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Bat-Pitault F, Da Fonseca D, Flori S, Porcher-Guinet V, Stagnara C, Patural H, Franco P, Deruelle C. [Recognition of facial expressions of emotions by 3-year-olds depending on sleep and risk of depression]. Encephale 2016; 43:416-422. [PMID: 27623119 DOI: 10.1016/j.encep.2016.03.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2015] [Revised: 03/03/2016] [Accepted: 03/08/2016] [Indexed: 11/25/2022]
Abstract
INTRODUCTION The emotional process is characterized by a negative bias in depression, thus it was legitimate to establish if they same is true in very young at-risk children. Furthermore, sleep, also proposed as a marker of the depression risk, is closely linked in adults and adolescents with emotions. That is why we wanted first to better describe the characteristics of emotional recognition by 3-year-olds and their links with sleep. Secondly we observed, if found at this young age, an emotional recognition pattern indicating a vulnerability to depression. MATERIAL AND METHOD We studied, in 133 children aged 36 months from the AuBE cohort, the number of correct answers to the task of recognition of facial emotions (joy, anger and sadness). Cognitive functions were also assessed by the WPPSI III at 3 years old, and the different sleep parameters (time of light off and light on, sleep times, difficulty to go to sleep and number of parents' awakes per night) were described by questionnaires filled out by mothers at 6, 12, 18, 24 and 36 months after birth. Of these 133 children, 21 children whose mothers had at least one history of depression (13 boys) were the high-risk group and 19 children (8 boys) born to women with no history of depression were the low-risk group (or control group). RESULTS Overall, 133 children by the age of 36 months recognize significantly better happiness than other emotions (P=0.000) with a better global recognition higher in girls (M=8.8) than boys (M=7.8) (P=0.013) and a positive correlation between global recognition ability and verbal IQ (P=0.000). Children who have less daytime sleep at 18 months and those who sleep less at 24 months show a better recognition of sadness (P=0.043 and P=0.042); those with difficulties at bedtime at 18 months recognize less happiness (P=0.043), and those who awaken earlier at 24 months have a better global recognition of emotions (P=0.015). Finally, the boys of the high-risk group recognize sadness better than boys in the control group (P=0.015). CONCLUSION This study confirms that the recognition of emotion is related to development with a female advantage and a link with the language skills at 36 months of life. More importantly, we found a relationship between sleep characteristics and emotional recognition ability and a negative bias in emotional recognition in young males at risk for depression.
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Affiliation(s)
- F Bat-Pitault
- Institut de neurosciences de la Timone, CNRS, Aix-Marseille université, 249, boulevard Sainte-Marguerite, 13009 Marseille, France; Service de pédopsychiatrie, hôpital Salvator, Assistance publique-hôpitaux de Marseille, Aix-Marseille université, 249, boulevard Sainte-Marguerite, 13009 Marseille, France.
| | - D Da Fonseca
- Institut de neurosciences de la Timone, CNRS, Aix-Marseille université, 249, boulevard Sainte-Marguerite, 13009 Marseille, France; Service de pédopsychiatrie, hôpital Salvator, Assistance publique-hôpitaux de Marseille, Aix-Marseille université, 249, boulevard Sainte-Marguerite, 13009 Marseille, France
| | - S Flori
- Service de réanimation pédiatrique et néonatale, pôle mère et enfant, hôpital Nord, 42270 Saint-Priest-en-Jarez, France; EA SNA-EPIS 4607, université Jean-Monnet, 42023 Saint-Étienne, France
| | - V Porcher-Guinet
- Unité de sommeil pédiatrique, hôpital Mère-Enfant, université Lyon 1, 69500 Bron, France; Integrative Physiology of Brain Arousal System, CRNL, Inserm-U1028, CNRS UMR5292, université Lyon 1, 69675 Bron, France
| | - C Stagnara
- EA SNA-EPIS 4607, université Jean-Monnet, 42023 Saint-Étienne, France
| | - H Patural
- Service de réanimation pédiatrique et néonatale, pôle mère et enfant, hôpital Nord, 42270 Saint-Priest-en-Jarez, France; EA SNA-EPIS 4607, université Jean-Monnet, 42023 Saint-Étienne, France
| | - P Franco
- Unité de sommeil pédiatrique, hôpital Mère-Enfant, université Lyon 1, 69500 Bron, France; Integrative Physiology of Brain Arousal System, CRNL, Inserm-U1028, CNRS UMR5292, université Lyon 1, 69675 Bron, France
| | - C Deruelle
- Institut de neurosciences de la Timone, CNRS, Aix-Marseille université, 249, boulevard Sainte-Marguerite, 13009 Marseille, France
