How about a Nuit des Musées with a health and history theme? Head for the Musée de l'AP-HP, l'Assistance Publique des Hôpitaux de Paris
For the 21st edition of the cultural event
the museum is offering free evening visits on Saturday
A historical and artistic museum opened in 1934
inviting visitors to discover paintings and other works on the theme of medicine
offering a representative selection of the museum's collections
the artistic event returns this year for its 21st edition
Ile-de-France residents and visiting tourists to discover their favorite museums by night
It's a great opportunity to learn something new
2025 - 17:00 ⤏ 22:00Free admission to the "À pleines dents!" exhibition
The rudimentary treatments practiced in public from the Middle Ages onwards by empirical operators
have left a lasting mark on the collective imagination
Although this depiction reduces dental professionals to mere tooth pullers
it masks a very different historical reality: that of a discipline that innovated in many fields
the 18th century was a pivotal period for the dental profession
reflection on training and the creation of professional statutes
Tracing the history of dentistry from Antiquity to the present day
the exhibition aims to revisit this caricatured and simplistic vision of the dentist
to highlight the milestones and decisive innovations of oral medicine
which has long remained on the bangs of medical care
Over 100 works of art and scientific objects are brought together in this exhibition
Guided tour of the "À pleines dents!" exhibition by the museum team
zen chez le dentiste" workshop (relaxation
breathing and visualization time) by shiatsu specialist Laure de Scitivaux
(duration of visit 1h and "relaxation" discovery session 30min
Le programme est mis à jour en fonction des annonces officielles
visit the Assistance Publique des Hôpitaux de Paris museum
Refer your establishment, click herePromote your event, click here
The Night of Solidarity is an operation that counts the number of homeless people in a particular area on a given night
The seventh Night of Solidarity in Paris took place during the night of the 25th to 26th January 2024 mobilising over 2,000 volunteers and professionals of the social fields
the Greater Paris - Grand Paris Metropolis - coordinated their third Night of Solidarity with nearly 2,000 volunteers and 120 partner non-profit associations
in the 32 volunteer municipal Communes: Alfortville
785 people were met on the same night in the 32 volunteer municipal Communes of Grand Paris Metropolis
Apur processes your data to manage sending out the newsletter. For more information on the management of your personal data and to exercise your rights, please click here
Kremlin-Bicêtre looks forward to seeing you on July 14
the evening promises to be more than festive
The perfect way to celebrate the Fête Nationale
And why not take the opportunity to discover some of the best places to visit in Val-de-Marne
The City of Light unveils a wide-ranging program for this event
which returns for its 41st edition on the weekend of September 21 and 22
But the surrounding region is not to be outdone: the whole of theÎle-de-France region joins in the Journées du Patrimoine dance
Heritage Days 2024: exhibition, tours and workshops at the AP-HP Museum (94)The AP-HP Museum, located in Val-de-Marne, is taking part in the new Heritage Days on Saturday 21 and Sunday 22 September 2024. [Read more]
le programme est mis à jour en fonction des annonces officielles
Classical music is fantastic Come and enjoy an afternoon of music with the Villejuif and Kremlin-Bicêtre intercommunal conservatories
3:30 pm Hôtel de ville Make way for a masterly concert entitled "Le jubilé" by the orchestra from the Villejuif and Kremlin-Bicêtre intercommunal conservatories
This musical program pays double tribute to two great French composers who left their mark on twentieth-century music
whose death is being celebrated one hundred years ago
The program also opens with a surprising work by American composer Charles Ives
Viral infections may involve all ocular tissues and may have short and long-term sight-threatening consequences
ocular infections caused by herpesviruses are the most frequent
HSV-1 keratitis and kerato-uveitis affect approximately are the leading cause of infectious blindness in the Western world
mainly because of corneal opacification caused by recurrences
they may warrant long-term antiviral prophylaxis
accounts for 10 to 20% of all shingles locations and can be associated with severe ocular involvement (keratitis
kerato-uveitis) of which a quarter becomes chronic/recurrent
Post herpetic neuralgias in the trigeminal territory can be particularly debilitating
Necrotizing retinitis caused by herpesviruses (HSV
but must be considered as absolute visual emergencies
requiring urgent intravenous and intravitreal antiviral treatment
Clinical pictures depend on the immune status of the host
Adenovirus are the most frequent cause of infectious conjunctivitis
These most often benign infections are highly contagious and may be complicated by visually disabling corneal lesions that may last over months or years
Some arboviruses may be associated with inflammatory ocular manifestations
congenital Zika infections may cause macular or optic atrophy
Conjunctivitis is frequent during the acute phase of Ebola virus disease
Up to 15% of survivors present with severe chronic inflammatory ocular conditions caused by viral persistence in uveal tissues
COVID-19-associated conjunctivitis can precede systemic disease
or even be the unique manifestation of the disease
Utmost caution must be taken because of viral shedding in tears.Copyright © 2020 Société Nationale Française de Médecine Interne (SNFMI)
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prospective study evaluating the WEB 17 system in ruptured and unruptured aneurysms to understand the safety and effectiveness of the newest and smallest WEB system
The study comprised of 163 patients across 17 European centres
with results concluding that WEB 17 is just as safe and effective as previous WEB generations with a low complication rate
The adequate occlusion rate was 86.5% for ruptured aneurysms (73.1% complete occlusion) and 82.4% for unruptured aneurysms (57.1% complete occlusion) at one-year follow-up
The results of CLEVER demonstrate that the WEB 17 system maintains the same efficacy as previous generations of WEB
WEB is the most well-studied intrasaccular device available on the marketplace today
with seven good clinical practice (GCP) studies and more than 200 peer-reviewed publications
It is described by the company as a first-in-class intrasaccular technology offering a single-device solution for wide-neck bifurcation aneurysms that minimises the need for a dual antiplatelet regimen required for intraluminal therapies
“One-year angiographic results of CLEVER show excellent complete occlusion rates at one year in the population of wide-neck bifurcation aneurysms treated with WEB 17,” said Laurent Spelle (Bicêtre Hospital
a leading author for the recent publication of CLEVER in JNIS
“WEB has changed my practice and set a new standard for safety in the treatment of cerebral aneurysms,” added Adam Arthur (University of Tennessee Health Science Center
principal investigator for the WEB-IT Trial—which was the investigational device exemption (IDE) study supporting WEB’s post-market approval (PMA) in the USA
Microvention is also currently celebrating the five-year anniversary of WEB in the USA
showcasing this product and its entire line of innovative medical device products at the 2024 Society of NeuroInterventional Surgery (SNIS) annual meeting (22–26 July
“Microvention’s WEB aneurysm embolisation system is now the most studied intrasaccular device available today
underscoring our commitment to physicians and patients alike to provide innovative
advanced medical device technology coupled with long-term safety and effectiveness,” said Carsten Schroeder
president and chief executive officer at Microvention
WEB advances treatment of wide-neck bifurcation aneurysms with one intrasaccular device—clinically proven ‘one and done’ treatment
We will continue to work side-by-side with leading physicians around the world to identify the evolving needs in patient care
and then transform those insights into innovative technologies that help to save patient lives.”
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They are considered to be in long-term virological remission from HIV infection
they have been controlling the virus for more than 25 years without treatment
seems to facilitate post-treatment control of HIV,1 but the immune mechanisms had previously remained unclear
Head of the Institut Pasteur’s Viral Reservoirs and Immune Control Unit
has found that some genetic characteristics associated with innate immunity cells (natural killer or NK cells) are very frequently found in post-treatment controllers in the VISCONTI cohort
A retrospective analysis of the ANRS CO6 PRIMO cohort (where the scientists analyzed the genetic characteristics of more than 1,600 participants monitored since the first weeks following infection) confirmed that the presence of these genetic markers seems to encourage lasting HIV remission in individuals who began treatment early and then stopped it for various reasons
The scientists showed that these genetic markers are accompanied by the existence of specific NK cell populations that are better able to control infection
"These results support the role of NK cells in long-term HIV remission and could guide the development of novel immunotherapies," commented Asier Sáez-Cirión
To confirm these findings, a clinical trial entitled ANRS 175 RHIVIERA01
The aim of the trial is to analyze links between the genetic markers of NK cells and post-treatment control
16 individuals with these genetic characteristics
who began treatment immediately after infection
were invited to discontinue treatment under close surveillance
the scientists are characterizing exactly how these genetic characteristics associated with remission influence the program and function of NK cells
This approach could pave the way for immunotherapies aimed at mobilizing these specific cells in other people living with HIV
"This discovery represents a crucial step in efforts to achieve sustained remission from HIV infection
At a time when programs offering access to antiretroviral therapy are coming under threat
there is an urgent need for novel therapies enabling people living with HIV to lead a normal life without the need for treatment," concludes Asier Sáez-Cirión
This study is associated with the VISCONTI study and the PRIMO cohort
The scientists also received funding from the NIH
especially in connection with the ERASE HIV project
[1] Passaes, et al. Nat Com 2024: HIV: early treatment, one key to remission
A genetic fingerprint associated with durable HIV remission after interruption of antiretroviral treatment. ANRS VISCONTI/PRIMO, Med
Laurence Meyer1 and Asier Sáez-Cirión2,3,*; ANRS PRIMO cohort and VISCONTI study
Université Paris Saclay; Inserm CESP U1018; APHP
Laboratoire d’Immunologie et Histocompatibilité
Unité Régulation des Infections Rétrovirales
SEND THE PRESS OFFICE AN EMAIL
She received her BA in English and a minor in communication studies from Temple University in Philadelphia.\n\nHornick has worked in medical publishing since 2022
She is currently an online content editor for Pulmonology
She previously worked as an editorial assistant
writing for multiple specialties.\n\nShe enjoys reading and crocheting in her free time
Connect with her on LinkedIn here
SAN DIEGO — Among patients with pulmonary arterial hypertension
seralutinib lowered pulmonary vascular resistance over 72 weeks
according to research presented at the American Thoracic Society International Conference
professor of respiratory medicine at Université Paris-Saclay and consultant at the French Referral Center for Pulmonary Hypertension in the department of respiratory and intensive care medicine at Hôpital Bicêtre in Le Kremlin-Bicêtre
As Healio previously reported
multicenter phase 2 TORREY study showed that seralutinib (Gossamer Bio) reduced pulmonary vascular resistance (PVR) over 24 weeks in adults with pulmonary arterial hypertension
In an open-label extension study of TORREY, Sitbon and colleagues assessed 73 patients with PAH from the phase 2 study and one patient from a phase 1B study (total
50 years; 89.2% women) to see if twice-daily 90 mg inhaled seralutinib was safe and effective in terms of PVR over 72 weeks
the cutoff date for these interim results was Oct
Although every patient in this extension study received seralutinib
40 of the included patients received placebo during the TORREY study (placebo-to-seralutinib)
whereas the remaining 34 patients received seralutinib (seralutinib-to-seralutinib)
Most of the patients in the continued seralutinib group belonged to WHO FC II (76.5%)
followed by FC III (17.6%) and FC I (5.9%)
most patients either belonged to WHO FC II (45%) or FC III (40%)
with fewer patients in FC I (7.5%) and FC IV (7.5%)
researchers observed a greater proportion of patients on two of three PAH-specific background medications in the placebo-to-seralutinib group vs
In terms of treatment-emergent adverse events
patients frequently reported headaches (24.3%)
43.2% of those receiving seralutinib and 38.1% of those receiving placebo reported cough
