum perspective, using single photons as a paradigmatic system. We demonstrate that a quantum enhancement of precision is possible only when combining both intensity and spectral resources and, in particular, that spectral correlations enable a quadratic scaling of precision with the number of probes. We identify the general mathematical structure of nonphysical states that achieve the Heisenberg limit and show how a finite spectral variance may cause a quantum-to-classical-like transition in precision scaling for pure states similar to the one observed for noisy systems. Finally, we provide a clear and consistent geometrical time-frequency phase space interpretation of our results, identifying what should be considered as spectral classical resources.
- Published
- 2023
- Full Text
- View/download PDF
24. Whipple's disease: a rare cause of sacroiliitis.
- Author
-
Bouchut A, Al Tabaa O, Descamps E, Puechal X, and Roux C
- Subjects
- Humans, Whipple Disease complications, Whipple Disease diagnosis, Whipple Disease drug therapy, Sacroiliitis diagnosis, Sacroiliitis etiology, Arthritis diagnosis, Arthritis etiology
- Abstract
Competing Interests: Competing interests: None declared.
- Published
- 2022
- Full Text
- View/download PDF
25. Evaluation of Patients With Rheumatoid Arthritis in Teleconsultation During the First Wave of the COVID-19 Pandemic.
- Author
-
Avouac J, Molto A, Frantz C, Wanono S, Descamps E, Fogel O, Combier A, Poiroux L, Miceli-Richard C, and Allanore Y
- Subjects
- Female, Humans, Middle Aged, Pandemics, Cross-Sectional Studies, Retrospective Studies, Remote Consultation, COVID-19, Arthritis, Rheumatoid drug therapy
- Abstract
Objective: To describe which variables were collected by rheumatologists to monitor patients with rheumatoid arthritis (RA) during teleconsultation and identify which ones have more impact on clinician intervention., Methods: Retrospective monocentric, routine care cross-sectional study including patients with RA seen in teleconsultation between March and September 2020. Available variables assessing disease status were collected in teleconsultation files. Clinician intervention was defined by treatment escalation and/or the need for a rapid face-to-face consultation or day hospitalization., Results: One hundred forty-three patients with RA were included (116 females, mean age of 58 [SD 16] yrs, mean disease duration of 14 [SD 11] yrs). The presence or absence of patient self-reported RA flares was mentioned in all medical files, followed by the presence and/or the number of tender joints (76%), the duration of morning stiffness (66%), the number of pain-related nocturnal awakenings (66%) and the C-reactive protein (CRP) value (54%). Teleconsultation led to a clinician intervention in 22/143 patients (15%), representing 51% of patients with self-reported flares (22/43 patients). Therapeutic escalation was necessary in 13 patients and/or face-to-face consultation or day hospitalization were organized for 10 patients. Multivariate analysis identified RA flares (odds ratio [OR] 15.6, 95% CI 3.37-68.28) and CRP values > 10 mg/L (OR 3.32, 95% CI % 1.12-13.27) as the variables independently associated with clinician intervention., Conclusion: Our study identified patient-reported RA flares and increased CRP values as 2 red flags in teleconsultation, independently associated with therapeutic modification and/or the need for a rapid face-to-face consultation. These indicators may help clinicians' decision making in teleconsultation., (Copyright © 2022 by the Journal of Rheumatology.)
- Published
- 2022
- Full Text
- View/download PDF
26. Évaluation systématique de la réponse humorale contre le SARS-CoV-2 dans une cohorte française de 283 patients atteints d’un rhumatisme inflammatoire chronique.
- Author
-
Gros C, Mariaggi AA, Meritet JF, André E, Boisson M, Combier A, Descamps E, Frantz C, Wanono S, Morel J, Avouac J, Rozenberg F, Miceli-Richard C, and Fogel O
- Published
- 2022
- Full Text
- View/download PDF
27. Systematic assessment of the humoral response against SARS-CoV-2 in a French cohort of 283 patients with rheumatic diseases.
