Cemiplimab for Locally Advanced and Metastatic Cutaneous Squamous-Cell Carcinomas: Real-Life Experience from the French CAREPI Study Group
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The Risk of Cancer in Patients with Psoriasis a Population-Based Cohort Study in the Health Improvement Network
Research Original Investigation The Risk of Cancer in Patients With Psoriasis A Population-Based Cohort Study in the Health Improvement Network Zelma C. Chiesa Fuxench, MD; Daniel B. Shin, MS; Alexis Ogdie Beatty, MD, MSCE; Joel M. Gelfand, MD, MSCE IMPORTANCE The risk of cancer in patients with psoriasis remains a cause of special concern due to the chronic inflammatory nature of the disease, the use of immune-suppressive treatments and UV therapies, and the increased prevalence of comorbid, well-established risk factors for cancer, such as smoking and obesity, all of which may increase the risk of carcinogenesis. OBJECTIVE To compare the overall risk of cancer, and specific cancers of interest, in patients with psoriasis compared with patients without psoriasis. DESIGN, SETTING, AND PARTICIPANTS Population-based cohort study of patients ages 18 to 89 years with no medical history of human immunodeficiency virus, cancer, organ transplants, or hereditary disease (albinism and xeroderma pigmentosum), prior to the start date, conducted using The Health Improvement Network, a primary care medical records database in the United Kingdom. The data analyzed had been collected prospectively from 2002 through January 2014. The analysis was completed in August 2015. EXPOSURES OF INTEREST Patients with at least 1 diagnostic code for psoriasis were classified as having moderate-to-severe disease if they had been prescribed psoralen, methotrexate, cyclosporine, acitretin, adalimumab, etanercept, infliximab, or ustekinumab or phototherapy for psoriasis. Patients were classified as having mild disease if they never received treatment with any of these agents. MAIN OUTCOMES AND MEASURES Incident cancer diagnosis. RESULTS A total of 937 716 control group patients without psoriasis, matched on date and practice visit, and 198 366 patients with psoriasis (186 076 with mild psoriasis and 12 290 with moderate-to-severe disease) were included in the analysis. -
Contingency Plans for Commercial and Civil Courts (Ile-De-France & Other Regions)
COVID-19: Contingency plans for commercial and civil courts (Ile-de-France & other regions) Paris, 12 May 2020 1. USEFUL INFORMATION ........................................................................................................................... 5 CARPA duty period .......................................................................................................................................... 5 Maison des avocats ........................................................................................................................................ 5 Provision of masks .......................................................................................................................................... 5 Toque .............................................................................................................................................................. 5 Emergency Mediation for Companies ............................................................................................................. 6 Resumption of activity in judicial courts ......................................................................................................... 6 Resumption of activity of the Maisons de la justice et du droit (justice and law service centers) .................. 7 Announcements .............................................................................................................................................. 7 2. JURISDICTIONAL EMERGENCY GOVERNMENT MEASURES AS OF 26 MARCH 2020 .................................. -
Interest of Anatomical Segmentectomy Over Lobectomy for Lung Cancer: a Nationwide Study