researchers noted that cough occurred less frequently in both the continued seralutinib group (20.6%) and the placebo-to-seralutinib group (22.5%) at week 72
18 patients discontinued seralutinib due to a treatment-emergent adverse event
Researchers found that cough was often the event behind discontinuation
the reason for discontinuation was heightened aspartate transaminase/alanine transaminase
None of the reported deaths (n = 3) were related to the study drug
researchers had data for 26 patients in the continued seralutinib group and 24 patients in the placebo-to-seralutinib group
Median PVR in the placebo-to-seralutinib group (644.5 dyne*s/cm5) was higher than the median in the continued seralutinib group (500 dyne*s/cm5) when assessed at the start of the extension study
Researchers evaluated median changes in PVR from week 24 to week 72 and from the baseline of the TORREY study to week 72
PVR decreased by 47.5 dyne*s/cm5 (–9.1%) between week 24 and week 72
A similar reduction was observed in the placebo-to-seralutinib group during this 48-week timeframe (–47 dyne*s/cm5; –7.3%)
More patients in the continued seralutinib group vs
the placebo-to-seralutinib group had PVR that improved by at least 10% (n = 15; 57.7% vs
researchers found a large reduction in PVR among patients in the continued seralutinib group between TORREY baseline and week 72 (143 dyne*s/cm5; –23.6%)
For patients in the placebo-to-seralutinib group
PVR decreased by 71 dyne*s/cm5 (–10.5%) during this timeframe
“Further reductions from week 24 to week 72 in PVR demonstrated by seralutinib-to-seralutinib patients suggest persistence of treatment effect,” Sitbon and colleagues wrote
further research on seralutinib is underway in the phase 3 PROSERA study
Interim results from the phase 1B and phase 2 TORREY open-label extension study of seralutinib in pulmonary arterial hypertension (PAH)
Presented at: American Thoracic Society International Conference; May 17-22
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In order to report on the local disparities in the supply of general medical services in the Greater Paris - Grand Paris -
the map proposes an analysis based on squares of 200x200 metres
general medical services carried out by private general practitioners and medical centres
This density is measured against the resident population
It shows the inequalities in distribution in more detail than at a municipal scale and is intended to support the implementation of territorial Health Policies
Although the density of available services appears to be greater in neighbourhoods in the west of Paris (with the exception of the southern area of the 16th district) and in certain neighbourhoods of Seine-Saint-Denis and Hauts-de-Seine
the density of services is inadequate in Grand Paris Metropolis
with shortcomings in areas spread throughout the metropolitan territory
Research on the VISCONTI cohort
has provided proof of concept of possible long-term remission for people living with HIV
These individuals received early treatment that was maintained for several years
When they subsequently interrupted their antiretroviral treatment
they were capable of controlling viremia for a period lasting more than 20 years in some cases
the team leading the VISCONTI study suggested that starting treatment early could promote control of the virus
the scientists used a primate model of SIV2 infection which allowed them to control all the parameters (sex
etc.) that may have an impact on the development of immune responses and progression to disease
They compared groups that had received two years of treatment
starting either shortly after infection (in the acute phase) or several months after infection (in the chronic phase)
The reproducible results show that starting treatment within four weeks of infection (as was the case for most of the participants in the VISCONTI study) strongly promotes viral control after discontinuation of treatment
This protective effect is lost if treatment is started just five months later
"We show the link between early treatment and control of infection after treatment interruption
and our study indicates that there is a window of opportunity to promote remission of HIV infection," comments Asier Sáez-Cirión
Head of the Institut Pasteur's Viral Reservoirs and Immune Control Unit and co-last author of the study
The scientists also demonstrated that early treatment promotes the development of an effective immune response against the virus
Although the antiviral CD8+ T immune cells developed in the first weeks after infection have very limited antiviral potential
the early introduction of long-term treatment promotes the development of memory CD8+ T cells
which have a stronger antiviral potential and are therefore capable of effectively controlling the viral rebound that occurs after treatment interruption
"We observed that early treatment maintained for two years optimizes the development of immune cells
They acquire an effective memory against the virus and can eliminate it naturally when viral rebound occurs after discontinuation of treatment," explains Asier Sáez-Cirión
These results confirm how important it is for people with HIV to be diagnosed and begin treatment as early as possible
"Starting treatment six months after infection
a delay that our study shows results in a loss of effectiveness
is already considered as a very short time frame compared with current clinical practice
with many people with HIV starting treatment years after infection because they are diagnosed too late," notes Roger Le Grand
Director of IDMIT (Infectious Disease Models for Innovative Therapies) and co-last author of the study
"Early treatment has a twofold effect: individually
as early treatment prevents diversification of the virus in the body and preserves and optimizes immune responses against the virus; and collectively
as it prevents the possibility of the virus spreading to other people," adds Asier Sáez-Cirión
these results should guide the development of novel immunotherapies targeting the immune cells involved in the remission of HIV infection
These are the initial results of the p-VISCONTI study, which began in 2015 in collaboration with the institutions cited above and received funding from MSD Avenir and the support of ANRS Emerging Infectious Diseases as part of the RHIVIERA consortium
2 SIV: simian immunodeficiency virus only affects non-human primates
SIV infection of animals recapitulates the key features of human HIV infection
Early antiretroviral therapy favors post-treatment SIV control associated with the expansion of enhanced memory CD8+ T-cells, Nature Communications
Viral Reservoirs and Immune Control Unit Paris
Hematological and Bacterial diseases (IMVA-HB/IDMIT Department)
France.9 Université Paris Cité/APHP Hôpital Necker - Enfants Malades
Current HIV treatments need to be taken for life by those infected as antiretroviral therapy is unable to eliminate viral reservoirs lurking in immune cells
Institut Pasteur scientists have identified the characteristics of CD4 T lymphocytes that are preferentially infected by the virus – it is their metabolic (or energy-producing) activity1 that enables the virus to multiply
the researchers have managed to destroy these infected cells
Their findings were published in the journal Cell Metabolism on December 20
The antiretroviral treatment used today is designed to block HIV infection but it is not able to eliminate the virus from the body
The virus remains in reservoirs – the CD4 T lymphocyte immune cells
the virus does not infect all types of CD4 cell and until now the reason for this was not well known
Inflammation and Persistence Unit at the Institut Pasteur and colleagues have identified the characteristics of the different CD4 subpopulations
the more they need to produce energy to perform their function
Experiments have shown that it is the metabolic activity of the cell
that plays a key role in susceptibility to HIV infection
The virus primarily targets cells with high metabolic activity
it hijacks the energy and products provided by the cell
This requirement constitutes a weakness for the virus and could be exploited to tackle infected cells
Scientists succeeded in blocking the infection ex vivo thanks to metabolic activity inhibitors that have already been investigated in cancer research
Asier Saez-Cirion, coordinator of the studyRead the portrait
the virus is no longer able to infect cells and amplification is halted in reservoirs of patients receiving antiretroviral treatment
Schematic representation of CD4 T lymphocytes (in purple)
Left: the CD4 T lymphocyte with significant metabolic activity is infected with HIV (in green)
Right: the CD4 T lymphocyte has no metabolic activity and therefore cannot be infected
This research opens new ways towards possible remission through the elimination of reservoir cells
The next research phase will involve assessing the potential of these metabolic inhibitors in vivo
This study was funded by the Institut Pasteur
AmfAR (American Foundation for AIDS research) and Sidaction
It is the cell's molecule synthesis and breakdown activities that enable it to produce energy
Cellular metabolism is a major determinant of HIV-1 reservoir seeding in CD4+ T cells and offers an opportunity to tackle infection, Cell Metabolism
Nicolas Chomont (10) and Asier Sáez-Cirión (1)
Hub Bioinformatique et Biostatistique – C3BI
Service de Médecine Interne et Immunologie clinique
Centre de recherche en Epidémiologie et Santé des Populations
(7) Institut de Génétique Moléculaire de Montpellier
Immunology of Viral Infections and Autoimmune Diseases (IMVA)
(10) Centre de Recherche du CHUM and Department of microbiology
are the starting point in Sophie Leclercq’s search for part of colonialism’s visual history; for it is through things seen and touched daily that the student learned to think and feel
From the depths of various museums’ collections
and cut outs in order to grasp their meaning
Her work brings to life a world of exotic and false images of a colonial empire hitherto unknown to children
With the advent of the Third Republic schools in France became an institution
This institutionalization was reliant on a place
learning aids refer to a pedagogical support in a designed and didactic form
In an even more tangible way for the student
educational material refers to the totality of the daily objects used in learning
The fact that ‘school manual’ can also be used for ‘school textbook’ illustrates how learning is embodied: knowledge can be held manually
We might answer these questions by considering the images in questions as ‘objects’
by questioning the relationship between iconography and device
as well as the exchanges they might have had with images of the Empire
brought together as they were within the space of the school
Fig. 1. Cahiers d’enseignement illustrés n°79 : Colonies françaises, ‘Objets divers (archipels polynésiens’, c. 1900, ed. by Baschet. Munaé, Paris. © Munaé (musée national de l’Éducation) / Photographies reproduites avec l’aimable autorisation du Munaé
School imagery of the colonies filled a triple need: documentary
It was about making the colonies known and making them loved
Fig. 2.1 et 2.2 Pierre Portelette, La France d’outre-mer, ‘L’existence à Tahiti’» and ‘Récolte de la canne à sucre’, 1938, 39 x 104 cm, ed. Delagrave. Munaé, Paris.© Munaé (musée national de l’Éducation) / Photographies reproduites avec l’aimable autorisation du Munaé
at the crossroads of these documentary and esthetic ambitions
school imagery was inherently born out of political ambition
in the context of strengthening the Republic
imperial policy was enhanced and new generations could be convinced of the merit of colonialism as a source of national glory
where the colonial act was always glorious: that is to say
images of domination or of the ‘colonial peace’ that resulted from it
here to give a visual form to textual content
these images were made to be reproduced on school artefacts
toeing the line between graphic material and object
The schoolroom could be transformed into a display space
to enable learning and to invite the student’s reverie and escapism
printed sheets representing naturalistic colonial produce or maps of the Empire were enhanced with landscapes and typologies of the various tribes
suggesting a tri-dimensional view of these far-away territories
Teachers also had at their disposal photographic prints that they would sometimes organize on larger boards that represented the colonies
The class wall then became a space for visual layouts
Large scale mural posters were edited in the context of sets dealing with the colonies
recreated an image of the colonial world as utopia made real
but also of a size that allowed them to be used in schools and put up all together
while still providing a panoramic view (just like the format) of the Empire
once the sheets were hung one next to another
In this way it is almost like a miniature colonial exhibition
where the student’s gaze could travel from his desk to the colonies within the restricted space of the classroom
Fig. 3. Blotting paper with an advertisement for ‘Petit Negro ’ », c. 1955. Munaé, Paris. © Munaé (musée national de l’Éducation) / Photographies reproduites avec l’aimable autorisation du Munaé
a caricatural yet very immersive and seductive narrative device was offered to the students