- Author
-
Gros C, Mariaggi AA, Meritet JF, André E, Boisson M, Combier A, Descamps E, Frantz C, Wanono S, Morel J, Avouac J, Rozenberg F, Miceli-Richard C, and Fogel O
- Subjects
- Humans, SARS-CoV-2, Seroepidemiologic Studies, Serologic Tests, COVID-19 epidemiology, Rheumatic Diseases diagnosis, Rheumatic Diseases drug therapy, Rheumatic Diseases epidemiology
- Abstract
Objectives: To estimate the seroprevalence of SARS-CoV-2 infection in patients with rheumatic diseases and to specify the proportion of asymptomatic and symptomatic forms of COVID-19., Methods: We screened for SARS-CoV-2 infection among spondyloarthritis (SpA, n=143) or rheumatoid arthritis (RA, n=140) patients in our outpatient clinic at Cochin Hospital in Paris between June and August 2020. We performed a qualitative SARS-CoV-2 serological test which detects IgG directed against the N nucleocapsid protein (anti-N) and, for some patients, against the Spike protein (anti-S). Descriptive analyses were managed., Results: During June-August 2020, the SARS-CoV-2 seroprevalence rate in our population was 2.83% (8/283 patients) without significant difference between RA and SpA patients (2.14% and 3.5%, respectively). We report 11 out of 283 patients (3.8%) with a diagnosis of SARS-CoV-2 infection. Among these 11 patients, 1 patient was asymptomatic (9%) with a confirmed diagnosis of COVID-19 by anti-S serology. Of the 283 patients, 85% were under bDMARDs, mainly on rituximab (RTX) (n=44) and infliximab (IFX) (n=136)., Conclusions: The seroprevalence of SARS-CoV-2 in patients with rheumatic diseases, mainly under bDMARDs treatments, was 2.83%. Among infected patients, 9% were asymptomatic. Detecting SARS-CoV-2 infections could be based on the strategy using patients' interview and anti-N serology., (Copyright © 2021 Société française de rhumatologie. Published by Elsevier Masson SAS. All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
28. Passage du tocilizumab ou de l’abatacept de la forme intraveineuse vers la voie sous-cutanée pendant la pandémie de COVID-19 : expérience française.
- Author
-
Combier A, Wanono S, Poiroux L, Frantz C, Descamps E, Fogel O, Boisson M, Ayral X, Bottois C, Allanore Y, and Avouac J
- Published
- 2021
- Full Text
- View/download PDF
29. Screening of dental and sinus infections in rheumatoid arthritis.
- Author
-
Descamps E, Gorlier C, Ottaviani S, Palazzo E, Dieudé P, and Forien M
- Subjects
- Adult, Aged, Arthritis, Rheumatoid epidemiology, Dental Caries diagnosis, Dental Caries epidemiology, Dental Caries therapy, Female, Focal Infection, Dental diagnosis, Focal Infection, Dental epidemiology, Humans, Male, Mass Screening, Middle Aged, Pulpitis diagnosis, Pulpitis epidemiology, Pulpitis therapy, Radiography, Panoramic, Retrospective Studies, Severity of Illness Index, Sinusitis diagnosis, Sinusitis epidemiology, Sinusitis therapy, Smoking epidemiology, Tomography, X-Ray Computed, Antirheumatic Agents therapeutic use, Arthritis, Rheumatoid drug therapy, Biological Products therapeutic use, Dental Caries diagnostic imaging, Focal Infection, Dental diagnostic imaging, Pulpitis diagnostic imaging, Sinusitis diagnostic imaging
- Abstract
Background: Rheumatoid arthritis (RA) is associated with increased risk of infections. Screening for oral (dental and/or sinus) infection could be proposed before biologic disease-modifying antirheumatic drugs (bDMARDs) initiation but is not systematically recommended. The aim of our study was to assess the prevalence of oral infection in RA patients requiring bDMARDs., Materials and Methods: This was a monocentric retrospective study. We included patients with RA and active disease requiring bDMARDs. Dental infection and sinusitis were assessed by a stomatologist and otorhinolaryngologist after clinical, panoramic dental X-ray and sinus CT evaluation. Factors associated with oral infections were analysed in uni- and multivariate models, estimating odds ratios (ORs) and 95% confidence intervals (CIs)., Results: We included 223 RA patients (79.4% women, mean disease duration 8.9 ± 8.6 years). The mean age was 54.4 ± 10.9 years and mean Disease Activity Score in 28 joints 5.5 ± 2.6. Systematic dental screening revealed infection requiring treatment before bDMARDs initiation in 46 (20.9%) patients. Sinusitis was diagnosed by the otorhinolaryngologist in 33 (14.8%) patients. Among the 223 patients, 69 (30.9%) had dental and/or sinus infection. On univariate analysis, active smoking was associated with increased probability of oral infection (OR = 2.16 [95% CI 1.02-4.57], P = .038) and methotrexate with reduced probability (OR = 0.43 [95% CI 0.23-0.81], P = .006). On multivariate analysis, no RA variables were associated with oral infection., Conclusion: In our study, asymptomatic oral infection was confirmed in one third of RA patients., (© 2020 Stichting European Society for Clinical Investigation Journal Foundation. Published by John Wiley & Sons Ltd.)