3596 Original Article Interest of anatomical segmentectomy over lobectomy for lung cancer: a nationwide study Elodie Berg1, Leslie Madelaine1, Jean-Marc Baste2, Marcel Dahan3, Pascal Thomas4, Pierre-Emmanuel Falcoz5, Emmanuel Martinod6, Alain Bernard1, Pierre-Benoit Pagès1 1CHU Dijon Bourgogne, Hôpital François Mitterrand, Dijon, France; 2CHU Rouen, Hôpital Charles-Nicolle, Rouen, France; 3CHU Toulouse, Hôpital Larrey, Toulouse, France; 4CHU Marseille, Hôpital Nord, Marseille, France; 5CHU Strasbourg, Hôpital Civil, Strasbourg, France; 6APHP, Hôpital Avicenne, Bobigny, France Contributions: (I) Conception and design: PB Pagès, A Bernard, E Berg; (II) Administrative support: P Thomas, PE Falcoz, E Martinod; (III) Provision of study materials or patients: E Berg, L Madelaine, JM Baste; (IV) Collection and assembly of data: E Berg, L Madelaine, JM Baste; (V) Data analysis and interpretation: E Berg, A Bernard, PB Pagès, L Madelaine; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Pierre-Benoit Pagès, MD, PhD. Department of Thoracic Surgery, CHU Dijon Bourgogne, Hôpital Francois Mitterrand, 14 rue Gaffarel, BP 77908 21079 Dijon, France. Email: [email protected]. Background: Anatomical segmentectomy is an alternative to lobectomy for early-stage lung cancer (LC) or in patients at high risk. The main objective of this study was to compare the morbidity and mortality associated with these two types of pulmonary resection using data from the French National Epithor database. Methods: All patients who underwent lobectomy or segmentectomy for early-stage LC from January 1st 2014 to December 31st 2016 were identified in the Epithor database. The primary endpoint was morbidity; the secondary endpoint was postoperative mortality. -
The Procedure Before the Prefecture
The procedure before the prefecture In order to submit an asylum application, the individual must apply to the prefecture for permission to stay under the asylum arrangements If it is accepted, the application is then transferred to the French Office for the Protection of Refugees and Stateless Persons 1. Before the prefecture 1.1 Where to submit the asylum application? Asylum applicants must go to their local prefecture. The competent prefecture to receive the application for permission to stay under the asylum arrangements, generally is the prefecture of the county seat. For example, asylum-seekers residing in the Seine-et-Marne department must apply to the prefecture of Melun. The asylum- seekers residing in the Seine-Saint-Denis department must apply to the prefecture of Bobigny. 1.2 What are the documents to present to the prefecture? The following documents must be presented (Art. R741-2 du CEDESA1) : • an application form (available in 24 languages) to be filled in French ; • 4 standardised identification pictures (3,5cmx4,5cm, bare-headed, and all identical ; • information regarding the asylum seeker's civil status, and his partner's and children's ; • documents attesting that the seeker has arrived, or the documents indicating the itinerary from the moment he/she left the home country ; • a proof of address: the prefecture needs the address of the asylum-seeker to mail him information regarding his application and stay in France. If the asylum-seeker do not have a fixed address he can declare the address of a private person, an hostel or an association (approved by the prefecture). -
Jebmh.Com Original Research Article
Jebmh.com Original Research Article OCULAR INVOLVEMENT IN MUCOCUTANEOUS DISORDERS- A STUDY IN TERTIARY HOSPITAL IN SOUTH ORISSA Sarita Panda1, B. N. R. Subudhi2, Prangya Panda3, Santosh Kumar Padhi4 1Assistant Professor, Department of Ophthalmology, M.K.C.G. Medical College, Berhampur, Orissa. 2Professor and HOD, Department of Ophthalmology, M.K.C.G. Medical College, Berhampur, Orissa. 3Associate Professor, Department of Ophthalmology, M.K.C.G. Medical College, Berhampur, Orissa. 