Fig. 4. ‘Nègres du Congo’, from Cahiers géographiques, n°19, ill. by Gilbert et Fraipont, c. 1900, Hachette et Cie éd. Munaé, Paris © Munaé (musée national de l’Éducation) / Photographies reproduites avec l’aimable autorisation du Munaé n° inv
Fig. 5. ‘Le caoutchouc – Congo (Afrique)’, 1905. Munaé, Paris (© Munaé © Munaé (musée national de l’Éducation) / Photographies reproduites avec l’aimable autorisation du Munaé
‘Loto des colonies et protectorats français’
Paris (© Munaé (musée national de l’Éducation) / photographies reproduites avec l’aimable autorisation du Munaé)
we also find images the student could transform into objects
the cardboard sheets made by Pélican Blanc in 1936
Each of the colonies is represented by a supposedly typical character
the student could then make little cardboard figures
and arranging them into a pocket-sized diorama of the French colonies
These three functions that were exhibition
collection and play allow us to understand how educational imagery was presented
It followed various systems of materiality
collective contemplation and the handling of images
within a set of images meant to invoke pleasure and desire
but also the colonial world they represented
The image was no longer just an educational illustration meant to teach something
both recreating the colonies on a microcosmic scale
capable of being appropriated and handled by schoolchildren in the intimacy of the schoolroom
the school environment allowed for a discovery of the colonies through various visuals means
held to the central tenet of increasing knowledge and love of the Empire
as well as successfully spreading republican propaganda in its favor
sometimes even made into objects by it: educational objects
although the former was far away and so different from this communal space
One could posit that the colonial world in itself became objectified by its display in schools
consequently allowed the youth of France to appropriate it
in a narrative that was that of the national epic
Les arts coloniaux dans les images scolaires (1871-1958)’
La pédagogie par l’image au temps de l’imprimé
Sophie Leclercq holds a PhD in cultural history
She has worked in both the research and education department of the musée du quai Branly (both before and after its opening) and at the CNDP/Réseau Canopé (Ministry for Education)
and published in 2010 La Rançon du colonialisme
les surréalistes face aux mythes de la France coloniale (les presses du réel)
provide proof of concept for a cell therapy that could prove effective in achieving HIV remission
HIV controllers are rare individuals identified as being able to control viral infection naturally without treatment
In these very rare individuals (less than 1% of people living with HIV) no multiplication of the virus in the blood can be detected after more than 10 years of infection without treatment
scientists at the Institut Pasteur described how
those of controllers are able to rapidly destroy infected CD4+ T cells
Asier Sáez-Cirión's group also demonstrated in a previous study that the cells from controllers use a different molecular program
Their research shows that anti-HIV CD8+ T cells in controllers not only have huge antiviral potential; they are also programmed to survive
the cell program predisposes them to exhaustion and cell death
Inflammation and Persistence Unit at the Institut Pasteur have now successfully reprogrammed non-controllers' CD8+ T cells to acquire key characteristics of controllers' cells
and polyfunctionality including an enhanced ability to suppress HIV infection
The ability of CD8+ T cells to acquire and maintain such properties appears crucial to achieving natural control of HIV
This reprogramming was performed in vitro through temporary exposure of HIV non-controllers' cells to a GSK 3 inhibitor
a small molecule targeting two signaling pathways identified as essential to optimal functioning of CD8+ T cells
The scientists observed in vitro that this reprogramming promoted functional capacities associated with natural control of infection
"The goal of this study is to eventually use this strategy as part of cell therapy to achieve HIV remission
This would involve isolating non-controllers' cells
and re-injecting them before potentially discontinuing treatment," commented Asier Sáez-Cirión
Leader of the Viral Reservoirs and Control Group at the Institut Pasteur and coordinator of the study
there may be applications beyond HIV for these findings
since the cellular characteristics achieved after reprogramming are highly desirable for cancer cell therapies
This study was conducted in collaboration with the ANRS CO6 PRIMO and CO21 CODEX cohorts and the Paris Public Hospital Network (AP-HP)
with funding from ANRS | Emerging Infectious Diseases and the NIH ((1UM1AI164562-01)
Reprogramming dysfunctional CD8+ T cells to promote properties associated with natural HIV control, The Journal of Clinical Investigation
Michaela Müller-Trutwin1,Olivier Lambotte5
France.3Université Paris Saclay; Inserm CESP U1018; APHP
Human immunodeficiency virus (HIV) induces infected lymphocytes to synthesize an extracellular mesh that contains viral particles
and protects them against the immune system and antiretroviral drugs
This is the conclusion of an ANRS-supported study conducted Maria-Isabel Thoulouze at the Virology department of the Institut (Institut Pasteur/CNRS
UMR 3569 Paris) and her colleagues at Inserm and the Kremlin Bicêtre University Hospital
will be presented in an oral communication on July 26
during the 9th Conference on HIV Science (IAS 2017)
organized by the International AIDS Society and the ANRS in Paris from July 23rd to 26th 2017
HIV is a fragile virus of quite low infectivity
but it is easily transmitted from one cell to another when these cells are in contact
An ANRS-supported study conducted by Maria-Isabel Thoulouze at the Virology department (Institut Pasteur/CNRS) in collaboration with colleagues from Inserm and the Kremlin Bicêtre University Hospital
sheds new light on the mode of HIV transmission
This study shows that HIV is transferred between lymphocytes mainly as highly infectious clusters of viral particles
transported in an adhesive extracellular matrix
which also shelters them from the immune system and antiretroviral drugs
“We have discovered that HIV is able to modify the secretion profile of infected lymphocytes
in order to form an external protective mesh containing viral particles,” says Dr Thoulouze
This protective mesh is composed principally of proteins and carbohydrates and is comparable to that of bacterial biofilm
an extracellular matrix network secreted by some bacteria as protection against their environment
Dr Thoulouze and colleagues analyzed the extracellular mesh formed at the surface of these cells and evaluated viral infection after its destruction
They then compared the infectivity of viral particles within the mesh and isolated viral particles
in the absence or presence of antiretrovirals
and assessed the efficacy of neutralizing antibodies against HIV
What they found is that “viral biofilm” formation increases HIV infectivity
those transported in this protective cocoon are also more readily transferred from one cell to another
“Thanks to this viral biofilm,” says Dr Thoulouze
but by colonies of several hundred viral particles
Concentrated and compartmentalized in this way
HIV becomes less sensitive to drugs and less accessible to the immune system
which could explain how it persists in the body despite treatment.”
This extracellular mesh constitutes a new therapeutic target
could be a way “to limit the collective transport of viral particles and to increase the efficacy of the immune response to HIV and of antiretroviral therapies.” Further studies are needed to validate this new strategy
HIV-1 concentrates and shelters cell-associated infectivity a “viral biofilm” - IAS Conference (oral).C
The initial findings of the ANRS CLEAC[1] study[2] coordinated by Pierre Frange (Hôpital Necker – AP-HP)
help define the immunological and virological benefits of early antiretroviral therapy in HIV-infected children living in France
The results of this study will be presented by Florence Buseyne (Oncogenic Virus Epidemiology & Pathophysiology Team - Institut Pasteur) this Wednesday
25 July at the 22nd International AIDS Conference (AIDS 2018) being held in Amsterdam from 23 to 26 July 2018
an HIV-infected child is at greater risk of disease progression to AIDS than an adult
Initiation of early treatment in infants shows an undeniable clinical benefit by reducing the risk of death in early childhood
It may also be accompanied by a significant reduction of the viral reservoir (the amount of total viral DNA present in the immune cells of patients)
which could promote the accumulation of conditions required for remission
It is therefore essential to better understand the interactions between the virus and the immune systems of children
and more accurately evaluate the short and long-term virological and immunological benefits of initiation of early therapy in children
These are the objectives of the ANRS CLEAC study
This physiopathological study included 46 children (from five to 12 years old) and 30 adolescents (from 13 to 18 years old) living with HIV since birth
36 started antiretroviral therapy before the age of six months and 40 after the age of two years
Researchers examined participants’ blood samples
defined their immunological and virological status and analysed the results according to their age at the time of the study and the age at which they started treatment
the ANRS CLEAC team assessed the viral reservoir and observed that the viral ADN level was significantly lower in children and adolescents who started their treatment before the age of six months compared with those who started treatment after the age of two years
This lower viral reservoir also persists in early-treated adolescents
even though some of them take their medication less regularly
the immunological analysis looked at naïve T lymphocytes which have the ability to respond to new pathogens and vaccines
The ANRS CLEAC team found that these immune cells were present in greater numbers in children who started antiretroviral therapy before the age of six months
This difference was not observed in the adolescents
This higher level of naïve T lymphocytes is one of the markers of a healthy immune system
the initial findings of the ANRS CLEAC study show that
initiation of antiretroviral therapy before the age of six months in HIV-infected infants has undeniable virological and immunological benefits
[1] Comparison of Late Versus Early Antiretroviral Therapy in HIV-infected Children
[2] This study was conducted in collaboration with Véronique Avettand-Fenoel (Hopital Necker) and the French perinatal survey (ANRS CO10 cohort) led by Josiane Warszawski (centre de recherche en épidémiologie et santé des populations)
Impact of late versus early antiretroviral therapy on PBMC-associated HIV-1-DNA levels and the percentage of naive T lymphocytes in HIV-1 infected children and adolescents – The ANRS-EP59-CLEAC study
Unité d'Epidémiologie et Physiopathologie des Virus Oncogènes
Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center
Chloroquine may be associated with serious psychiatric side effects
even in patients with no family or personal history of psychiatric disorders
In a letter to the editor published online July 28 in The Journal of Clinical Psychiatry
the authors summarize data from several studies published as far back as 1993 and as recently as May 2020
"In addition to previously reported side effects
chloroquine could also induce psychiatric side effects which are polymorphic and can persist even after stopping the drug," lead author Florence Gressier
"In COVID-19 patients who may still be [undergoing treatment] with chloroquine
close psychiatric assessment and monitoring should be performed," she said
Chloroquine and hydroxychloroquine have been at the center of heated controversy for their potential role in preventing or treating COVID-19
Following findings of a small French study that suggested efficacy in lowering the viral load in patients with COVID-19
President Donald Trump expressed optimism regarding the role of hydroxychloroquine in treating COVID-19
Other studies, however, have called into question both the efficacy and the safety of hydroxychloroquine in treating COVID-19. On June 15, the US Food and Drug Administration (FDA) revoked the emergency use authorization it had given in March to chloroquine and hydroxychloroquine for the treatment of COVID-19
As discussed in a Medscape expert commentary
a group of physicians who held a "white coat summit" in front of the US Supreme Court building promoted the use of hydroxychloroquine for the treatment of COVID-19
The video of their summit was retweeted by President Trump and garnered millions of views before it was taken down by Twitter
"we wanted to alert the public and practitioners on the potentially psychiatric risks induced by chloroquine
as it could be taken as self-medication or potentially still prescribed," Gressier said
"We think the format of the letter to the editor allows information to be provided in a concise and clear manner," she added
chloroquine psychosis may be more affective and include prominent visual hallucinations
with preserved insight," the authors write
They note that the frequency of symptoms does not appear to be connected to the cumulative dose or the duration of treatment
and the onset of psychosis or other adverse effects is usually "sudden."