- Published
- 2021
- Full Text
- View/download PDF
30. Changes in bone formation regulator biomarkers in early axial spondyloarthritis.
- Author
-
Descamps E, Molto A, Borderie D, Lories R, Richard CM, Pons M, Roux C, and Briot K
- Subjects
- Adult, Biomarkers blood, Cohort Studies, Disease Progression, Female, Follow-Up Studies, Humans, Male, Radiography, Spondylarthritis drug therapy, Tumor Necrosis Factor Inhibitors therapeutic use, Adaptor Proteins, Signal Transducing blood, Bone Morphogenetic Protein 7 blood, Intercellular Signaling Peptides and Proteins blood, Spondylarthritis blood
- Abstract
Objective: The hallmark of advanced axial SpA (axSpA) is spine ankylosis due to excessive ectopic bone formation. This prospective study aimed to describe the changes in serum levels of different regulators [sclerostin, dickkopf-1 (DKK-1)] and markers of bone formation [bone morphogenetic protein 7 (BMP-7)] over 5 years in early axSpA patients and to assess determinants of such changes., Methods: The DEvenir des Spondyloarthropathies Indifférenciées Récentes cohort is a prospective, multicentre French study of 708 patients with early (>3 months-<3 years) inflammatory back pain suggestive of axSpA. Serum levels of BMP-7, sclerostin and DKK-1 were assessed at baseline and after 2 and 5 years. Changes in bone formation regulators over time were analysed using mixed linear models., Results: Serum BMP-7 significantly increased over time, with a median relative change of 223.7% [interquartile range (IQR) 0-10 700 (0.17 pg/ml/month), P < 0.001]. Serum sclerostin significantly increased over time, with a median relative change of 14.8% [IQR -7.9-41.4% (0.001 ng/ml/month), P < 0.001]. Serum DKK-1 did not significantly change over time. Serum BMP-7 increased over time in active disease (Ankylosing Spondylitis Disease Activity Score with CRP ≥1.3, P = 0.01), but the increase was less pronounced with TNF inhibitor (TNFi) use (P < 0.001). No determinant was associated with serum sclerostin change., Conclusion: Serum BMP-7 change over 5 years was related with inflammation; it was increased in active disease, but the increase was low with TNFi use. Serum sclerostin levels significantly increased over time, but to a lesser degree than for serum BMP-7., Clinical Trial Registration: https://clinicaltrials.gov/, NCT01648907., (© The Author(s) 2020. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
- Published
- 2021
- Full Text
- View/download PDF
31. Immunization to rituximab is more frequent in systemic autoimmune diseases than in rheumatoid arthritis: ofatumumab as alternative therapy.
- Author
-
Combier A, Nocturne G, Henry J, Belkhir R, Pavy S, Le Tiec C, Descamps E, Seror R, and Mariette X
- Subjects
- Adult, Aged, Aged, 80 and over, Antirheumatic Agents immunology, Female, Humans, Male, Middle Aged, Rituximab therapeutic use, Young Adult, Antibodies immunology, Antibodies, Monoclonal, Humanized therapeutic use, Antirheumatic Agents therapeutic use, Arthritis, Rheumatoid drug therapy, Autoimmune Diseases drug therapy, Rituximab immunology
- Abstract
Objectives: The frequency and consequences of anti-drug antibodies to rituximab (RTX-ADA) are not well known in RA and even less in other systemic auto-immune diseases (sAID). We aimed to evaluate the frequency, consequences and predictive factors of RTX-ADA in RA and sAID., Methods: All patients presenting with RA or other sAID treated with RTX from 2012 to 2017 in our tertiary reference centre for sAID were retrospectively studied. Patients who were tested for RTX-ADA were identified., Results: One hundred and ninety-nine patients were treated with RTX (RA: 124, other sAID: 75). Among 62/199 (31.1%) tested for RTX-ADA, 14 were positive: 3/35 RA (8.6%) and 11/27 (40.7%) other sAID, (P = 0.0047). Among the whole RTX-treated populations, the frequency of RTX-ADA was 2.4% and 14.7% (P = 0.0026) in RA and sAID, respectively. Most of the immunized patients had infusion reactions to second or subsequent RTX cycles (11/14) and loss of efficacy (2/14). Predictive factors of immunization were sAID vs RA (78.6% vs 21.4%, P = 0.026, adjusted odds ratio (OR) = 5.35[1.43-54.75]) and African ethnicity (57.1% vs 4.2%, P < 0.001, adjusted OR = 9.25 [5.08-302.12]). Associated immunosuppressive therapy did not protect against immunization. Three patients with pSS immunized against RTX were treated with ofatumumab with complete remission of their disease., Conclusion: Immunization against RTX is more frequent in other sAID than in RA. Testing for RTX-ADA must be performed in patients with infusion reactions or loss of efficacy especially if they are of African origin. Immunized patients might be treated efficiently and safely with ofatumumab. This alternative should be further evaluated for sAID., (© The Author(s) 2019. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