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Patural H, Flori S, Pichot V, Barthelemy JC, Roche F. [Autonomic regulation and bradycardia during the neonatal period]. Arch Pediatr 2013; 21:226-30. [PMID: 24290181 DOI: 10.1016/j.arcped.2013.10.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2012] [Revised: 08/28/2013] [Accepted: 10/14/2013] [Indexed: 12/16/2022]
Abstract
The high frequency of bradycardia observed during the neonatal period requires cardiac monitoring but also understanding its intrinsic mechanisms, including responsiveness of the autonomic nervous system (ANS). Heart rate variability and spontaneous baroreflex analysis can help understand the autonomic dysregulation of cardiorespiratory control, possibly responsible for sudden infant death. In clinical neonatology practice, neonatal bradycardia does not warrant continuation of monitoring if it remains isolated, asymptomatic, and short (<10 s), followed by a rapid cardiac acceleration indicating an adapted sympathetic response. Further evaluation of ANS responsiveness is possible for newborns including analyzing the complexity of the heart rate and respiratory variability. This allows better targeting children with high risk after discharge. The real-time evaluation of autonomic regulation could become a valuable tool in clinical practice.
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Affiliation(s)
- H Patural
- Réanimation néonatale et pédiatrique, centre hospitalier universitaire de Saint-Étienne, 42005 Saint-Étienne, France; EA SNA-Epis 4607, université Jean-Monnet, 42023 Saint-Étienne, France.
| | - S Flori
- EA SNA-Epis 4607, université Jean-Monnet, 42023 Saint-Étienne, France
| | - V Pichot
- EA SNA-Epis 4607, université Jean-Monnet, 42023 Saint-Étienne, France
| | - J-C Barthelemy
- EA SNA-Epis 4607, université Jean-Monnet, 42023 Saint-Étienne, France
| | - F Roche
- EA SNA-Epis 4607, université Jean-Monnet, 42023 Saint-Étienne, France
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Franco P, Montemitro E, Flori S, Porcher-Guinet V, Lin JS, Adrien J, Bat-Pitault F, Patural H, Inocente C. Influence des facteurs pré et postnataux sur les caractéristiques du sommeil : données de l’étude prospective AUBE. Neurophysiol Clin 2013. [DOI: 10.1016/j.neucli.2013.01.100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Corradi F, Piscaglia F, Flori S, D'Errico-Grigioni A, Vasuri F, Tamé MR, Andreone P, Boni P, Gianstefani A, Bolondi L. Assessment of liver fibrosis in transplant recipients with recurrent HCV infection: usefulness of transient elastography. Dig Liver Dis 2009; 41:217-25. [PMID: 18672413 DOI: 10.1016/j.dld.2008.06.009] [Citation(s) in RCA: 60] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2007] [Revised: 06/12/2008] [Accepted: 06/12/2008] [Indexed: 02/06/2023]
Abstract
BACKGROUND Progression of recurrent hepatitis C is accelerated in liver transplant recipients, leading to special need of non-invasive validated methods to estimate liver fibrosis. AIM To assess the efficacy of liver stiffness measurement by transient elastography (Fibroscan) and serum parameters in predicting fibrosis stage in HCV-infected transplant recipients. METHODS The correlation between liver fibrosis, assessed at liver histology on bioptic specimens obtained for clinical indications, and stiffness or clinico-serological indexes (Benlloch, APRI, Forns, Fibrotest and Doppler resistance index), was investigated in transplant recipients with recurrence of HCV chronic hepatitis. A total of 56 patients (of which 36 with all clinico-serological indexes), presenting with the following METAVIR fibrosis stage F1=38, F2=9, F3=8, F4=1, were enrolled in the study population. Differences between fibrosis stages were calculated by non-parametric analysis. The best cut-off for identifying significant fibrosis (F2-F4) was assessed by ROC curve analysis. RESULTS Stiffness (median and range) was 7.7 KPa (range 4.2-13.9) in F1 and 17.0KPa (range 6.8-36.3) in >or=F2 (p<0.001). A stiffness cut-off of 10.1 KPa revealed 94% Sensitivity, 89% Specificity, 81% PPV and 94% NPV in differentiating F1 from F2-F4. The area under the receiver operator curve in the assessment of fibrosis was significantly higher for Liver stiffness (AUROC 0.943) than for any of the other non-invasive indexes (AUROCs ranging 0.591-0.815). CONCLUSIONS Transient elastography of the liver provides good accuracy in identifying patients with significant fibrosis and performs better than non-invasive indexes based on clinico-serological parameters in transplant recipients.