In addition, they warn that the drug's psychiatric effects may go unnoticed, especially because COVID-19 itself has been associated with neuropsychiatric symptoms
making it hard to distinguish between symptoms caused by the illness and those caused by the drug
Although the psychiatric symptoms typically occur early after treatment initiation
some "subtle" symptoms might persist after stopping the drug
possibly owing to its "extremely long" half-life
Gressier noted that practicing clinicians should look up reports about self-medication with chloroquine "and warn their patients about the risk induced by chloroquine."
MBA, a rheumatologist at the Rheumatology Center of Houston
said she uses hydroxychloroquine "all the time" in clinical practice to treat patients with rheumatic conditions
"I cannot comment on whether it [hydroxychloroquine or chloroquine] is a potential prophylactic or treatment for COVID-19
as a rheumatologist who uses hydroxychloroquine at a dose of 400 mg/day
I do not think we need to worry about serious [psychiatric] side effects," Bose told Medscape Medical News when asked to comment
Because clinicians are trying all types of possible treatments for COVD-19
it is a great medicine from a rheumatologic perspective and is safe," she added
higher doses will cause more side effects," said Bose
who was not involved in authoring the letter
She counsels patients about potential psychiatric side effects of hydroxychloroquine because some of her patients have complained about irritability
Also commenting on the letter for Medscape Medical News
Henry Phipps professor of psychiatry and behavioral sciences
said the "take-home message of this letter is that serious psychiatric effects
psychotic illness in particular," can occur in individuals who take chloroquine and hydroxychloroquine
"these are potentially very concerning side effects that psychiatrists should be aware of," noted Potash
who is also the department director and psychiatrist-in-chief at Johns Hopkins
He said that one of his patients who had been "completely psychiatrically healthy" took chloroquine prophylactically prior to traveling overseas
she had an episode of mania that resolved once she discontinued the medication and received treatment for the mania
"If you add potential psychiatric side effects to the other side effects that can result from these medications
that adds up to a pretty important reason to be wary of taking them
particularly for the indication of COVID-19
where the level of evidence that it helps in any way is still quite weak," Potash said
executive director at the Quinism Foundation
and faculty associate in the Department of Mental Health at the Johns Hopkins Bloomberg School of Public Health
"The authors of this letter are to be commended for their efforts in raising awareness of the potentially lasting and disabling psychiatric effects of chloroquine and hydroxychloroquine
as with similar effects from other synthetic quinoline antimalarials
have occasionally been overlooked or misattributed to other conditions," Nevin told Medscape Medical News
"I have proposed that the chronic neuropsychiatric effects of this class of drug are best considered not as side effects but as signs and symptoms of a disorder known as chronic quinoline encephalopathy caused by poisoning of the central nervous system," he said
and Potash have reported no relevant financial relationships
Nevin reviewed the letter to the editor and serves as the executive director of the Quinism Foundation
a nonprofit organization that supports and promotes education and research on disorders caused by poisoning by quinoline drugs
He has also been retained as a consultant and expert witness in legal cases involving claims of adverse effects from quinoline antimalarial drugs
J Clin Psychiatry. Published online July 28, 2020. Full text
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A relatively rare chemical reaction can turn people's pee purple
A woman who was hospitalized after having a stroke surprised doctors when
but doctors have witnessed the anomaly enough times to give it a name
Related: 11 Surprising Uses For Pee and Poop
as she was eating foods rich in the chemical
tryptophan gets broken down into a chemical called "indoxyl sulfate," a key ingredient for purple pee.
the Klebsiella pneumoniae and indoxyl sulfate mix in the urinary bag
the bacteria split indoxyl sulfate into two new chemicals: One part red
Get the world’s most fascinating discoveries delivered straight to your inbox
Usually, purple pee signals that a patient may have a urinary tract infection, according to a 2011 article in the Canadian Urological Association Journal
This was not the case with the French patient
the patient's pee returned to its normal color after she was treated with intravenous hydration for a few days
The patient was then transferred to a long-term care facility
where doctors continued to treat the lingering effects of her stroke
Originally published on Live Science.
Nicoletta LaneseSocial Links NavigationChannel Editor
HealthNicoletta Lanese is the health channel editor at Live Science and was previously a news editor and staff writer at the site
She holds a graduate certificate in science communication from UC Santa Cruz and degrees in neuroscience and dance from the University of Florida
she also remains heavily involved in dance and performs in local choreographers' work
'Mirror life forms' may sound like science fiction
but scientists warn they could be deadly to humans and destroy the environment
brains and spider eyeballs: 20 jaw-dropping snapshots of the microscopic world around us
Amateur astronomer captures detailed photos of Croc's Eye and Whirlpool galaxies from backyard observatory
France have reported a rare case of Purple Urine after catheterization
The case has appeared in the New England Journal of Medicine
Purple urine bag syndrome (PUBS) is rare and is signified by purple discolouration of the urine usually seen in women and chronically debilitated patients with long term indwelling urinary catheters
The condition is often associated with urinary tract infection and can be distressing for patients
family members and healthcare workers who are unaware of this association
Discolouration of the urine bag is due to the presence of indigo and indirubin pigments which precipitate and react with the synthetic materials of the catheter and urinary bag
According to history a 70-year-old woman had a urinary catheter placed during a hospitalization for aphasia and hemiplegia after an acute stroke
Urinalysis showed leukocytes but no nitrites
A urine culture grew Klebsiella pneumoniae
The purple discoloration is thought to occur as a result of a chemical reaction facilitated by certain bacteria in alkaline environments
Dietary tryptophan is converted to indole within the gut
and metabolized by the liver to form indoxyl sulfate
indoxyl sulfate can be broken down by bacterial enzymes to form indigo and indirubin
This reaction is known to occur in the presence of several other bacteria
Since the patient had no clinical signs consistent with infection
The purple discoloration resolved over 4 days
and the urinary pH returned to a normal level
but the patient remained hemiplegic and aphasic and was admitted to a long-term care facility
• Email: info@medicaldialogues.in • Phone: 011 - 4372 0751
Metrics details
With the dissemination of extremely drug resistant bacteria
colistin is now considered as the last-resort therapy for the treatment of infection caused by Gram-negative bacilli (including carbapenemase producers)
the increase use of colistin has resulted in the emergence of resistance as well
colistin resistance is mostly caused by the addition of phosphoethanolamine to the lipid A through the action of a phosphoethanolamine transferase chromosomally-encoded by the pmrC gene
which is regulated by the two-component system PmrA/PmrB
baumannii clinical isolate the main resistance mechanism to colistin involves mutations in pmrA
pmrB or pmrC genes leading to the overexpression of pmrC
rapid detection of resistance is one of the key issues to improve the treatment of infected patient
baumannii still relies on MIC determination through microdilution
we evaluated the performance of a recently described MALDI-TOF-based assay
which allows the rapid detection of colistin resistance-related modifications to lipid A (i.e phosphoethanolamine addition)
This test accurately detected all colistin-resistant A
baumannii isolates in less than 15 minutes
directly on intact bacteria with a very limited sample preparation prior MALDI-TOF analysis
The acid formation resulting from carbohydrate metabolism during the continuous growth of colistin resistant bacteria even in presence of polymyxin
is detected by the color change of a pH indicator
Also this test was validated for fermenting bacteria
it cannot conceptually be applied to non-fermenters such as Acinetobacter
we evaluated the ability of the MALDIxin test to detect colistin-resistance in A
Representative spectra of a polymyxin-susceptible A
baumannii isolate (Ab-S1) (panel a) and a colistin-resistant A
The peaks at m/z 1728.1 m/z and 1910.3 m/z corresponds to the native lipid A of A
the peak at m/z 1935.3 likely corresponds to the addition of pETN on the phosphate group at position 4’ of the native lipid A of A
baumannii with concomitant loss of the phosphate group on position 1
and the peak at m/z 2033.3 corresponds to the addition of one pETN on the phosphate group at position 1 of the native lipid A of A
Compared to the unique rapid detection method available for the detection of colistin resistance
the MALDIxin test can work on a large panel of Gram negative bacteria
this study paves the way for the future development of a rapid diagnostic test that could detect colistin resistance in all Gram-negative bacteria
optimizations are still needed to allow the direct detection of L-Ara4N-modified lipid A which remains the main cause of colistin resistance in K
A collection of 17 A. baumannii isolates including 9 colistin-resistant and 8 colistin-susceptible isolates were subjected to the MALDIxin test. The 9 polymyxin-resistant isolates, of which 5 harboured modifications of PmrB and one is mutated in PmrA (Table 1)
pmrB and pmrC were verified by whole genome sequencing (Illumina)
a single colony cultured on Mueller-Hinton agar (bioMérieux
France) was resuspended in 200 μl of distilled water
washed three times with double distilled water and resuspended in 100 μl of double distilled water
0.4 μL of the bacterial solution was loaded onto the target and immediately overlaid with 0.8 μL of a 2
5-dihydroxybenzoic acid (DHB) matrix (Sigma Aldrich
United-Kingdom) used at a final concentration of 10 mg/mL in chloroform/methanol (CHCl3/MeOH) 90:10 v/v
Bacterial solution and matrix were mixed directly on the target by pipetting and the mix was dried gently under a stream of air (less than one minute)
MALDI-TOF MS analysis was performed on a 4800 Proteomics Analyzer (Applied Biosystems
Samples were analyzed by operating at 20 kV in the negative ion mode using an extraction delay time set at 20 ns