4Senior Medical Officer, Government City Hospital, Berhampur, Orissa. ABSTRACT BACKGROUND Diseases of skin, mucous membrane and mucocutaneous junctions may also affect the eyes. Physical findings of dermatological disorders and eyes overlap due to three factors- (i) Genodermatoses often affects both skin and eyes because of origin from embryonic ectodermal layers, (ii) Acquired dermatological disorders may affect the mucocutaneous tissue of periorbital regions, (iii) Systemic diseases can manifest as diseases of skin and periocular mucocutaneous tissue because of their superficial anatomical locations. The aim of the present study was observation and interpretation of changes in the eye in different mucocutaneous disorders and correlation of the eye changes with severity of the diseases. MATERIALS AND METHODS A prospective study was undertaken in the Department of Ophthalmology, M.K.C.G. Medical College and Hospital, Berhampur, South Orissa, during the period of 2014 to 2016 including the referred patients after being diagnosed with mucocutaneous disease from Department of Dermatology, Paediatric and Medicine from the same hospital. A case study of 204 patients (M- 164, F-40) was done. All patients underwent detailed ophthalmic examination inclusive of ocular movements, VA, IOP, S/L exam, blood and urine investigation and fundus examination. -
XERODERMA PIGMENTOSUM: a MULTIDISCIPLINARY APPROACH Mieran Sethi,1 Alan R
XERODERMA PIGMENTOSUM: A MULTIDISCIPLINARY APPROACH Mieran Sethi,1 Alan R. Lehmann,1,2 Hiva Fassihi1 1. National Xeroderma Pigmentosum Service, Department of Photodermatology, St John’s Institute of Dermatology, Guy’s and St Thomas’ NHS Trust, London, UK 2. Genome Damage and Stability Centre, University of Sussex, Falmer, Brighton, UK Disclosure: No potential conflict of interest. Received: 01.10.2013 Accepted: 06.11.13 Citation: EMJ Dermatol. 2013;1:54-63. ABSTRACT Xeroderma pigmentosum (XP) is a rare, autosomal recessive disorder of DNA repair. Affected individuals are unable to repair ultraviolet radiation (UVR)-induced DNA damage, leading to a variety of clinical manifestations: a dramatic increase in mucocutaneous malignancies, increased lentigines, extreme photosensitivity (in approximately 50% of cases), and neurodegeneration (in approximately 30% of affected individuals). Incidence in Western Europe is recorded as 2.3 per million live births. There are eight different complementation groups, XP-A to XP-G, and XP-variant (XP-V) corresponding to the eight affected genes. Classically, XP patients were identified by clinicians for their tendency to develop severe and exaggerated sunburn on minimal sun exposure, however recently it has been shown that XP-C, XP-E and XP-V patients have normal sunburn reactions for skin type compared to the other groups, who suffer not only with severe, exaggerated sunburn, but also have an increased incidence of neurodegeneration. A diagnosis of XP should be considered in a child with either severe sunburn, increasing lentigines at exposed sites, or development of multiple skin cancers at an early age. Skin biopsy and subsequent testing in cell cultures for defective DNA repair, confirms or excludes the diagnosis. -
Table S1. Checklist for Documentation of Google Trends Research
Table S1. Checklist for Documentation of Google Trends research. Modified from Nuti et al. Section/Topic Checklist item Search Variables Access Date 11 February 2021 Time Period From January 2004 to 31 December 2019. Query Category All query categories were used Region Worldwide Countries with Low Search Excluded Volume Search Input Non-adjusted „Abrasion”, „Blister”, „Cafe au lait spots”, „Cellulite”, „Comedo”, „Dandruff”, „Eczema”, „Erythema”, „Eschar”, „Freckle”, „Hair loss”, „Hair loss pattern”, „Hiperpigmentation”, „Hives”, „Itch”, „Liver spots”, „Melanocytic nevus”, „Melasma”, „Nevus”, „Nodule”, „Papilloma”, „Papule”, „Perspiration”, „Petechia”, „Pustule”, „Scar”, „Skin fissure”, „Skin rash”, „Skin tag”, „Skin ulcer”, „Stretch marks”, „Telangiectasia”, „Vesicle”, „Wart”, „Xeroderma” Adjusted Topics: "Scar" + „Abrasion” / „Blister” / „Cafe au lait spots” / „Cellulite” / „Comedo” / „Dandruff” / „Eczema” / „Erythema” / „Eschar” / „Freckle” / „Hair loss” / „Hair loss pattern” / „Hiperpigmentation” / „Hives” / „Itch” / „Liver spots” / „Melanocytic nevus” / „Melasma” / „Nevus” / „Nodule” / „Papilloma” / „Papule” / „Perspiration” / „Petechia” / „Pustule” / „Skin fissure” / „Skin rash” / „Skin tag” / „Skin ulcer” / „Stretch marks” / „Telangiectasia” / „Vesicle” / „Wart” / „Xeroderma” Rationale for Search Strategy For Search Input The searched topics are related to dermatologic complaints. Because Google Trends enables to compare only five inputs at once we compared relative search volume of all topics with topic „Scar” (adjusted data). Therefore, -