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Affiliation(s)
- F Corradi
- Department of Internal Medicine and Gastroenterology, Division of Internal Medicine - Bolondi, Italy
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Abstract
Focal nodular hyperplasia (FNH) is the second most common benign tumor of the liver, after hemangioma. It is generally found incidentally and is most common in reproductive-aged women, but it also affects males and can be diagnosed at any age. Patients are rarely symptomatic, but FNH sometimes causes epigastric or right upper quadrant pain. The main clinical task is to differentiate it from other hypervascular hepatic lesions such as hepatic adenoma, hepatocellular carcinoma, or hypervascular metastases, but invasive diagnostic procedures can generally be avoided with the appropriate use of imaging techniques. Magnetic resonance (MR) imaging is more sensitive and specific than conventional ultrasonography (US) or computed tomography (CT), but Doppler US and contrast-enhanced US (CEUS) can greatly improve the accuracy in the diagnosis of FNH. Once a correct diagnosis has been made, in most cases there is no indication for surgery, and treatment includes conservative clinical follow-up in asymptomatic patients.
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Affiliation(s)
- A. Venturi
- Department of Internal Medicine and Gastroenterology, Policlinico St. Orsola-Malpighi, University of Bologna, Italy
| | - F. Piscaglia
- Department of Internal Medicine and Gastroenterology, Policlinico St. Orsola-Malpighi, University of Bologna, Italy
| | - G. Vidili
- Department of Internal Medicine and Gastroenterology, Policlinico St. Orsola-Malpighi, University of Bologna, Italy
| | - S. Flori
- Department of Internal Medicine and Gastroenterology, Policlinico St. Orsola-Malpighi, University of Bologna, Italy
| | - R. Righini
- Department of Internal Medicine and Gastroenterology, Policlinico St. Orsola-Malpighi, University of Bologna, Italy
| | - R. Golfieri
- Department of Radiology, Policlinico St. Orsola-Malpighi, University of Bologna, Italy
| | - L. Bolondi
- Department of Internal Medicine and Gastroenterology, Policlinico St. Orsola-Malpighi, University of Bologna, Italy
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Brandi G, Fanello S, Piscaglia F, Falanga A, Bolondi L, Flori S, Derenzini E, Palassini E, Fedele M, Biasco G. Metronomic capecitabine in advanced patients with hepatocellular carcinoma (HCC): Preliminary results. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.15163] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
15163 Background: No standard therapies are available for HCC patients (pts) ineligible for curative treatments. HCC has a rich neovasculature and neoangiogenesis is a negative prognostic factor: a high density of microvessels and hyperexpression of VEGF correlates with an increased propensity for invasion and metastatization and with a decreased DFS after resection. High level of circulating endothelial progenitors cells (CEPc) are related with insurgence and progression of HCC. Phase II trials with antiangiogenic agents in monotherapy had a response rate lower than 10% but stable disease (SD) is encouraging ranging between 30 and 60%. Retrospective analysis of standard capecitibine showed a response of 11% and similar SD rate. Experimental data on solid tumors suggest that metronomic CT prolongs inibihition of tumor growth, avoiding CEPc mobilization. Methods: Starting in september 2006, twenty-two patients were started on treatment (19 male; median age 63.7, range 47–82 ). BCLC (Barcelona Consensus Liver Cancer): 5 pts = B; 17 pts = C; Child: 12 pts =A, 8=B, 2=C. 14 pts had portal thrombosis. 15 pts were treated in front line, 7 in second line (4 pts previously treated with Sorafenib and 3 with experimental protocol of CPT-11 HAI; ASCO 2006 Abs 14061 ). The first cycle was carried out with standard capecitabine (2000 mg/sq.mt; 14 over 21 days), followed by metronomic capecitabine (1300 mg) without interruption. To compare the angiogenic role of metronomic capecitabine versus standard administration, VEGF and trombospondine have been dosed at baseline and after the first cycle of standard capecitabine and after one month of metronomic capecitabine. The response has been assessed by CT scan every three months. Results: Five out of 22 patients have been dismissed for toxicity (liver failure) during the standard capecitabine treatment. Among the 17 remaining patients, two have discontinued the treatment due to toxicity (liver failure) during the metronomic treatment and 10 have accomplished at least the first month of metronomic schedule. 6 patients have been evaluated for response: 2 PR (one second line), 3 SD (all in second line), 1 PD (second line). Conclusions: Metronomic capecitabine seems to have a better tolerability than standard schedule and promises good efficacy. No significant financial relationships to disclose.