- Published
- 2020
- Full Text
- View/download PDF
32. Small fiber neuropathy in Sjögren syndrome: Comparison with other small fiber neuropathies.
- Author
-
Descamps E, Henry J, Labeyrie C, Adams D, Ghaidaa AN, Vandendries C, Adam C, Aiello D, Mariette X, and Seror R
- Subjects
- Adult, Aged, Amyloid Neuropathies, Familial diagnostic imaging, Amyloid Neuropathies, Familial pathology, Biopsy, Female, Humans, Male, Middle Aged, Retrospective Studies, Sjogren's Syndrome diagnostic imaging, Sjogren's Syndrome pathology, Small Fiber Neuropathy diagnostic imaging, Small Fiber Neuropathy pathology, Ultrasonography, Nerve Fibers pathology, Sjogren's Syndrome complications, Skin pathology, Small Fiber Neuropathy complications
- Abstract
Introduction: We compared histological and clinical profiles of primary Sjögren syndrome (pSS) small fiber neuropathy (SFN; pSS-SFN) with idiopathic SFN (i-SFN) and hereditary transthyretin amyloidosis SFN (hATTR-SFN) and described the evolution of pSS-SFN., Methods: All patients with pSS-SFN, i-SFN, and hATTR-SFN confirmed by reduced intraepidermal nerve fiber density on skin biopsy were retrospectively included, and their characteristics were compared. To analyze prognosis of pSS-SFN, patients prospectively underwent a second evaluation., Results: Fifteen pSS-SFN, 17 hATTR-SFN, and 11 i-SFN were included. Time to diagnosis SFN was longer in pSS-SFN and i-SFN than in hATTR-SFN. Painful and non-length-dependent patterns were more frequent in pSS-SFN than in hATTR-SFN. Twelve (80%) patients with pSS-SFN had a non-length-dependent pattern. Ten patients with pSS were reassessed after 3.1 years (1.7-4.7); none developed large fiber neuropathy linked to pSS., Discussion: Primary Sjögren syndrome SFN is characterized by a more frequent non-length-dependent pattern compared with i-SFN and hATTR-SFN. Primary Sjögren syndrome SFN did not evolve through large fiber neuropathy., (© 2020 Wiley Periodicals, Inc.)
- Published
- 2020
- Full Text
- View/download PDF
33. Improving accuracy of self-reported diagnoses of rheumatoid arthritis in the French prospective E3N-EPIC cohort: a validation study.
- Author
-
Nguyen Y, Salliot C, Gusto G, Descamps E, Mariette X, Boutron-Ruault MC, and Seror R
- Subjects
- Adult, Algorithms, Arthritis, Rheumatoid epidemiology, Case-Control Studies, Decision Support Techniques, Female, France, Humans, Middle Aged, Prospective Studies, Reproducibility of Results, Risk Assessment, Sensitivity and Specificity, Spondylarthritis diagnosis, Spondylarthritis epidemiology, Surveys and Questionnaires, Arthritis, Rheumatoid diagnosis, Self Report standards
- Abstract
Objectives: The French E3N-EPIC ( Etude Epidémiologique auprès des femmes de la Mutuelle générale de l'Education Nationale - European Prospective Investigation into Cancer and Nutrition) cohort enrolled 98 995 women aged 40 to 65 years at inclusion since 1990 to study the main risk factors for cancer and severe chronic conditions in women. They were prospectively followed with biennially self-administered questionnaires collecting self-reported medical, environmental and lifestyle data. Our objective was to assess the accuracy of self-reported diagnoses of rheumatoid arthritis (RA) and to devise algorithms to improve the ascertainment of RA cases in our cohort., Design: A validation study., Participants: Women who self-reported an inflammatory rheumatic disease (IRD) were asked to provide access to their medical record, and to answer an IRD questionnaire. Medical records were independently reviewed., Primary and Secondary Outcome Measures: Positive predictive values (PPV) of self-reported RA alone, then coupled with the IRD questionnaire, and with a medication reimbursement database were assessed. These algorithms were then applied to the whole cohort to ascertain RA cases., Results: Of the 98 995 participants, 2692 self-reported RA. Medical records were available for a sample of 399 participants, including 305 who self-reported RA. Self-reported RA was accurate only for 42% participants. Combining self-reported diagnoses to answers to a specific IRD questionnaire or to the medication reimbursement database improved the PPV (75.6% and 90.1%, respectively). Using the devised algorithms, we could identify 964 RA cases in our cohort., Conclusion: Accuracy of self-reported RA is poor but adding answers to a specific questionnaire or data from a medication reimbursement database performed satisfactorily to identify RA cases in our cohort. It will subsequently allow investigating many potential risk factors of RA in women., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2019