Diagnosis and Management of Cutaneous Psoriasis: a Review
FEBRUARY 2019 CLINICAL MANAGEMENT extra Diagnosis and Management of Cutaneous Psoriasis: A Review CME 1 AMA PRA ANCC Category 1 CreditTM 1.5 Contact Hours 1.5 Contact Hours Alisa Brandon, MSc & Medical Student & University of Toronto & Toronto, Ontario, Canada Asfandyar Mufti, MD & Dermatology Resident & University of Toronto & Toronto, Ontario, Canada R. Gary Sibbald, DSc (Hons), MD, MEd, BSc, FRCPC (Med Derm), ABIM, FAAD, MAPWCA & Professor & Medicine and Public Health & University of Toronto & Toronto, Ontario, Canada & Director & International Interprofessional Wound Care Course and Masters of Science in Community Health (Prevention and Wound Care) & Dalla Lana Faculty of Public Health & University of Toronto & Past President & World Union of Wound Healing Societies & Editor-in-Chief & Advances in Skin and Wound Care & Philadelphia, Pennsylvania The author, faculty, staff, and planners, including spouses/partners (if any), in any position to control the content of this CME activity have disclosed that they have no financial relationships with, or financial interests in, any commercial companies pertaining to this educational activity. To earn CME credit, you must read the CME article and complete the quiz online, answering at least 13 of the 18 questions correctly. This continuing educational activity will expire for physicians on January 31, 2021, and for nurses on December 4, 2020. All tests are now online only; take the test at http://cme.lww.com for physicians and www.nursingcenter.com for nurses. Complete CE/CME information is on the last page of this article. GENERAL PURPOSE: To provide information about the diagnosis and management of cutaneous psoriasis. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. -
Skin Signs of Rheumatic Disease Gideon P
Skin Signs of Rheumatic Disease Gideon P. Smith MD PhD MPH Vice Chair for Clinical Affairs Director of Rheumatology-Dermatology Program Director of Connective Tissue Diseases Fellowship Associate Director of Clinical Trials Department of Dermatology Massachusetts General Hospital Harvard University www.mghcme.org Disclosures “Neither I nor my spouse/partner has a relevant financial relationship with a commercial interest to disclose.” www.mghcme.org CONNECTIVE TISSUE DISEASES CLINIC •Schnitzlers •Interstitial •Chondrosarcoma •Eosinophilic Fasciitis Granulomatous induced •Silicone granulomas Dermatitis with Dermatomyositis Arthritis •AML arthritis with •Scleroderma granulomatous papules •Cutaneous Crohn’s •Lyme arthritis with with arthritis •Follicular mucinosis in papular mucinosis JRA post-infliximab •Acral Anetoderma •Celiac Lupus •Calcinosis, small and •Granulomatous exophytic •TNF-alpha induced Mastitis sarcoid •NSF, Morphea •IgG4 Disease •Multicentric Reticul •EED, PAN, DLE ohistiocytosis www.mghcme.org • Primary skin disease recalcitrant to therapy Common consults • Hair loss • Nail dystrophy • Photosensitivity • Cosmetic concerns – post- inflammatory pigmentation, scarring, volume loss, premature photo-aging • Erythromelalgia • Dry Eyes • Dry Mouth • Oral Ulcerations • Burning Mouth Syndrome • Urticaria • Itch • Raynaud’s • Digital Ulceration • Calcinosis cutis www.mghcme.org Todays Agenda Clinical Presentations Rashes (Cutaneous Lupus vs Dermatomyositis vs ?) Hard Skin (Scleroderma vs Other sclerosing disorders) www.mghcme.org -
Valence Avec
ABONNEMENT COMBINÉ TER + CITÉA ENCORE PLUS DE RÉDUCTIONS TARIFS TER AUVERGNE-RHÔNE-ALPES 50 % REMBOURSÉS SUR UN PARCOURS TER DANS LA SUR VOTRE ABONNEMENT PAR VOTRE EMPLOYEUR RÉGION + DANS TOUT VALENCE - AVEC LA PRIME TRANSPORT. 1 MOIS DE VOYAGES ROMANS AGGLOMÉRATION AVEC TER ILLIMITÉS ET LE RÉSEAU URBAIN CITÉA. -26 ANS PRIX RÉDUIT SUR LES ABONNEMENTS MENSUELS ET JUSQUÀ -75 % SUR VOS AUTRES TRAJETS TER. SUR L’ACHAT SIMULTANÉ D’UN JUSQU’À ABONNEMENT TER + CITÉA BILLETS ACCOMPAGNANTS (par rapport à l’achat d’un abonnement LES WEEKENDS ET JOURS FÉRIÉS, PARTAGEZ VOS 20 % TER illico MENSUEL et d’un abonnement RÉDUCTIONS AVEC 1 À 3 PERSONNES. DE RÉDUCTION mensuel Citéa). UN GESTE POUR L’ENVIRONNEMENT cument non contractuel - Ne pas jeter sur la voie publique. BILLETS SUR TOUS VOS AUTRES TRAJETS TER AVANTAGES EN AUVERGNE-RHÔNE-ALPES Vos trajets avec TER émettent moins de CO2 JUSQU’À -25 % LA SEMAINE qu’en voiture.