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Affiliation(s)
- G. Brandi
- Sant’ Orsola-Malpighi Hospital, Bologna, Italy; Riuniti Hospitals, Bergamo, Italy
| | - S. Fanello
- Sant’ Orsola-Malpighi Hospital, Bologna, Italy; Riuniti Hospitals, Bergamo, Italy
| | - F. Piscaglia
- Sant’ Orsola-Malpighi Hospital, Bologna, Italy; Riuniti Hospitals, Bergamo, Italy
| | - A. Falanga
- Sant’ Orsola-Malpighi Hospital, Bologna, Italy; Riuniti Hospitals, Bergamo, Italy
| | - L. Bolondi
- Sant’ Orsola-Malpighi Hospital, Bologna, Italy; Riuniti Hospitals, Bergamo, Italy
| | - S. Flori
- Sant’ Orsola-Malpighi Hospital, Bologna, Italy; Riuniti Hospitals, Bergamo, Italy
| | - E. Derenzini
- Sant’ Orsola-Malpighi Hospital, Bologna, Italy; Riuniti Hospitals, Bergamo, Italy
| | - E. Palassini
- Sant’ Orsola-Malpighi Hospital, Bologna, Italy; Riuniti Hospitals, Bergamo, Italy
| | - M. Fedele
- Sant’ Orsola-Malpighi Hospital, Bologna, Italy; Riuniti Hospitals, Bergamo, Italy
| | - G. Biasco
- Sant’ Orsola-Malpighi Hospital, Bologna, Italy; Riuniti Hospitals, Bergamo, Italy
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Prevost P, Flori S, Collier C, Muscat E, Rolland E. Application of AN69 hydrogel to islet encapsulation. Evaluation in streptozotocin-induced diabetic rat model. Ann N Y Acad Sci 1997; 831:344-9. [PMID: 9616726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The polymer AN69 (polyacrylonitrile-sodium methallylsulfonate) is a reference in biocompatibility in the field of hemodialysis. Its use for the encapsulation of living cells has been already described, but this study is the first description of AN69 hydrogel-encapsulated islet isograft in streptozotocin (STZ) diabetic rats. The aim of this work is to evaluate the biocompatibility of the AN69 hydrogel by comparison of the efficacy of free versus encapsulated islets transplanted to balance diabetes. Pancreatic islets are isolated from adult male Lewis rats by a standard collagenase digestion and purified on Ficoll density gradients. The AN69 hollow fiber is obtained by coextrusion of an 8% AN69 collodion. The hollow fiber is filled with islets suspended in agarose at the final concentration of 10,000 islets/ml, closed with surgical clips and implanted. The recipients are rendered diabetic by intravenous injection of STZ. The experimental design includes 4 groups of 8 rats: group 1: control, group 2: diabetic rats intraperitoneally implanted with 6000 free islets, group 3: diabetic rats intraperitoneally implanted with 9000 encapsulated islets, group 4: diabetic control. Weight and fasting glycemia are evaluated twice a week, diuresis once a week. After free islet implantation, rat survival is improved with glycemia below 250 mg/dl during 22 days. Compared to group 2, the status of group 3 is better, with a glycemia below 250 mg/dl during at least 70 days. This tends to demonstrate the biocompatibility of AN69 and is the first step of the validation of the use of AN69 for living cell encapsulation.
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Affiliation(s)
- P Prevost
- Bioartificial Organs Department, HOSPAL R&D International, Meyzieu, France
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Prevost P, Flori S, Collier C, Muscat E, Rolland E. Application of AN69 hydrogel to islet encapsulation: evaluation in the streptozotocin-induced diabetic rat model. Transplant Proc 1995; 27:3393-5. [PMID: 8540015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- P Prevost
- Bioartificial Organs Department, Hospital R&D International, Meyzieu, France
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