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Article ; Online: Relative Change of Protidemia Level Predicts Intradialytic Hypotension.

Assayag, Maureen / Levy, David / Seris, Pascal / Maheas, Catherine / Langlois, Anne-Lyse / Moubakir, Kamal / Laplanche, Sophie / Ridel, Christophe / Touzot, Maxime

Journal of the American Heart Association

2020 Volume 9, Issue 1, Page(s) e014264

Abstract: Background Hemodialysis patients are at risk of intradialytic hypotension (IDH), which is associated with mortality and cardiovascular and neurological events. The use of biomarkers of volemia such as relative change in protidemia and BNP (B-natriuretic ... ...

Abstract	Background Hemodialysis patients are at risk of intradialytic hypotension (IDH), which is associated with mortality and cardiovascular and neurological events. The use of biomarkers of volemia such as relative change in protidemia and BNP (B-natriuretic peptide) levels to predict IDH remains unknown. Methods and Results We conducted a prospective observational study, which enrolled 170 chronic hemodialysis patients in a single center from September 2015 to March 2016. BNP and the relative change of protidemia level (Δprotidemia=postdialysis protidemia-predialysis protidemia) were measured monthly over 6 months. A logistic mixed regression model was used to define the best biomarkers that predict the 30-day risk of IDH. Receiver operating characteristic analysis area under the curve was used to define the cutoff values of Δprotidemia that predict IDH A logistic mixed model reveals that Δprotidemia predicts the 30-day risk of IDH but not BNP or age; odds ratio=1.12, 95% CI 1.08-1.17), odds ratio=0.81, 95% CI (0.64; 1.07) and odds ratio =0.015 95% CI (0.99; 1.03), respectively. Adding the ultrafiltration rate did not improve the model. A receiver operating characteristic curve analysis showed that Δprotidemia of 10 g/L allowed for discrimination of the patients with IDH (area under the curve= 0.67; 95% CI 0.62-0.72,
MeSH term(s)	Aged ; Aged, 80 and over ; Biomarkers/blood ; Blood Pressure ; Blood Proteins/metabolism ; Female ; Humans ; Hypotension/blood ; Hypotension/etiology ; Hypotension/physiopathology ; Hypovolemia/blood ; Hypovolemia/etiology ; Hypovolemia/physiopathology ; Male ; Middle Aged ; Natriuretic Peptide, Brain/blood ; Predictive Value of Tests ; Prospective Studies ; Renal Dialysis/adverse effects ; Risk Assessment ; Risk Factors ; Time Factors ; Treatment Outcome
Chemical Substances	Biomarkers ; Blood Proteins ; Natriuretic Peptide, Brain (114471-18-0)
Language	English
Publishing date	2020-01-06
Publishing country	England
Document type	Comparative Study ; Journal Article ; Observational Study
ZDB-ID	2653953-6
ISSN	2047-9980 ; 2047-9980
ISSN (online)	2047-9980
ISSN	2047-9980
DOI	10.1161/JAHA.119.014264
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Article: Renal involvement in idiopathic hypereosinophic syndrome.

Shehwaro, Nathalie / Langlois, Anne Lyse / Gueutin, Victor / Izzedine, Hassane

Clinical kidney journal

2012 Volume 6, Issue 3, Page(s) 272–276

Abstract: The hypereosinophilic syndromes (HESs) are a group of disorders marked by the sustained overproduction of eosinophils, in which eosinophilic infiltration and mediator release cause damage to multiple organs. In idiopathic HES, the underlying cause of ... ...

Abstract	The hypereosinophilic syndromes (HESs) are a group of disorders marked by the sustained overproduction of eosinophils, in which eosinophilic infiltration and mediator release cause damage to multiple organs. In idiopathic HES, the underlying cause of hypereosinophilia (HE) remains unknown despite thorough aetiological work-up. Kidney disease is thought to be rare in HES. Renal manifestations described include eosinophilic interstitial nephritis, various types of glomerulopathies, thrombotic microangiopathy (TMA) and electrolyte disturbances. The diagnosis must be made in time, because a recovery of renal function can be obtained if treatment is initiated promptly.
Language	English
Publishing date	2012-10-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2655800-2
ISSN	2048-8513 ; 2048-8505
ISSN (online)	2048-8513
ISSN	2048-8505
DOI	10.1093/ckj/sft046
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Article ; Online: Mathematical model to predict B-type natriuretic peptide levels in haemodialysis patients.

