Early and long-standing rheumatoid arthritis: distinct molecular signatures identified by gene-expression profiling in synovia

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Incidence des cancers de l'enfant en Bretagne entre 1991 et 2005. [Childhood cancer incidence in French Brittany, 1991-2005.]

International audienceBACKGROUND: The aim of this study was to describe childhood cancer incidence in French Brittany from 1991 to 2005, as well as its temporal and geographical variations. METHODS: Childhood cancer incidence was analyzed from the data from the Brittany child tumor registry. Crude rates, world age standardized rates and cumulative rates were estimated for all cancers and for each diagnosis group. Standardized rates were also estimated for each of the four Brittany districts. Poisson regressions were performed to estimate trends in annual rates and to compare incidence rates between 2000-2005 and 1991-1999 periods, and between districts. RESULTS: Between 1991 and 2005, 1176 incident cancer cases were recorded in children younger than 15. Age standardized incidence was 169.5 cases per million of children per year. The most frequent cancers were leukemia (30%), central nervous system tumors (24%), lymphomas (12%) and neuroblastomas (8%). For the period 1991-2005 in Brittany, the risk of cancer diagnosis among children aged less than 15years was 1/459. No significant increase trend was observed over the 1991-2005 period. There was however a significant or close to significant increase in incidence for lymphomas (RR: 1.38 [95%CI: 1.00-1.93]) and central nervous system tumors (RR: 1.24 [95%CI: 0.99-1.56]) between the 1991-1999 and 2000-2005 periods. A significant decrease trend was observed for renal tumors over the 1991-2005 period (Estimated Annual Percent Change=-7.6%, P=0.02). There was no significant difference of incidence between the four districts of the region. CONCLUSION: For the period studied, childhood cancer incidence in French Brittany was lightly higher than for the whole country. Although increases in lymphomas and central nervous system tumors coincided with increasing use of a standardised data collection system for medical information, the data collected provided no evidence in favor of more complete data collection following implementation of the system

Register-based incidence of multiple sclerosis in Brittany (north-western France), 2000-2001.

International audienceObjectives – To report on multiple sclerosis (MS) incidence in Brittany, north-western France. Materials & Methods – From 2000, we set up a population-based register for patients presenting a putative incident MS (PIMS), that is first symptoms compatible with MS onset. We used 3 medical sources of case ascertainment (neurologists, CSF, regional MS-Clinic). Eligibility criteria required both clinical onset and being permanent resident of Brittany in 2000 or 2001. From 2010, all medical records were tracked, the 10-year follow-up allowing previously reported data to be updated. Results – Of 313 eligible PIMS, there were 208 definite MS (both McDonald and Poser criteria), 41 CIS-probable MS (Poser criteria), 32 CIS-possible MS and 32 non-MS. Our incident cohort of 249 MS cases with definite/ probable MS (sex ratio 2.95) gave a crude annual incidence of 4.28 per 100,000 inhabitants (6.22 for women, 2.23 for men), and age-standardized rates (adjustment to the European population) of 4.41 [3.32–5.51], 6.68 [4.75–8.60], and 2.21 [1.12–3.31], respectively. Age-specific rates by gender and initial course showed that attack onset MS peaked at 25–29 years and progressive onset MS at 40–44 years in women (20–24 years and 45–49 years in men, respectively). Conclusions – Brittany is confirmed a high-risk region for MS. Our data show marked differences in sex-specific pattern of MS incidence by clinical course and point out 25-to 29-year-old women as having the highest MS risk. While temporal variations cannot be excluded, comparison with overall French data suggests that other factors rather than latitude may influence the MS risk in France

Survival of adolescents with cancer treated at pediatric versus adult oncology treatment centers in France

International audienceBackground: In France, although children aged less than 15 years with cancer are usually referred to pediatric oncology centers, adolescents may be treated at pediatric or adult oncology centers. The objective was to compare survival according to their site of treatment.Procedure: Using population-based registration, 15- to 19-year-old patients diagnosed with cancer in 2006 or 2007 and living in six French regions (accounting for 41% of the French population) were included.Results: Of the 594 patients included, 33% of the French adolescents were treated at a pediatric oncology center. Compared with those treated at a pediatric center, adolescents treated at an adult center were older, were more likely to have carcinoma and germ-cell tumor, had a longer time to diagnosis, and were less likely to be enrolled in a clinical trial. In addition, the decisions for their management were less likely to be taken in the context of multidisciplinary team meetings. In multivariate analysis, adolescent patients treated at a pediatric center did not have significantly different overall survival (OS) compared with those treated at an adult center (5-year OS: 84.1% [95% confidence interval: 78.6-90.0] versus 87.7% [95% confidence interval: 84.2-91.3]; P = 0.25).Conclusions: The outcomes of French adolescents with cancer have begun to improve, with 81.2% survival in 2006-2007, with no difference between the types of treatment center. However, for this unique group of diseases, survival is not the unique endpoint. In order to ensure good quality of life after cancer, management of those patients requires specific approaches, designed to reduce the late effects of cancer treatment and improve supportive care

Improved EIS Analysis of the Electrochemical Behaviour of Carbon Steel in Alkaline Solution

International audienceSteady-state polarization curves, X-ray photoelectron spectroscopy, and impedance spectroscopy were used to explore the electrochemical properties for carbon steel in alkaline electrolytes. The complex-capacitance representation allowed determination of a capacitance value at high frequency, from which the oxide film thickness could be estimated. These results are in good agreement with values obtained using the power-law model, providing a single mathematical model that is shown to apply in both the anodic and cathodic domains for the characterization of an oxide layer

Imaging of a Thin Oxide Film Formation from the Combination of Surface Reflectivity and Electrochemical Methods.

International audienceElectrochemical methods (cyclic voltammetry (CV), potential steps, and electrochemical impedance spectroscopy) were successfully combined with in situ reflectometry measurements for a detailed analysis of the passive layer evolution as a function of the electrode potential. Interestingly, both EIS and surface reflectivity allowed a film thickness in the nanometer range to be readily determined. In addition, transient analyses of the reflectivity simultaneously recorded with CVs show the formation of both Fe2O3 and Fe3O4 oxides. The image analysis showed that the steel surface reactivity is heterogeneous and presents micrometric islands coated with a thicker oxide layer than the surrounding surface. The in situ combination of these techniques thus offers a powerful analytical description of the interface on a local scale and its transient response to a perturbation

Mo1806 Natural History of Perianal Crohn's Disease: Long-Term Follow-Up on a Population-Based Cohort

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[2]Rotaxanes featuring minimal helical axles

α,ω-Stoppered perfluorous domains act as rigid and chiral linear helical elements in rotaxane constructs. Dynamic NMR shows modified ring dynamics over 4–orders of magnitude compared to hydrocarbon analogues, while vibrational-CD shows stopper-induced preferential axle chirality