* 50 % -50 % LE WEEK-END 24,8g 112g DE RÉDUCTION ET LES JOURS FÉRIÉS. CO2/km CO2/km * Chiffre d’émission moyen TER par voyageur, comparé avec une COMPARATIF TEMPS DE PARCOURS ET COÛTS voiture neuve (source : Ademe, 2019). TER + CITÉA* VOITURE** TRAJETS Temps €/mois Temps €/mois Valence Ville 65 min 185,10 € 60-120 min 1363 € COMMENT SOUSCRIRE ? <> Lyon Jean-Macé Tain <> 35 min 60,30 € 20-40 min 358 € Appli Assistant SNCF : abonnements TER Valence Pôle Briffaut Montélimar <> Site SNCF TER Auvergne-Rhône-Alpes : 42 min 104,30 € 35-55 min 656 € Valence IUT - commandez votre carte Oùra (support de vos titres) Pierrelatte <> Valence - achetez votre abonnement et chargez votre carte 55 min 137,40 € 45-70 min 1042 € zac des Couleures en quelques secondes sur les automates VALENCE En gare avec une carte Oùra (automates de *Temps minimum et tarif par mois (COMBINÉ TER + CITÉA), hors prime transport. -
COUR D'appel DE PARIS Téju Du Ressort (9) : AUXERRE (89)
COUR D'APPEL DE PARIS TéJu du ressort (9) : AUXERRE (89), BOBIGNY(93), CRÉTEIL (94), ÉVRY (91), FONTAINEBLEAU (77), MEAUX (77), MELUN (77), PARIS, SENS(89) Départements : 75 (PARIS), 77 (SEINE-ET-MARNE), 91 (ESSONNE), 93 (SEINE-SAINT- DENIS), 94 (VAL-DE-MARNE), 89 (YONNE) population : 12 117 132 (Ile de France au 1er janvier 2019, soit un cinquième de la population française) Effectifs de magistrats placés Théorique (CLE 2020 ) Effectif (base M) VP et Juges placés 23 VP + 6 juges (total: 29) 6 VP + 21 juges (total: 27) VPR et Substituts placés 6 VPR + 9 substituts (total: 15) 1 VPR + 15 substituts (total: 16) Distances kilométriques / route et / train PARIS- EVRY 50 km. A6 très chargée - entre 45 mn RER D (Gare de Lyon/Evry et 1h30. Courcouronnes) - environ 40 mn PARIS- BOBIGNY Accès direct par l'A86 - environ Métro ligne 5 ( station Bobigny 30mn à 40 mn de Paris-Bastille Pablo Picasso)- 30 mn de Bastille PARIS- CRÉTEIL A86 – A4 – environ 25mn de Métro ligne 8 (station Créteil Bastille université) : 30 mn de Bastille puis 10 min à pied PARIS- MELUN 58 kilomètres – environ 1h par A6 Train ligne R (depuis la gare de ou A5 Lyon) 30 minutes PARIS- MEAUX 54 kilomètres - entre 45 minutes Trains directs : 25 minutes et une heure par l'A4 Trains non directs : 35 minutes (depuis la gare de l'Est) puis bus ou à pied (15 min) PARIS-FONTAINEBLEAU 69 kilomètres - environ 1 heure Train environ 45 minutes depuis Gare de Lyon PARIS- AUXERRE 169 kilomètres- environ 2 heures 1 heure 40 (trains directs) puis bus ou à pied PARIS-SENS 124 kilomètres- environ -
Paris New Light Rail System: Operation Strategy
268 TRANSPORTATION RESEARCH RECORD 1361 Paris New Light Rail System: Operation Strategy HAROLD H. GEISSENHEIMER As exi ting large- cale bus and metro systems reinuugurate Light tramway is entirely innovative in its design and impact on the rail transit. (LRT) service, organizaLional opportunities may pre environment and was selected for its reasonable cost and the en! them.elve to simplify and increase the productivity of the economic and social advantages that it provides. The first Ile new light rail ervicc. uch a ituation will exist in Paris with the de France Tramway represents a new concept for travel be openfog of the new Safot-Denis/Bobigny LRT. The fir I pha e of tween suburbs. thi new 21 -stop, 9-km li11 e open June 29 1992, and is projected to carry 15.5 million annual passengers. eventeen low-floor ar RATP based its decision to install the tramway on the suc ticul ted light rail cars will be operated on thi. new tram Line. cess of new or modernized LRT systems in Grenoble, Lille, Pari has beeD without trams since the late 1930s. A decision had Marseilles, Nantes, and Saint-Etienne. The Saint-Denis tram to be made whether to operate the new rail line as a separate way has many advantages: entity or as part of the Paris Metro system the bus system, or ome combination of the two. It is now proposed that the LRT • Its price is competitive. It is four times less expensive line will be operated by rhe bus depanment and that the vehicle b maintained in the existing Bobig11y Metro workshop.