Touzot, Maxime / Seris, Pascal / Maheas, Catherine / Vanmassenhove, Jill / Langlois, Anne-Lyse / Moubakir, Kamal / Laplanche, Sophie / Petitclerc, Thierry / Ridel, Christophe / Lavielle, Marc

Nephrology (Carlton, Vic.)

2019 Volume 25, Issue 1, Page(s) 82–89

Abstract: Aim: Clinical interpretation of B-type natriuretic peptide (BNP) levels in haemodialysis (HD) patients for fluid management remains elusive.: Methods: We conducted a retrospective observational monocentric study. We built a mathematical model to ... ...

Abstract	Aim: Clinical interpretation of B-type natriuretic peptide (BNP) levels in haemodialysis (HD) patients for fluid management remains elusive. Methods: We conducted a retrospective observational monocentric study. We built a mathematical model to predict BNP levels, using multiple linear regressions. Fifteen clinical/biological characteristics associated with BNP variation were selected. A first cohort of 150 prevalent HD (from September 2015 to March 2016) was used to build several models. The best model proposed was internally validated in an independent cohort of 75 incidents HD (from March 2016 to December 2017). Results: In cohort 1, mean BNP level was 630 ± 717 ng/mL. Cardiac disease (CD - stable coronary artery disease and/or atrial fibrillation) was present in 45% of patients. The final model includes age, systolic blood pressure, albumin, CD, normo-hydrated weight (NHW) and the fluid overload (FO) assessed by bio-impedancemetry. The correlation between the measured and the predicted log-BNP was 0.567 and 0.543 in cohorts 1 and 2, respectively. Age (β = 3.175e Conclusion: We developed a mathematical model capable of predicting the BNP level in HD. Our results show the complex contribution of age, CD and FO on BNP level.
MeSH term(s)	Adult ; Age Factors ; Aged ; Aged, 80 and over ; Biomarkers/blood ; Cardiovascular Diseases/blood ; Cardiovascular Diseases/physiopathology ; Female ; Humans ; Kidney Failure, Chronic/blood ; Kidney Failure, Chronic/diagnosis ; Kidney Failure, Chronic/physiopathology ; Kidney Failure, Chronic/therapy ; Male ; Middle Aged ; Models, Biological ; Natriuretic Peptide, Brain/blood ; Organism Hydration Status ; Predictive Value of Tests ; Renal Dialysis/adverse effects ; Reproducibility of Results ; Retrospective Studies ; Risk Factors ; Treatment Outcome ; Water-Electrolyte Balance ; Water-Electrolyte Imbalance/blood ; Water-Electrolyte Imbalance/diagnosis ; Water-Electrolyte Imbalance/etiology ; Young Adult
Chemical Substances	Biomarkers ; Natriuretic Peptide, Brain (114471-18-0)
Language	English
Publishing date	2019-05-07
Publishing country	Australia
Document type	Journal Article ; Observational Study ; Validation Study
ZDB-ID	1303661-0
ISSN	1440-1797 ; 1320-5358
ISSN (online)	1440-1797
ISSN	1320-5358
DOI	10.1111/nep.13586
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Article ; Online: Nephrotic Syndrome Associated with Lung Cancer

Victor Gueutin / Anne-Lyse Langlois / Nathalie Shehwaro / Ryme Elharraqui / Philippe Rouvier / Hassane Izzedine

Case Reports in Nephrology, Vol

A Rare Case of Malignancy Associated with AA Amyloidosis

2013 Volume 2013

Keywords	Diseases of the genitourinary system. Urology ; RC870-923 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R
Language	English
Publishing date	2013-01-01T00:00:00Z
Publisher	Hindawi Publishing Corporation
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: La doxycycline ou comment faire du neuf avec du vieux ?

Shehwaro, Nathalie / Langlois, Anne-Lyse / Gueutin, Victor / Gauthier, Marion / Casenave, Maud / Izzedine, Hassane

Therapie

2014 Volume 69, Issue 2, Page(s) 129–141

Abstract: ... their biological actions on inflammation, proteolysis, angiogenesis, apoptosis, metal chelation, ionophoresis, and ... bone metabolism were studied. Matrix metalloproteinases (MMPs) are a family of proteolytic enzymes ...