Mass spectrometry data were analyzed using Data Explorer version 4.9 (Applied Biosystems)
The expression of pmrC/eptA was normalized using 16 S RNA encoding gene
The fold change expression of pmrC/eptA was related to the basal expression of pmrC/eptA in the colistin susceptible Ab-S4 isolate
Xie, R., Zhang, X. D., Zhao, Q., Peng, B. & Zheng, J. Analysis of global prevalence of antibiotic resistance in Acinetobacter baumannii infections disclosed a faster increase in OECD countries. Emerging microbes & infections 7, 31, https://doi.org/10.1038/s41426-018-0038-9 (2018)
Qureshi, Z. A. et al. Colistin-resistant Acinetobacter baumannii: beyond carbapenem resistance. Clinical infectious diseases 60, 1295–1303, https://doi.org/10.1093/cid/civ048 (2015)
Adams, M. D. et al. Resistance to colistin in Acinetobacter baumannii associated with mutations in the PmrAB two-component system. Antimicrobial agents and chemotherapy 53, 3628–3634, https://doi.org/10.1128/AAC.00284-09 (2009)
Cai, Y., Chai, D., Wang, R., Liang, B. & Bai, N. Colistin resistance of Acinetobacter baumannii: clinical reports, mechanisms and antimicrobial strategies. J Antimicrob Chemother 67, 1607–1615, https://doi.org/10.1093/jac/dks084 (2012)
Jeannot, K., Bolard, A. & Plesiat, P. Resistance to polymyxins in Gram-negative organisms. International journal of antimicrobial agents 49, 526–535, https://doi.org/10.1016/j.ijantimicag.2016.11.029 (2017)
Partridge, S. R. et al. Proposal for assignment of allele numbers for mobile colistin resistance (mcr) genes. J Antimicrob Chemother, https://doi.org/10.1093/jac/dky262 (2018)
Poirel, L., Jayol, A. & Nordmann, P. Polymyxins: antibacterial activity, susceptibility testing, and resistance mechanisms encoded by plasmids or chromosomes. Clinical microbiology reviews 30, 557–596, https://doi.org/10.1128/CMR.00064-16 (2017)
Jayol, A., Nordmann, P., Lehours, P., Poirel, L. & Dubois, V. Comparison of methods for detection of plasmid-mediated and chromosomally encoded colistin resistance in Enterobacteriaceae. Clinical microbiology and infection 24, 175–179, https://doi.org/10.1016/j.cmi.2017.06.002 (2018)
Clinical and Laboratory Standard Institute (CLSI) and European Committee on Antimicrobial Susceptibility Testing (EUCAST) joint subcommittee
Recommendations for MIC determination of colistin (polymyxin E) as recommended by the joint CLSI-EUCAST Polymyxin Breakpoints Working Group (2017)
Hindler, J. A. & Humphries, R. M. Colistin MIC variability by method for contemporary clinical isolates of multidrug-resistant Gram-negative bacilli. Journal of clinical microbiology 51, 1678–1684, https://doi.org/10.1128/JCM.03385-12 (2013)
Nordmann, P., Jayol, A. & Poirel, L. Rapid detection of polymyxin resistance in Enterobacteriaceae. Emerging infectious diseases 22, 1038–1043, https://doi.org/10.3201/eid2206.151840 (2016)
The taxonomic significance of fermentative versus oxidative metabolism of carbohydrates by various gram negative bacteria
Rapid detection and discrimination of chromosome- and MCR-plasmid-mediated resistance to polymyxins by MALDI-TOF mass spectrometry in Escherichia coli: The MALDIxin test
Larrouy-Maumus, G., Clements, A., Filloux, A., McCarthy, R. R. & Mostowy, S. Direct detection of lipid A on intact Gram-negative bacteria by MALDI-TOF mass spectrometry. Journal of microbiological methods 120, 68–71, https://doi.org/10.1016/j.mimet.2015.12.004 (2016)
Arroyo, L. A. et al. The pmrCAB operon mediates polymyxin resistance in Acinetobacter baumannii ATCC 17978 and clinical isolates through phosphoethanolamine modification of lipid A. Antimicrobial agents and chemotherapy 55, 3743–3751, https://doi.org/10.1128/AAC.00256-11 (2011)
Beceiro, A. et al. Phosphoethanolamine modification of lipid A in colistin-resistant variants of Acinetobacter baumannii mediated by the pmrAB two-component regulatory system. Antimicrobial agents and chemotherapy 55, 3370–3379, https://doi.org/10.1128/AAC.00079-11 (2011)
Olaitan, A. O., Morand, S. & Rolain, J. M. Mechanisms of polymyxin resistance: acquired and intrinsic resistance in bacteria. Frontiers in microbiology 5, 643, https://doi.org/10.3389/fmicb.2014.00643 (2014)
Jaidane, N. et al. Genomic analysis of in vivo acquired resistance to colistin and rifampicin in Acinetobacter baumannii. International journal of antimicrobial agents 51, 266–269, https://doi.org/10.1016/j.ijantimicag.2017.10.016 (2018)
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LD has received funding from the People ProGramme (Marie Skłodowska-Curie Actions) of the European Union’s Horizon 2020 under REA grant agreement n° [654909] and from the University Paris Sud
GLM received funding from an MRC Confidence in Concept Award (Wellcome Trust: ISSF Wellcome Trust 105603/Z/14/Z)
MRC Centre for Molecular Bacteriology and Infection
function and expression of broad spectrum β-lactamases”
French National Reference Center for Antibiotic Resistance
had full access to all of the data in the study
and take responsibility for the integrity of the data and the accuracy of the data analysis
Critical revision of the manuscript for important intellectual content: All authors
are co-inventors of the MALDIxin test for which a patent has been filed by Imperial Innovations
Publisher’s note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations
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In a study published in the prestigious Immunity journal on February 21
researchers from the Institut Pasteur in Paris and in Shanghai
Paris-Sud University and the CNRS (French National Center for Scientific Research) reported on the discovery of a new group of B lymphocytes
which are only present in infants and are the preferential target of the virus responsible for bronchiolitis
This shows why this infection of the lower respiratory tract mainly affects newborns so severely
This publication paves the way for new diagnostic and therapeutic possibilities for treating acute bronchiolitis
Bronchiolitis — the leading cause of consultations and hospital treatment in pediatric departments and pediatric intensive care units during the winter months — is an infection caused by the respiratory syncytial virus (RSV)
Its severity is specific to the age of the patient
While the infection remains asymptomatic in adults
young infants are very susceptible to the virus
newborns under three months old are the most prone to developing very severe bronchiolitis
which requires respiratory assistance in intensive care
There is no vaccine or treatment for this infection
Severe RSV infection represents 2-6% of all admissions to pediatric intensive care units in developed countries
It is estimated that each hospitalization in pediatric intensive care for severe RSV infection costs between 28,000 and 92,000 US dollars
Richard Lo-Man’s group at the Institut Pasteur (Human Histopathology Unit) together with Prof
Pierre Tissières’s team[1] at Bicêtre Hospital (AP-HP NICU) and Paris-Sud University
newly identified a B lymphocyte population only found in very young children (under 1 year old) which is preferentially infected by the RSV virus
B lymphocytes are immune system cells producing antibodies capable of neutralizing pathogens that protect against infectious diseases
the B lymphocytes discovered by the scientists have regulatory properties
which tend to reduce the inflammation and immune response to the virus
By infecting these specific B lymphocytes — named nBreg (for neonatal regulatory B lymphocytes) — in infants
RSV activates nBregs that decrease viral clearance and thus contribute to the disease severity
the researchers have described a mechanism whereby the RSV virus infects the nBreg lymphocytes
This mechanism draws on a dual recognition system between the virus and the immune cell
The initial recognition occurs through contact between a protein on the surface of the virus (F protein) and a specific antibody on the surface of the nBreg cell
Lymphocyte activation and expression of CX3CR1 which in turn recognizes the viral G protein leads to viral infection
the virus can then inhibit the antiviral immune response
by expressing the anti-inflammatory response genes
the RSV virus therefore uses the infant immune system to persist in its host
"Our research sheds light on the unclear reasons as to why infants are susceptible to RSV bronchiolitis"
By identifying these new nBreg lymphocytes as prognostic biomarkers for the severity of the disease
the research will enable risk factors to be defined at birth
and help develop more effective treatment"
Institute for Integrative Biology of the Cell (CNRS/CEA/Paris-Sud University)
Respiratory syncytial virus infects regulatory B cells in human neonates via chemokine receptor CX3CR1 and promotes lung disease severity
Pierre Tissières14,15,16 and Richard Lo-Man1
(3) Régulation Immunitaire et Vaccinologie
(6) Unité de Génomique virale et vaccination
(12) Unité de Virologie et Immunologie Moléculaires
(13) Bioaster Microbiology Technology Institute
(16) Institute of Integrative Biology of the Cell - UMR 9196
(17) Laboratory of Humoral Response to Pathogens
(19) Laboratory of Vaccinology and Mucosal Immunity
(20) Unit of Innate Defense and Immune Modulation
Key Laboratory of Molecular Virology and Immunology
About the AP-HP (Paris Public Hospital Network): The AP-HP is a globally-recognized European-scale university teaching hospital network
its 39 hospitals treat eight million patients during appointments
or as part of scheduled hospital stays or home care
It ensures a 24/7 public health care service for all
which is both a duty and a source of pride
The AP-HP is the leading employer in the Greater Paris area: 100,000 people – doctors
administrative staff and workers – are on its staff
About Paris-Sud University Hospitals: This Hospital Group
which is made up of three hospitals (Antoine-Béclère in Hauts-de-Seine
and Bicêtre and Paul-Brousse in Val-de-Marne)
offers a full range of health care services that stand out for their highly complementary nature in terms of treatment for children and adults
These health care services are built around nine teaching hospital centers that offer outreach activities
Teams from the Hospital Group do their utmost to adapt health care services to patients’ changing health care needs
for instance by developing early diagnosis tools
About the Institut Pasteur: The Institut Pasteur
a private foundation with officially recognized charitable status set up by Louis Pasteur in 1887
is today an internationally renowned center for biomedical research with a network of 33 institutes worldwide
In the pursuit of its mission to prevent and fight against diseases in France and throughout the world
the Institut Pasteur operates in four main areas: scientific and medical research
and business development and technology transfer
About the CNRS: The French National Center for Scientific Research is the main public research body in France and Europe
It produces knowledge for the benefit of society
a 2015 budget of €3.3 bn (including €769 m of self-generated resources) and a presence throughout France
the CNRS is active in all fields of knowledge and is supported by over 1,100 laboratories