- Full Text
- View/download PDF
34. Polarization Induced Electro-Functionalization of Pore Walls: A Contactless Technology.
- Author
-
Bouchet-Spinelli A, Descamps E, Liu J, Ismail A, Pham P, Chatelain F, Leïchlé T, Leroy L, Marche PN, Raillon C, Roget A, Roupioz Y, Sojic N, Buhot A, Haguet V, Livache T, and Mailley P
- Subjects
- Electric Impedance, Electrochemical Techniques, Membranes, Artificial, Nanopores, Biosensing Techniques, Silicon chemistry
- Abstract
This review summarizes recent advances in micro- and nanopore technologies with a focus on the functionalization of pores using a promising method named contactless electro-functionalization (CLEF). CLEF enables the localized grafting of electroactive entities onto the inner wall of a micro- or nano-sized pore in a solid-state silicon/silicon oxide membrane. A voltage or electrical current applied across the pore induces the surface functionalization by electroactive entities exclusively on the inside pore wall, which is a significant improvement over existing methods. CLEF's mechanism is based on the polarization of a sandwich-like silicon/silicon oxide membrane, creating electronic pathways between the core silicon and the electrolyte. Correlation between numerical simulations and experiments have validated this hypothesis. CLEF-induced micro- and nanopores functionalized with antibodies or oligonucleotides were successfully used for the detection and identification of cells and are promising sensitive biosensors. This technology could soon be successfully applied to planar configurations of pores, such as restrictions in microfluidic channels., Competing Interests: The authors declare no conflict of interest.
- Published
- 2019
- Full Text
- View/download PDF
35. A review on mechanical considerations for chronically-implanted neural probes.
- Author
-
Lecomte A, Descamps E, and Bergaud C
- Subjects
- Animals, Brain pathology, Electrodes, Implanted adverse effects, Equipment Design instrumentation, Equipment Design methods, Foreign-Body Reaction etiology, Humans, Hydrogels adverse effects, Hydrogels standards, Materials Testing instrumentation, Materials Testing methods, Microelectrodes adverse effects, Microelectrodes standards, Polymers adverse effects, Polymers standards, Stress, Mechanical, Time Factors, Brain surgery, Electrodes, Implanted standards, Equipment Design standards, Foreign-Body Reaction prevention & control, Materials Testing standards
- Abstract
This review intends to present a comprehensive analysis of the mechanical considerations for chronically-implanted neural probes. Failure of neural electrical recordings or stimulation over time has shown to arise from foreign body reaction and device material stability. It seems that devices that match most closely with the mechanical properties of the brain would be more likely to reduce the mechanical stress at the probe/tissue interface, thus improving body acceptance. The use of low Young's modulus polymers instead of hard substrates is one way to enhance this mechanical mimetism, though compliance can be achieved through a variety of means. The reduction of probe width and thickness in comparison to a designated length, the use of soft hydrogel coatings and the release in device tethering to the skull, can also improve device compliance. Paradoxically, the more compliant the device, the more likely it will fail during the insertion process in the brain. Strategies have multiplied this past decade to offer partial or temporary stiffness to the device to overcome this buckling effect. A detailed description of the probe insertion mechanisms is provided to analyze potential sources of implantation failure and the need for a mechanically-enhancing structure. This leads us to present an overview of the strategies that have been put in place over the last ten years to overcome buckling issues. Particularly, great emphasis is put on bioresorbable polymers and their assessment for neural applications. Finally, a discussion is provided on some of the key features for the design of mechanically-reliable, polymer-based next generation of chronic neuroprosthetic devices.