Title translation	Doxycycline or how to create new with the old?.
Abstract	Tetracyclines are broad-spectrum antibiotics that interfere with protein synthesis. They were first widely prescribed by dermatologists in the early 1950s in the treatment of acne. More recently, their biological actions on inflammation, proteolysis, angiogenesis, apoptosis, metal chelation, ionophoresis, and bone metabolism were studied. Matrix metalloproteinases (MMPs) are a family of proteolytic enzymes that degrade components of the extracellular matrix (ECM). MMPs have direct or indirect effects on the vascular endothelium and the vascular relaxation/contraction system. The therapeutic effects of tetracyclines and analogues were studied in rosacea, bullous dermatoses, neutrophilic diseases, pyoderma gangrenosum, sarcoidosis, aortic aneurysms, cancer metastasis, periodontitis and autoimmune diseases autoimmune diseases such as rheumatoid arthritis and scleroderma. In addition, downregulation of MMP using doxycycline could be beneficial in reducing vascular dysfunction mediated by MMPs and progressive damage of the vascular wall. We review the nonantibiotic properties of doxycycline and its potential clinical applications.
MeSH term(s)	Animals ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Anti-Inflammatory Agents/therapeutic use ; Doxycycline/pharmacology ; Doxycycline/therapeutic use ; Drug Repositioning ; Humans ; Matrix Metalloproteinase Inhibitors/pharmacology ; Matrix Metalloproteinase Inhibitors/therapeutic use ; Matrix Metalloproteinases/metabolism ; Neoplasms/drug therapy ; Neoplasms/pathology ; Periodontal Diseases/drug therapy ; Rheumatic Diseases/drug therapy ; Skin Diseases/drug therapy
Chemical Substances	Anti-Bacterial Agents ; Anti-Inflammatory Agents ; Matrix Metalloproteinase Inhibitors ; Matrix Metalloproteinases (EC 3.4.24.-) ; Doxycycline (N12000U13O)
Language	French
Publishing date	2014-03
Publishing country	France
Document type	English Abstract ; Journal Article ; Review
ZDB-ID	603474-3
ISSN	1958-5578 ; 0040-5957
ISSN (online)	1958-5578
ISSN	0040-5957
DOI	10.2515/therapie/2013069
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Article: Nephrotic Syndrome Associated with Lung Cancer: A Rare Case of Malignancy Associated with AA Amyloidosis.

Gueutin, Victor / Langlois, Anne-Lyse / Shehwaro, Nathalie / Elharraqui, Ryme / Rouvier, Philippe / Izzedine, Hassane

Case reports in nephrology

2013 Volume 2013, Page(s) 831903

Abstract: Nonhematologic malignancies are rarely reported to be associated with AA amyloidosis. Although the association between renal cell carcinoma and systemic AA amyloidosis has been established, the evidence linking pulmonary cancer to AA amyloidosis is ... ...

Abstract	Nonhematologic malignancies are rarely reported to be associated with AA amyloidosis. Although the association between renal cell carcinoma and systemic AA amyloidosis has been established, the evidence linking pulmonary cancer to AA amyloidosis is scarce. Here, a case of biopsy-proven renal AA amyloidosis complicated with nephrotic syndrome associated with lung carcinoma is reported.
Language	English
Publishing date	2013-03-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	2627652-5
ISSN	2090-665X ; 2090-6641
ISSN (online)	2090-665X
ISSN	2090-6641
DOI	10.1155/2013/831903
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Article: Renal thrombotic microangiopathy and FIP1L1/PDGFRα-associated myeloproliferative variant of hypereosinophilic syndrome.

Langlois, Anne Lyse / Shehwaro, Nathalie / Rondet, Claire / Benbrik, Youssef / Maloum, Karim / Gueutin, Victor / Rouvier, Philippe / Izzedine, Hassane

Clinical kidney journal

2013 Volume 6, Issue 4, Page(s) 418–420

Abstract: We report a case of renal thrombotic microangiopathy (TMA) in a myeloproliferative variant of hypereosinophilic syndrome (HES) in a 24-year-old man which resolved with imatinib therapy. This is one of a few cases in the literature to date describing TMA ... ...