The CNRS has a long-standing tradition of excellence with 21 Nobel Prize winners and 12 Fields Medals
the journal Lancet Neurology published the results of a gene therapy trial conducted in four children with Sanfilippo type B syndrome (also known as MPS IIIB)
This trial is the achievement of a two-decade partnership with financial support of AFM-Téléthon and the cooperation of the charity "Vaincre les Maladies Lysosomales" (VML)
After monitoring of the treated children for 30 months
and Professors Marc Tardieu and Michel Zérah
from the Paris public hospital administration (AP-HP) and the Paris-Sud and Paris Descartes Universities
conclude that the treatment was well tolerated and associated with neurocognitive benefits for the patients
Sanfilippo syndrome is a rare genetic disease which affects approximately one in every 100,000 children
It alters brain development after birth and leads to brain degeneration several years later
The first symptoms of the disease are hyperactivity and delayed cognitive acquisition
which are usually noticed when children are around two-years old
A genetic anomaly prevents the production of an enzyme needed to breaking down mucopolysaccharides
Mucopolysaccharides are large macromolecules that help the neurons develop effective connections in young children during learning
Incomplete degradation and accumulation are toxic for brain cells
The disease progressively leads to a state of severe and multiple impairments and to premature death within periods of 5 to 10 years
The challenge to treat Sanfilippo syndrome lies in the design of a method to supply the missing enzyme to the brain as early as possible after birth
The therapeutic trial conducted by the Institut Pasteur at the Bicêtre Hospital (AP-HP) used gene therapy for that purpose
A gene therapy vector (AAV2/5) capable of inducing the production of the missing enzyme by brain cells was injected at several sites in the brain and cerebellum of affected children
The specific aim of this phase I/II trial was the assessment of tolerance to the surgical procedure and to the candidate drug delivered by gene therapy
The clinical study initiated in 2013 was preceded by more than ten years of preclinical studies in animals naturally affected by the disease
The researchers administered the treatment for the first time to four children aged between 1.5 and 4 years (20
radiological or biological side effects associated with the treatment were observed within 30 months of administration
Within one month of treatment and throughout the 30 months of the trial
researchers detected the previously missing enzyme in the cerebrospinal fluid of the four treated children
very careful and regular neurocognitive monitoring revealed positive impact on cognitive acquisition and behavioral development
which were more pronounced in the youngest treated child
The encouraging findings of this phase I/II clinical trial suggest that treatment could be proposed to patients with Sanfilippo syndrome in the future
the next step would consist in a large and multicentric phase III clinical trial
Intracerebral gene therapy in children with mucopolysaccharidosis type IIIB syndrome: an uncontrolled phase 1/2 clinical trial
Appuyez sur la touche échap pour fermer la recherche
Algerian Imane Khelif took to the ring for her final fight of the Paris Olympics on Friday August 9
Unknown to the general public until the opening of the Games
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relied on a number of experts based in Algeria
Le Point was able to reach one of them by phone : Georges Cazorla
who has worked out a program for her physical preparation for the Games
he has consulted for several leading sport federations and clubs
Le Point : You helped prepare the Algerian boxer Imane Khelif for the Paris Olympics
Georges Cazorla : I was a teacher of biology applied to physical activity and sport in the University of Bordeaux
I supervised the master thesis of Nasser Yefsah
He lived in Nice – and still does – and would come to Bordeaux to sit in my class on a regular basis
Nasser reached out to me and offered to help Imane Khelif prepare for the World Championship
the African Championship and the Olympic Games
And you didn't know much about boxing either
But I've lived in the sports universe for a long time
I have been analyzing fights : how many punches are thrown or received
the body movements… I also used a Fourier-transform infrared spectroscopy technique developed by one of my former PhD students
which allows for the analysis of 19 parameters (including some carbohydrates
and also some inflammatory parameters such as CRP and immunoglobulins
which reflects the level of training) from only three drops of blood
This gave us valuable information about Imane's physical and physiological condition
we began developing a rigorous training program to maximize her progress
I'm not saying she wasn't good before meeting me
Imane had already reached a good level in boxing
her training relied on a pragmatic and intuitive approach
You continued your testing in Paris with Imane Khelif
In a testing center of the 13th arrondissement
we put her through a series of more or less sophisticated performance tests
we developed a training formula that we called “FAITPAS”
She's often come to France to take part in training sessions or tests
in a club that had been founded by the former national technical manager of Algeria Karim Aiouaz
which had a good technical and medical center
who's got a good reputation in the South of France boxing scene
Her manager would commute between the two countries
And I didn't see Imane Khelif during her last training course in Vittel in mid-July either ; it was supervised by her Cuban-American coach on whom she's relied completely in recent weeks
An emotional connection has developed between us
even though neither Imane nor her coach speak much French
an exceptional athlete who deserves all our respect
You were asked to supervise her at the end of 2022
Were you aware of the conflict between the International Boxing Association (IBA) and Imane Khelif
I found it out while watching the videos of the World Championship in March 2023
She was disqualified from the final against a Chinese female boxer
At the time I thought it was a matter of international and diplomatic disputes… But the decision was backed up by tests
Regardless of the results of these biological tests
and without going into the details – that's the biologists and doctors'business – this poor young girl was shattered
The prospect of the Olympics helped put it all back together
she can also rely on her family (a very modest one
that she helps thanks to her boxing) who live in a small town in Algeria
even though her morphotype is rather peculiar
people have a distinct physical appearance
why not test all the people whose abilities are superior to the others
the French basketball player Victor Wembanyama
or there wouldn't be any competition at all
Let's look at it from a performance perspective : what is competition
And the Algerian team didn't know anything either
They are light years away from these biological issues
They were happy to have a good female boxer
So what happened after that thunderclap announcement
I took the initiative and contacted a renowned endocrinologist at the University Hospital Kremlin-Bicêtre in Paris
He confirmed that Imane was indeed a woman
despite of her karyotype and her testosterone levels
He said : “There is a problem with her hormones
but she's a woman.” That was all that mattered to us
We then worked with an Algeria-based doctor to control and regulate Imane's testosterone levels
Some tests clearly show that all her muscle qualities and others have diminished since then
Were you following an International Olympic Committee recommendation regarding this testosterone level
I was so disappointed to see her stupidly disqualified from the New Delhi Championship that I decided to anticipate
I wonder now if I wasn't wrong to step in… The Olympic Medical Committee had made a lot of publicity about the training of its testers who would
assess the testosterone levels of the athletes participating in the Games
So I wanted to stack all the odds in her favor
and make sure that her numbers were just right
individuals with XY chromosomes have a physical and muscular superiority over those with XX chromosomes
It is said that everyone must do some kind of sport
Some say we should have special categories
but even within a group of hypoandrogenic or hyperandrogenic people
there are differences from one person to another
There is so much variation that it's impossible to create categories
I'm going to ask the biology teacher in you the same question…
it's during puberty that a testosterone-related dissociation takes place
Which explains why boys are stronger than girls on a muscular level
because some women show a muscular quality close to that of men
And performance is an interaction of various components
the physical aspects play an important part in performance
You'll never see puny boxers in either the men's or the women's categories
Did you watch the IBA press conference held during the Olympics
He doesn't want the IOC to get involved in boxing… All I know is that the IBA eventually justified itself in retrospect
If they had warned us before the 2023 World Championship
They qualified Imane for her first three fights
asking her to sign it in order to get her results
That she recognized her disqualification… Everything in New Delhi was strangely organized during this championship
Translated from French by Bérengère Viennot
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Extract from the birth certificate of a child given “orphan of the Nation” status (A) after being linked to the father’s military death certificate (B)
(A) Archives de Bordeaux / (B) Mémoire des Hommes.
and Child Development”: Nicolas Todd
Research has shown that early-life stress can have repercussions throughout an individual’s life
This is the case for example with exposure to famine during pregnancy
which increases the risk of cardiovascular
the long-term consequences of such stress on mortality remain largely unknown
In an attempt to better understand this issue
Inserm researchers studied a cohort of children born in the period 1914-16
and examined over 90,000 birth certificates
Following comparison with the French Ministry of Defense’s database of the 1.4 million soldiers killed in World War I
they identified 2,651 pupilles de la Nation (orphans of the Nation) whose fathers died in combat during this period
and fetal mechanisms that may have contributed to the long-term impact of paternal death on prenatal orphans
a steroid hormone that controls various stages of fetal development but which is also involved in the body’s response to stress in other periods of life
We are all familiar with taking our pulse to check our heart rate
This signal is due to the propagation of a wave caused by the arteries dilating under...
Why does some music make us want to dance more than others
This is the question that a research team from Inserm and Aix-Marseille Université tried to answer by...