- Published
- 2018
- Full Text
- View/download PDF
36. Parylene-based flexible neural probes with PEDOT coated surface for brain stimulation and recording.
- Author
-
Castagnola V, Descamps E, Lecestre A, Dahan L, Remaud J, Nowak LG, and Bergaud C
- Subjects
- Brain drug effects, Coated Materials, Biocompatible chemistry, Electrodes, Implanted, Humans, Neurons drug effects, Neurons physiology, Polymers chemistry, Polymers therapeutic use, Xylenes chemistry, Xylenes therapeutic use, Biosensing Techniques, Brain physiopathology, Coated Materials, Biocompatible therapeutic use
- Abstract
Implantable neural prosthetics devices offer a promising opportunity for the restoration of lost functions in patients affected by brain or spinal cord injury, by providing the brain with a non-muscular channel able to link machines to the nervous system. Nevertheless current neural microelectrodes suffer from high initial impedance and low charge-transfer capacity because of their small-feature geometry (Abidian et al., 2010; Cui and Zhou, 2007). In this work we have developed PEDOT-modified neural probes based on flexible substrate capable to answer to the three critical requirements for neuroprosthetic device: efficiency, lifetime and biocompatibility. We propose a simple procedure for the fabrication of neural electrodes fully made of Parylene-C, followed by an electropolymerization of the active area with the conductive polymer PEDOT that is shown to greatly enhance the electrical performances of the device. In addition, the biocompatibility and the very high SNR exhibited during signal recording make our device suitable for long-term implantation., (Copyright © 2014 Elsevier B.V. All rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF
37. Functionalization of optical nanotip arrays with an electrochemical microcantilever for multiplexed DNA detection.
- Author
-
Descamps E, Duroure N, Deiss F, Leichlé T, Adam C, Mailley P, Aït-Ikhlef A, Livache T, Nicu L, and Sojic N
- Subjects
- Equipment Design, Nanostructures chemistry, Biosensing Techniques instrumentation, DNA analysis, Electrochemistry instrumentation, Fiber Optic Technology instrumentation, Nucleic Acid Hybridization
- Abstract
Optical nanotip arrays fabricated on etched fiber bundles were functionalized with DNA spots. Such unconventional substrates (3D and non-planar) are difficult to pattern with standard microfabrication techniques but, using an electrochemical cantilever, up to 400 spots were electrodeposited on the nanostructured optical surface in 5 min. This approach allows each spot to be addressed individually and multiplexed fluorescence detection is demonstrated. Finally, remote fluorescence detection was performed by imaging through the optical fiber bundle itself after hybridisation with the complementary sequence.
- Published
- 2013
- Full Text
- View/download PDF
38. Polarization-induced local pore-wall functionalization for biosensing: from micropore to nanopore.
- Author
-
Liu J, Pham P, Haguet V, Sauter-Starace F, Leroy L, Roget A, Descamps E, Bouchet A, Buhot A, Mailley P, and Livache T
- Subjects
- Electricity, Membranes, Artificial, Silicon Dioxide chemistry, Biosensing Techniques methods, Microtechnology methods, Nanopores
- Abstract
The use of biological-probe-modified solid-state pores in biosensing is currently hindered by difficulties in pore-wall functionalization. The surface to be functionalized is small and difficult to target and is usually chemically similar to the bulk membrane. Herein, we demonstrate the contactless electrofunctionalization (CLEF) approach and its mechanism. This technique enables the one-step local functionalization of the single pore wall fabricated in a silica-covered silicon membrane. CLEF is induced by polarization of the pore membrane in an electric field and requires a sandwich-like composition and a conducting or semiconducting core for the pore membrane. The defects in the silica layer of the micropore wall enable the creation of an electric pathway through the silica layer, which allows electrochemical reactions to take place locally on the pore wall. The pore diameter is not a limiting factor for local wall modification using CLEF. Nanopores with a diameter of 200 nm fabricated in a silicon membrane and covered with native silica layer have been successfully functionalized with this method, and localized pore-wall modification was obtained. Furthermore, through proof-of-concept experiments using ODN-modified nanopores, we show that functionalized nanopores are suitable for translocation-based biosensing.
- Published
- 2012
- Full Text
- View/download PDF
39. The OPFOS Microscopy Family: High-Resolution Optical Sectioning of Biomedical Specimens.
- Author
-
Buytaert JA, Descamps E, Adriaens D, and Dirckx JJ
- Abstract
We report on the recently emerging (laser) light-sheet-based fluorescence microscopy field (LSFM). The techniques used in this field allow to study and visualize biomedical objects nondestructively in high resolution through virtual optical sectioning with sheets of laser light. Fluorescence originating in the cross-section of the sheet and sample is recorded orthogonally with a camera. In this paper, the first implementation of LSFM to image biomedical tissue in three dimensions-orthogonal-plane fluorescence optical sectioning microscopy (OPFOS)-is discussed. Since then many similar and derived methods have surfaced, (SPIM, ultramicroscopy, HR-OPFOS, mSPIM, DSLM, TSLIM, etc.) which we all briefly discuss. All these optical sectioning methods create images showing histological detail. We illustrate the applicability of LSFM on several specimen types with application in biomedical and life sciences.