Abstract	We report a case of renal thrombotic microangiopathy (TMA) in a myeloproliferative variant of hypereosinophilic syndrome (HES) in a 24-year-old man which resolved with imatinib therapy. This is one of a few cases in the literature to date describing TMA in HES, suggesting that the pathogenesis of thrombosis is at least in part related to damage from activated eosinophils.
Language	English
Publishing date	2013-06-23
Publishing country	England
Document type	Journal Article
ZDB-ID	2655800-2
ISSN	2048-8513 ; 2048-8505
ISSN (online)	2048-8513
ISSN	2048-8505
DOI	10.1093/ckj/sft067
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Article ; Online: Le syndrome hépatorénal : mise au point.

Gueutin, Victor / Meftah, Aimele / Desbuissons, Geoffroy / Debchi, Lamis / Langlois, Anne-Lyse / Shehwaro, Nathalie / Izzedine, Hassane

Nephrologie & therapeutique

2013 Volume 9, Issue 7, Page(s) 471–480

Abstract: Hepatorenal syndrome (HRS) is a severe complication of cirrhosis. It develops as a result of abnormal hemodynamics, leading to systemic vasodilatation and renal vasoconstriction. Increased bacterial translocation, various cytokines and systemic ... ...

Title translation	Hepatorenal syndrome: focus.
Abstract	Hepatorenal syndrome (HRS) is a severe complication of cirrhosis. It develops as a result of abnormal hemodynamics, leading to systemic vasodilatation and renal vasoconstriction. Increased bacterial translocation, various cytokines and systemic inflammatory response system contribute to splanchnic vasodilatation, and altered renal autoregulation. An inadequate cardiac output with systolic incompetence increases the risk of renal failure. Type 1 HRS is usually initiated by a precipitating event associated with an exaggerated systemic inflammatory response, resulting in multiorgan failure. Vasoconstrictors are the basic treatment in patients with type 1 HRS; terlipressin is the superior agent. Norepinephrine can be used as an alternative. Transjugular intrahepatic portosystemic stent shunt may be applicable in a small number of patients with type 1 HRS and in most patients with type 2 HRS. Liver transplantation is the definitive treatment for HRS. The decision to do simultaneous or sequential liver and kidney transplant remains controversial. In general, patients who need more than 8 to 12 weeks of pretransplant dialysis should be considered for combined liver-kidney transplantation.
MeSH term(s)	Hepatorenal Syndrome/diagnosis ; Hepatorenal Syndrome/physiopathology ; Hepatorenal Syndrome/therapy ; Humans
Language	French
Publishing date	2013-12
Publishing country	France
Document type	English Abstract ; Journal Article ; Review
ZDB-ID	2229575-6
ISSN	1872-9177 ; 1769-7255
ISSN (online)	1872-9177
ISSN	1769-7255
DOI	10.1016/j.nephro.2013.05.002
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Article ; Online: Associations between psychosocial stressors at work and moral injury in frontline healthcare workers and leaders facing the COVID-19 pandemic in Quebec, Canada: A cross-sectional study.

Zahiriharsini, Azita / Gilbert-Ouimet, Mahée / Langlois, Lyse / Biron, Caroline / Pelletier, Jérôme / Beaulieu, Marianne / Truchon, Manon

Journal of psychiatric research

2022 Volume 155, Page(s) 269–278

Abstract: Healthcare workers (HCWs) on the frontline of the COVID-19 pandemic exhibit a high prevalence of depression and psychological distress. Moral injury (MI) can lead to such mental health problems. MI occurs when perpetrating, failing to prevent, or bearing ...