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Newly published scientific study describes 14 adult patients in long term functional remission of HIV seven years after being taken off early antiretroviral treatment
The Anrs EP 47`VISCONTI´ cohort confirms on a larger and durable scale what the Mississippi `functionally cured´ baby indicated – that early therapeutic intervention may be instrumental in HIV remission and has important implications for HIV cure research
The teams of hepato-gastroenterology department of adult Bicetre Hospital
in collaboration with the department of neurology adult
show that a derivative of somatostatin may be effective to treat chronic diarrhea suffered by patients with family amyloid neuropathy (NAF). This side effect concerns a quarter of patients after 5 years of follow-impairing their quality of life
The results of this study, which highlight once again the expertise of the AP-HP in the treatment of rare diseases, are published in the journal Plos One
Inserm researcher of Hepato-Gastroenterology department of adult Bicetre Hospital
AP-HP conducted a retrospective study of four patients with familial amyloid neuropathy (NAF). This is a rare progressive genetic disorder that causes multiple organ dysfunction and loss of autonomy
The teams analyzed particularly gastrointestinal side effects such as diarrhea
abdominal pain and incontinence. A quarter of patients after 5 years of follow suffer from chronic diarrhea. Diarrhea is a symptom very debilitating for patients
The researchers show that similar to somatostatin
appear effective for treating chronic diarrhea. Nine of the fourteen patients who received this treatment had a remission of chronic diarrhea after 6 months follow-up. These molecules are already available for other medical indications
including the treatment of neuroendocrine tumors
hemorrhagic complications of portal hypertension and some endocrine disorders. They are also used off-label in the treatment of severe dumping syndrome
Their use in the refractory diarrhea had already been studied in the context of HIV
chemotherapy-induced diarrhea or diarrhea secondary to digestive suffering from scleroderma
Induced diarrhea amylose is a multifactorial diarrhea
but involves disorders of the secretion of digestive hormones (including somatostatin) and of intestinal motility disorders
Often humps transit aggravate constipation in these patients
associated with dysmotility. Sandostatin acts on intestinal secretion and intestinal motility in complex ways. Treatment with octreotide should be monitored and patients with amyloidosis warned of the risk of hypoglycemia
This work was conducted in collaboration with the teams of Adult Neurology Service – reference center for family amyloid neuropathy and other neuropathies few devices – Professor Adams that showed the effectiveness of the drug candidate Patisiran, Interferent RNA, promising to treat and improve familial amyloid neuropathy transthyretin in July 2018
in France there are between 40,000 and 50,000 people with neuromuscular disease (NM)
The conditions under national chain of neuro muscular diseases FILNEMUS include muscle diseases (myopathy)
rare diseases of the peripheral nerve and spinal muscular atrophy infantile
Many cases of sudden cardiac death could be avoided thanks to artificial intelligence
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affecting around one third of the population
but the most common are a lack of red blood...
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The risks of staff shortages and working conditions in maternity wards require urgent measures from the authorities
say a group of perinatal care professionals working in the Ile-de-France region
Published on June 3, 2022, at 7:17 am (Paris), updated on June 3, 2022, at 7:17 am 3 min read Lire en français
At the maternity ward of the Diaconesses hospital
MARTIN BUREAU / AFP Perinatal health care professionals (midwives
childcare assistants and pediatricians) are extremely worried about the risk that staff shortages pose to pregnant women
and after having alerted our supervisors on many occasions over the last few years
as heads of department and members of the management of the maternity units of Ile-de-France
university and non-university maternity units in the public service
wish to raise the alarm on the extremely worrying situation
perinatal care has suffered due to the organization and working conditions imposed by regulating bodies who do not necessarily work in the field
are not recognized as such and the staff must fill the gaps
under the watchful eye of authorities who are aware of the problem but fail to propose any significant measure
the boat is sinking and there are still no concrete plans on the table in an attempt to avoid the shipwreck
The situation is only getting worse and nursing staff are fleeing the poor working conditions
Those who choose to stay see their working conditions change for the worse
Despite our regular alerts to the regional health agency of Ile-de-France and the ministry
they do not seem to truly understand the gravity of the situation and the urgency
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Photo Gallery: Remembering 'La Grande Guerre'
Whenever the topic came up over the course of his biblically long life
Lazare Ponticelli always doggedly rejected the idea of being buried in a state funeral
under pressure from both the media and political leaders
"without much fuss and without a big parade
Ponticelli was the last recognized veteran of in France
the last living survivor of the more than 8 million people who were called to arms by the French Republic
some 1.4 million did not survive the massive slaughter
He was known as "le dernier poilu" (the last of the hairy ones) or "le der des der" (the last of the last)
a popular term for the ordinary soldiers fighting at the front in the "Great War," who held the line in the mud and filth of the trenches
unwashed and unshaven (hence the term of endearment "poilu," or hairy)
suffering the greatest of deprivations and ultimately becoming an icon in the mythological imagery of France's collective memory
The funeral mass was broadcast on live television from the Les Invalides complex in Paris
and it was attended by some of the country's highest ranking leaders: then-President Nicolas Sarkozy and his predecessor Jacques Chirac
the presidents of the National Assembly and the senate
the prime minister and key members of the cabinet
Eleven French Foreign Legion soldiers carried the coffin
And now Ponticelli's adopted country was bidding farewell to him with military honors and a mass in Saint-Louis Cathedral
Italian by birth and French by choice." Guillaume Kaleff
recited a poem that his ninth-grade class had written in memory of the poilus and their fight for freedom
Flags flew at half-mast on public buildings
and schools and government offices observed a minute of silence
"When we began an assault," Ponticelli used to say
"we promised each other: You must think of me if I die." France has remained true to this promise
and there is no doubt that the country will solemnly reinforce it in the 100th commemorative year of the Great War
In contrast to Germany
France does not treat the war as a remote and de-emotionalized part of history
but as the vivid subject of what historian Nicolas Offenstadt called a "social and cultural practice," or "Activism 14/18." The nation
and at greater risk than ever of falling behind in the competitive struggle of a globalized economy
is turning inward to find refuge and protection
The memory of the last war of the modern age from which France emerged victorious -- and the invocation of those four years in which a united
heroic and self-sacrificing people (at least in the prevailing self-image) passed a test of global history -- provides contemporary France with an excellent source of meaning
It gives the French confidence and support
despite the current economic and political upheavals
And it allows for an ecumenical interpretation of the past
European idealists and nationalists can find common ground
The symbolically exalted poilu serves politicians as a useful point of crystallization and orientation in the reconstruction of an unhappy
suffering national identity that threatens to come apart in the wind gusts of modernity
Both conservative former President Sarkozy and his Socialist successor
saw the 100th anniversary of the beginning of World War I as a welcome opportunity to transfer the national unity
courage and willingness to make sacrifices of the French in 1914 to the present
The virtues of that moment can be tapped again today: solidarity
closing ranks and standing together as one are the recurring buzzwords in a patriotic discourse that appeals to those alive today by honoring past generations
A memory intended to bolster dwindling self-confidence produces a completely different commemorative culture than in Germany
where the culture of remembrance is dominated by what French philosopher Pascal Bruckner calls a "guilt complex." The last presumed German participant in World War I
only three months before Ponticelli's death
It was telling that the German public learned almost nothing about the quiet death of this veteran
who had the same name as a famous German writer
There was no official German reaction to Kästner's death
Americans and French paid more attention to it than did his own countrymen
a research fellow at the German Historical Institute in Paris
the example of the two veterans underscores the "stable asymmetry in perception of the years 1914 to 1918" between the French and the Germans
World War II and the Holocaust are the negative myth of origin of the Federal Republic
one that has largely eliminated World War I from the collective consciousness
"World War I plays no role whatsoever when it comes to the symbolism and self-image of the Federal Republic within Germany's political culture," says Weinrich
The French find this difficult to understand
just as German observers have trouble relating to the idea that
14/18 and the cult surrounding the last poilus have developed into a positive original myth for modern France
in the national collection of symbols of the Fifth Republic
an importance readily comparable with the French Revolution of 1789." Accordingly
the French associate the anniversary year with a historic mission that completely lacks an equivalent moral foundation in Berlin
Europe simply lacks a common memory of the war
Declarations of commitment to European integration and to the Franco-German friendship have long since acquired the tone of ritual
formulaic prayers on both sides of the Rhine
as if officials there aimed to reestablish the Carolingian Empire
No crisis seems capable of breaking the couple apart
and yet the relationship is becoming more and more imbalanced
France is keeping a watchful eye on Germany
fluctuating between expectation and mistrust
runs the risk that its view of neighboring France will freeze into benevolent indifference
The gradual estrangement of Paris and Berlin
accompanied as it may be by constant empty talk of reconciliation
could well be the beginning of the end of the European adventure -- and a betrayal of the legacy of those who gave their lives in World War I
French society imposed on itself the dual obligation that Germany was only willing to accept after 1945: never to forget and never to allow such a catastrophe to happen again
The pacification and unification of Europe was based on this common experience
even though it occurred 30 years later in Germany
was the sad counterpart to Bastille Day on July 14
The two dates mark the "death and resurrection of the nation" -- and of Europe
The many milestones of Franco-German reconciliation -- Robert Schuman's 1951 plan to create the European Coal and Steel Community
the 1963 Elysée Treaty between then-President Charles de Gaulle and then-Chancellor Konrad Adenauer
the handshake between later heads of state
François Mitterand and Helmut Kohl in a graveyard near Verdun in 1984
and Sarkozy's invitation to Chancellor Angela Merkel to visit the Tomb of the Unknown Soldier beneath the Arc de Triomphe in Paris on Nov
in keeping with the utopia of poet Charles Péguy
shortly before he was killed at the front in September 1914: "I am going to battle for general disarmament
roughly 36,000 "monuments aux morts," or monuments to the fallen
the architecture of these monuments expressed the will of the surviving and returning soldiers to honor the victims and not to glorify the victors
In addition to mourning the 1.4 million dead
the French were faced with the need to reintegrate the 4.3 million wounded into society
When the 537,000 prisoners of war and those missing in action are added to the total
the French military lost 78 percent of the roughly 8 million who had been conscripted (compared with 56 percent in Germany)
France had only one main enemy on one front
why did the Allies suffer significantly greater losses on the Western Front than the Germans
remained superior to the French and the British in the art of killing
which was supposedly in excellent shape at the beginning of the war
lose about 230,000 soldiers in the first three months
more than in any other time period after that
an average of 900 Frenchmen were killed every day
the French army experienced a disaster of historic proportions
In a series of battles near the town of Rossignol in the Belgian Ardennes Mountains
27,000 French soldiers were killed in a single day
four times as many as at the Battle of Waterloo a century earlier
in both the past and the future of the country's long military history
The disastrous beginning of the war in the late summer of 1914
which almost led France to defeat within a few weeks
raised questions that were eventually addressed
by a parliamentary investigation committee in the summer of 1919
despite the smooth mobilization of French forces
the enemy could penetrate so deeply into the country
that the frontline stretched across French territory until the end
Why were the ore mines of Briey in Lorraine
in eastern and northern France became embroiled in the war and were fully or partially occupied by the Germans
They include the center of French heavy industry
which was the equivalent of Germany's industrial Ruhr region
The members of the investigative committee failed to reach any clear conclusions
A ruthless investigation would have been politically inopportune
because it would have painted the nation's new heroes after the victory
especially the supreme commander in the first postwar years
the committee would have had to investigate the myth that
France was waging a purely defensive war and that
the struggle to defend the nation was deeply just
and that the horrible sacrifices also had to be accepted as being justified
an intelligent but arrogant and suspicious officer who kept his commanders on a short leash
he was chiefly motivated by a position: to attack at all costs
everywhere and wherever French troops encountered the enemy
as Joffre's first order to all army commanders on Aug
to seek to bring the enemy to decisive battle."