- Published
- 2012
- Full Text
- View/download PDF
40. ARVCF depletion cooperates with Tbx1 deficiency in the development of 22q11.2DS-like phenotypes in Xenopus.
- Author
-
Tran HT, Delvaeye M, Verschuere V, Descamps E, Crabbe E, Van Hoorebeke L, McCrea P, Adriaens D, Van Roy F, and Vleminckx K
- Subjects
- Animals, Armadillo Domain Proteins genetics, Cell Adhesion Molecules genetics, Chromosomes genetics, Chromosomes metabolism, Gene Deletion, Gene Expression Regulation, Developmental physiology, Mice, Neural Crest cytology, Pharynx cytology, Phosphoproteins genetics, Skull cytology, T-Box Domain Proteins genetics, Xenopus Proteins genetics, Xenopus laevis, Armadillo Domain Proteins biosynthesis, Cell Adhesion Molecules biosynthesis, Neural Crest embryology, Pharynx embryology, Phenotype, Phosphoproteins biosynthesis, Skull embryology, T-Box Domain Proteins biosynthesis, Xenopus Proteins biosynthesis
- Abstract
The 22q11.2 deletion syndrome is a common dominant genetic disorder characterized by a heterozygous deletion of a cluster of genes on chromosome 22q11.2. TBX1, a transcription factor belonging to the T-box gene family, is a key player in the syndrome. However, heterozygosity of Tbx1 in mouse models does not fully recapitulate the phenotypes characteristic of the disease, which may point to the involvement of other genes in the deleted chromosomal region. Hence, we investigated the contribution of the catenin ARVCF, another gene that is deleted in 22q11.2DS. During Xenopus development, ARVCF mRNA is expressed in the pharyngeal arches and depleting either ARVCF or Tbx1 results in delayed migration of the cranial neural crest cells and in defects in the craniofacial skeleton and aortic arches. Moreover, double depletion of ARVCF and Tbx1 revealed that they act cooperatively, indicating that decreased ARVCF levels may also contribute to 22q11.2DS-associated phenotypes., (Copyright © 2011 Wiley Periodicals, Inc.)
- Published
- 2011
- Full Text
- View/download PDF
41. Opto-electrochemical nanosensor array for remote DNA detection.
- Author
-
Deiss F, Laurent S, Descamps E, Livache T, and Sojic N
- Subjects
- Biosensing Techniques methods, DNA Probes chemistry, Electrochemistry methods, Equipment Design, Nanostructures ultrastructure, Nucleic Acid Hybridization, Polymerization, Polymers chemistry, Pyrroles chemistry, Biosensing Techniques instrumentation, DNA analysis, Electrochemistry instrumentation, Nanostructures chemistry, Optical Fibers
- Abstract
A high-density array of opto-electrochemical nanosensors is presented for remote DNA detection. It was fabricated by chemical etching of a coherent optical fibre bundle to produce a nanotip array. The surface of the etched bundle was sputter-coated with a thin ITO layer which was eventually insulated by an electrophoretic paint. The fabrication steps produced a high-density array of electrochemical nanosensors which retains the optical fibre bundle architecture and its imaging properties. A DNA probe was then immobilized on the nanosensor array surface in a polypyrrole film by electropolymerisation. After hybridisation with the complementary sequence, detection of the strepavidin-R-phycoerythrin label is performed by fluorescence imaging through the optical fibre bundle itself. Control experiments and regeneration steps have also been successfully demonstrated on this nanostructured opto-electrochemical platform.
- Published
- 2011
- Full Text
- View/download PDF
42. Versatile functionalization of nanoelectrodes by oligonucleotides via pyrrole electrochemistry.
- Author
-
Descamps E, Nguyen K, Bouchain-Gautier C, Filoramo A, Goux-Capes L, Goffman M, Bourgoin JP, Mailley P, and Livache T
- Subjects
- Base Sequence, Electrochemical Techniques, Microelectrodes, Microscopy, Atomic Force, Nanotechnology, Oligonucleotides chemistry, Polymers chemistry, Pyrroles chemistry
- Abstract
Surface modification at the nanometer scale is a challenge for the future of molecular electronics. In particular, the precise anchoring and electrical addressing of biological scaffolds such as complex DNA nanonetworks is of importance for generating bio-directed assemblies of nano-objects for nanocircuit purposes. Herein, we consider the individual modification of nanoelectrodes with different oligonucleotide sequences by an electrochemically driven co-polymerization process of pyrrole and modified oligonucleotide sequences bearing pyrrole monomers. We demonstrate that this one-step technique presents the advantages of simplicity, localization of surface modification, mechanical, biological and chemical stability of the coatings, and high lateral resolution.