Abstract	Healthcare workers (HCWs) on the frontline of the COVID-19 pandemic exhibit a high prevalence of depression and psychological distress. Moral injury (MI) can lead to such mental health problems. MI occurs when perpetrating, failing to prevent, or bearing witness to acts that transgress deeply held moral beliefs and expectations. Since the start of the pandemic, psychosocial stressors at work (PSWs) might have been exacerbated, which might in turn have led to an increased risk of MI in HCWs. However, research into the associations between PSWs and MI is lacking. Considering these stressors are frequent and most of them are modifiable occupational risk factors, they may constitute promising prevention targets. This study aims to evaluate the associations between a set of PSWs and MI in HCWs during the third wave of the COVID-19 pandemic in Quebec, Canada. Furthermore, our study aims to explore potential differences between urban and non-urban regions. The sample of this study consisted of 572 HCWs and leaders from the Quebec province. Prevalence ratios (PR) of MI and their 95% confidence intervals (CI) were modelled using robust Poisson regressions. Several covariates were considered, including age, sex, gender, socio-economic indicators, and lifestyle factors. Results indicated HCWs exposed to PSWs were 2.22-5.58 times more likely to experience MI. Low ethical culture had the strongest association (PR: 5.58, 95% CI: 1.34-23.27), followed by low reward (PR: 4.43, 95% CI: 2.14-9.16) and high emotional demands (PR: 4.32, 95% CI: 1.89-9.88). Identifying predictors of MI could contribute to the reduction of mental health problems and the implementation of targeted interventions in urban and non-urban areas.
MeSH term(s)	COVID-19 ; Cross-Sectional Studies ; Health Personnel/psychology ; Humans ; Pandemics ; Quebec/epidemiology ; Stress Disorders, Post-Traumatic/epidemiology ; Stress Disorders, Post-Traumatic/psychology
Language	English
Publishing date	2022-09-15
Publishing country	England
Document type	Journal Article
ZDB-ID	3148-3
ISSN	1879-1379 ; 0022-3956
ISSN (online)	1879-1379
ISSN	0022-3956
DOI	10.1016/j.jpsychires.2022.09.006
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Article ; Online: Predict, prevent and manage moral injuries in Canadian frontline healthcare workers and leaders facing the COVID-19 pandemic: Protocol of a mixed methods study.

Gilbert-Ouimet, Mahée / Zahiriharsini, Azita / Biron, Caroline / Langlois, Lyse / Ménard, Caroline / Lebel, Manon / Pelletier, Jérôme / Duchaine, Caroline / Beaulieu, Marianne / Truchon, Manon

SSM. Mental health

2022 Volume 2, Page(s) 100124

Abstract: Moral injuries can occur when perpetrating, failing to prevent, or bearing witness to acts that transgress deeply held moral beliefs and expectations. The COVID-19 crisis highlighted the fact that psychosocial stressors at work, such as high emotional ... ...

Abstract	Moral injuries can occur when perpetrating, failing to prevent, or bearing witness to acts that transgress deeply held moral beliefs and expectations. The COVID-19 crisis highlighted the fact that psychosocial stressors at work, such as high emotional demands, are placing Canadian healthcare workers at risk of moral injuries. Evidence linking psychosocial stressors at work to moral injuries are needed to better predict, prevent and manage moral injuries, as these stressors are frequent and modifiable occupational risk factors. This protocol presents a study aiming to: 1) understand workplace events having the potential to either cause or reduce moral injuries, 2) predict the risk and severity of moral injuries using a disease prevention model, 3) identify biological signatures (biomarkers) associated with psychosocial stressors at work and moral injuries and 4) elaborate preliminary guidelines of organizational practices for frontline healthcare workers to reduce and manage moral injuries. This study is a mixed methods research with three components: qualitative, quantitative and biological. The data collection has been completed and because of the COVID-19 pandemic, it was adjusted to allow for gathering qualitative and quantitative data remotely. Frontline healthcare workers and leaders were included. Through focus groups and individual interviews, and an online questionnaire, events and psychosocial working conditions that may increase the risk of moral injuries will be documented. In addition, blood samples which were collected from a sub-sample of volunteer participants will measure an innovative set of biomarkers associated with vulnerability to stress and mental health. Data analyses are ongoing. We anticipate to identify workplace events that may trigger moral injuries. We expect that potential predictors of moral injury risk occurrence and severity will be identified from psychosocial stressors at work that can be improved by implementing organizational practices. We also expect to observe a different mental health state and biological inflammation signature across workers exposed compared to workers not exposed to psychosocial stressors at work. Based on these future findings, we intend to develop preliminary recommendations of organizational practices for managers. This research will contribute to expand our knowledge of the events in the workplace likely to generate or lessen the impact moral injuries, to build a model for predicting the risk of moral injuries at work, all in the specific context of the COVID-19 health crisis among healthcare workers.
Language	English
Publishing date	2022-06-01
Publishing country	England
Document type	Journal Article
ISSN	2666-5603
ISSN (online)	2666-5603
DOI	10.1016/j.ssmmh.2022.100124
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