The French leadership had not sought or even wanted war
it would be "offensive to the extreme" ("offensive à outrance")
in keeping with the theories Colonel Louis de Grandmaison had devised in 1906
These notions stemmed from the conviction that modern weapons technology and the mobilization of large-scale armies made a quick decision imperative
The Germans and the French alike believed that a lengthy war of attrition could not be sustained
The new "Plan XVII," which Joffre developed between April 1913 and April 1914
envisioned swift and massive attacks on territory in Alsace and Lorraine that had been lost in 1871
The goal was to wrest control of the former départements on the Mosel and Rhine Rivers
The general mobilization that was decided on Aug
two days before the German declaration of war
constituted a critical moment of uncertainty for then President Raymond Poincaré and Prime Minister René Viviani
a nationalist student had shot and killed the Socialist leader Jean Jaurès through the open window of a restaurant on Rue Montmartre in Paris
a powerful leader of the leftist peace movement
had been having dinner with a few of his supporters
in a sense a French version of the assassination of Austro-Hungarian Archduke Franz Ferdinand in Sarajevo
calls for strikes by trade unions and a blockade of the railroads
The authorities had placed 2,481 suspicious persons on a blacklist known as Carnet B
who were to be arrested in the event of an emergency
But despite the dismay over the Jaurès killing
calm prevailed in the otherwise nervous capital
The French proletariat did its patriotic duty and obeyed the call to arms
trade union leader Léon Jouhaux solemnly promised that the workers would respond vigorously to the mobilization by reporting to duty
The French concentration of troops progressed in good order
Some 800,000 active-duty soldiers and close to 1.3 million reservists advanced to their positions along the northern and eastern borders
4,278 trains transported the bulk of the army to the train stations in Sedan
The armed forces requisitioned more than 600,000 horses and mules
the navy began bringing in colonial troops from Algeria and Tunisia
France had increased compulsory military service from two to three years
in an effort to offset Germany's numerical superiority
In a speech to the Chamber of Deputies on Aug
President Poincaré invoked the "union sacrée," or sacred union
denominations and classes in sacred unity to defend the nation -- no small matter in a deeply divided republic
which had only introduced the separation of church and state in 1905
following a bitter culture war with the Catholic Church
The internal truce lasted almost the entire war
politicians retained their primacy over the military leadership
it only became stronger during the course of the war
because of his unsuccessful and losing strategy
the real father of victory was not a military leader but a politician
the combative republican Georges Clemenceau
became prime minister and war minister in November 1917
and he subsequently led the peace negotiations in Versailles -- a sort of French response to Bismarck's unification of the German Empire at Versaille in 1871
which began in 1919 as a result of Clemenceau's efforts
was intended to provide France with a security guarantee
it only poisoned relations between the two countries for years to come
the war could have ended with France's total defeat in mid-September 1914
even more quickly than the German general staff had planned (and as it succeeded in doing in 1940)
The attacks in Alsace and Lorraine ordered by Joffre failed
and after the fall of the Belgian city of Liège on Aug
in forced marches of up to 30 kilometers (19 miles) a day
hurried through Belgium and toward the French border
two German armies encountered the French Fifth Army
which was advancing in the direction of Namur
Should he defend at all costs the Charleroi-Namur line
no supporter of the prevailing offensive doctrine
recognized the danger of being encircled by the Germans along his left and right flanks
he beat a retreat with the entire Fifth Army
Some of the officers on his staff were outraged over his trepidation
because Lanrezac's decision also forced the majority of the French troops
together with the British Expeditionary Force
to retreat along the entire length of the front
What no one recognized was that what appeared to be a shameful defeat actually contributed to the French being saved from the trap of the Schlieffen plan
the German armies threatened to topple Paris
The French government withdrew to Bordeaux (as it had done before in 1871
City commandant Joseph Gallieni prepared for a siege of the French capital
which was still a fortified city of strongholds
He even planned to blow up the Eiffel Tower and the bridges over the Seine River
released his defensive forces for a counterattack
and the "taxis de la Marne" went down in history
assembled two new armies and recognized the opportunity to penetrate into a breach that had formed between Kluck's First and Second Armies
along a front extending for more than 100 kilometers
He also ordered the fortification of new positions on the banks of the Aisne River
a decision that marked a turning point on the Western Front
when position warfare in the trenches began
From the fall of 1914 to the spring of 1917 -- in fact
until the last German offensive in March 1918 -- the front
stretching 750 kilometers from Ypern in Flanders to Mulhouse in Alsace
It never bulged by more than 20 to 30 kilometers in either direction
All advances (under Joffre in the Artois and Champagne in 1915
and under Nivelle along the Chemin des Dames ridge in 1917) failed
causing immense losses while yielding strategically insignificant gains in territory
The marshals and generals have been consigned to history
The culture of the victim has replaced hero worship
consternation and a morbid fascination with the horrors of the war
The Great War formed the culmination of a catastrophic sequence from 1870 to 1940
tying France and Germany together as archenemies in a mimetic love-hate relationship
chairman of the academic advisory council for the commemorative ceremonies
sees this as the most important change brought about by 1914/18: The absolute sovereignty of the nation-states
the greatest expression and terrible culmination of which was the war
could have been laid to rest at the Panthéon in Paris
the mausoleum to the great figures of the fatherland
He rejected the honor and chose to be buried in his family plot instead
his only memories were of his dead comrades
"I cannot forget them," he would tell the visitors who were to record his testimony and legacy for posterity
The passionate commemoration of World War I is a vital element of France's contemporary national cohesion
But before a momentous turning point in August 1914
the country looked to be on the brink of defeat
This photo shows French soldiers moving into attack from their trench during the Battle of Verdun in eastern France in 1916
which cost hundreds of thousands of French and German lives
heroic and self-sacrificing people (at least in the prevailing self-image) passed a test of global history -- provides contemporary France with an excellent source of meaning amidst the current economic and political upheavals
an Allied gun crew fires against German forces on the Western Front in 1918
French Legionnaires carry the casket of Lazare Ponticelli
the last recognized veteran of World War I in France
during a funeral ceremony at the Les Invalides complex in Paris on March 17
The funeral mass was broadcast on live television and attended by some of the country's highest ranking leaders: then-President Nicolas Sarkozy and his predecessor Jacques Chirac
So many of the milestones of Franco-German reconciliation lead back to the First World War
former French President François Mitterand (left) is seen with German Chancellor Helmut Kohl at a ceremony in Verdun
the site of a major World War I battle with mass casualties on both sides
The 1984 meeting there is viewed today as a symbolic moment of reconciliation between the countries
French soldiers inspect equipment captured from German forces during the Battle of the Marne of September 1914
known in France as the "Miracle of the Marne," was a dramatic turning point in the war
French and British soldiers halted the German advance across Europe
but at the cost of some 250,000 casualties
representing 15,000 women annually in France
They represent the development of the egg outside the uterus which can endanger the woman’s life in the absence of medical intervention
mortality linked to an ectopic pregnancy remains the exception; doctors are therefore interested in preserving subsequent fertility and thus the possibility for the women in question to become pregnant again
researchers in the Inserm “Epidemiology of reproduction and infant development” team (Unit 1018 at the “Centre for Research in Epidemiology and Population Health”) compared all of the existing treatments for ectopic pregnancy with respect to their impact on natural fertility during the subsequent two years
The conclusions of the study reproduced in the journal Human Reproduction indicate that the ability to have a normal pregnancy after an ectopic pregnancy (subsequent fertility) is not linked to the type of treatment
especially the conservation of the Fallopian tube in which the pregnancy was implanted
©Fotolia
an ectopic pregnancy is implanted in a Fallopian tube
The treatment consists in interrupting the growth of the egg and removing it
– Medical treatment by injection (intramuscular or directly into the tube) of methotrexate which destroys the egg and eliminates the ectopic pregnancy without damaging the tube
– A so-called “conservational” surgical treatment in which the tube is incised to remove the egg
– A so called “radical” surgical treatment in which the tube is removed with the egg
Each of these treatments successfully eliminates the ectopic pregnancy
the woman’s life is hardly ever in danger in developed countries
The objective of doctors is thus the preservation of the woman’s subsequent fertility
Depending on the gravity and urgency of the case
so-called inactive ectopic pregnancies for which medical or surgical treatment may be decided
so-called active ectopic pregnancies for which surgical treatment is necessary which may be conservational or radical
For the first time in a single therapeutic trial
the Inserm researchers compared the fertility of women two years after the various treatments
the researchers included women presenting with an ectopic pregnancy that was treated in the 17 French centres that took part in the study between 2005 and 2009
Just over 400 women were divided into two groups depending on the activeness (and seriousness) of the ectopic pregnancy
one of two possible treatments were selected through drawing lots and the women were then monitored for two years
70% of the women who wanted to become pregnant again were able to achieve an intra-uterine pregnancy after conservation surgery and 64% after radical surgical treatment.For the researchers
the results of this trial are an invitation to gynæcologists to reconsider the treatment they offer for ectopic pregnancies
taking account of the various factors governing subsequent fertility
the length of follow-up after treatment and patient preference as well as the risks inherent in each of the treatments
“medical treatment should be prioritised in the case of an inactive ectopic pregnancy due on the one hand to patient preference but also to the lesser risk especially thanks to the absence of anæsthesia and surgery
however of the absence of difference regarding subsequent fertility
surgical treatment should be offered initially to women who
might not to stick to the treatment (supervision after medical treatment can be extended for several weeks)”
“In the case of ectopic pregnancies that require surgical treatment
doctors can reassure women that even radical surgery will not alter their chances of subsequently having a natural pregnancy”
In order to understand its genetic causes and biological mechanisms
a new international study led by Inserm Research Director Nabila Bouatia-Naji at the Paris-Cardiovascular Research Center - PARCC (Inserm/Université...
Human cognitive biases can particularly affect decision-making when speed is of the essence
such as when lives are at stake in a medical emergency