- Published
- 2010
- Full Text
- View/download PDF
43. Contactless electrofunctionalization of a single pore.
- Author
-
Bouchet A, Descamps E, Mailley P, Livache T, Chatelain F, and Haguet V
- Subjects
- Models, Theoretical, Porosity, Membranes chemistry, Nanotechnology methods
- Abstract
Customized pores are smart components that find challenging applications in a variety of fields including purification membranes and biosensing systems. The incorporation of recognition probes within pores is therefore a challenge, due to the technical difficulty of delimiting the area functionalized and obtaining the localized, specific chemical modification of pore walls. An innovative approach, named contactless electrofunctionalization (CLEF), is presented to overcome this problem. CLEF allows easy, one-step modification of the inner surface of a pore etched in a dielectric membrane. The pore wall is coated under the influence of an electric field created by the application of a voltage between two electrodes, located near but not in contact with the pore openings. This specific localization of the deposited material within the pore is extremely rapid. Coatings were reliably and reproducibly obtained using polypyrrole co-polymers bearing oligonucleotides, demonstrating that this technology has a promising future in the design of biosensors. Moreover, the versatility of this process allows the deposition of various electroactive entities such as iridium oxide and therefore indicates a strong potential for diverse applications involving porous materials.
- Published
- 2009
- Full Text
- View/download PDF
44. Experimental stroke protection induced by 4-hydroxybenzyl alcohol is cancelled by bacitracin.
- Author
-
Descamps E, Petrault-Laprais M, Maurois P, Pages N, Bac P, Bordet R, and Vamecq J
- Subjects
- Animals, Benzyl Alcohols chemistry, Benzyl Alcohols toxicity, Brain drug effects, Brain enzymology, Brain pathology, Infarction, Middle Cerebral Artery complications, Infarction, Middle Cerebral Artery etiology, Infarction, Middle Cerebral Artery pathology, Ischemic Attack, Transient etiology, Ischemic Attack, Transient pathology, Isomerism, Mice, Mice, Inbred C57BL, Neuroprotective Agents toxicity, Protein Disulfide-Isomerases biosynthesis, Structure-Activity Relationship, Bacitracin pharmacology, Benzyl Alcohols therapeutic use, Infarction, Middle Cerebral Artery drug therapy, Ischemic Attack, Transient drug therapy, Neuroprotective Agents therapeutic use, Protein Disulfide-Isomerases antagonists & inhibitors
- Abstract
Induction of protein disulfide isomerase (PDI) is validated as a main mechanism by which 4-hydroxybenzyl alcohol (4-HBA), an active principle of Gastrodia elata Blume, reduces cerebral infarct volumes in a murine model of focal brain ischemia/reperfusion. In contrast to its position isomers, i.e. 3-hydroxybenzyl alcohol (3-HBA) and 2-hydroxybenzyl alcohol (2-HBA), and to aliphatic diols (1,4-butanediol and 1,5-pentanediol), 4-HBA administered intravenously at 25 mg/kg protected mice, significantly reducing total, cortical and sub-cortical infarct volumes by 42, 28 and 55%, respectively. All compounds, 4-HBA included, were devoid of antioedematous properties. Only the stroke protective 4-HBA, but neither 3-HBA nor 2-HBA, was capable of significantly inducing PDI in intact mouse brains. Stroke protection was fully prevented by bacitracin (500 mg/kg), a known inhibitor of PDI, which, without affecting basal brain PDI levels, altered the ability of 4-HBA to induce significantly PDI in intact brains. Taken as a whole, our data indicate that stroke protection induced by 4-HBA involves PDI as a key player, making this protein a valuable target to control brain injury disorders. The fact that 4-HBA, at doses up to 200mg/kg, was devoid of neurotoxicity in the rotarod test is also a decisive element to promote the neuroprotective use of this plant compound.
- Published
- 2009
- Full Text
- View/download PDF
45. [Localized giant pseudo polyposis of the colon. Apropos of a case].
- Author
-
Bognel C, Descamps E, Papadopoulos S, Elias D, and Lasser P
- Subjects
- Aged, Colectomy, Colonic Neoplasms pathology, Colonic Polyps surgery, Colonoscopy, Diagnosis, Differential, Follow-Up Studies, Humans, Male, Colitis, Ulcerative pathology, Colonic Polyps pathology
- Abstract
A giant pseudo-polyposis lesion was diagnosed clinically and radiologically as cancer of right side of colon. The etiopathology of this lesion can probably be explained by the hemorrhagic rectocolitis that developed three years after its excision.
- Published
- 1988
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.