Jean Monnet University

About: Jean Monnet University is a education organization based out in Saint-Etienne, France. It is known for research contribution in the topics: Population & Laser. The organization has 2380 authors who have published 3728 publications receiving 72892 citations. The organization is also known as: Université Jean Monnet & University Jean Monnet.

The 2005 International Society of Urological Pathology (ISUP) consensus conference on Gleason grading of prostatic carcinoma

Abstract: Five years after the last prostatic carcinoma grading consensus conference of the International Society of Urological Pathology (ISUP), accrual of new data and modification of clinical practice require an update of current pathologic grading guidelines. This manuscript summarizes the proceedings of the ISUP consensus meeting for grading of prostatic carcinoma held in September 2019, in Nice, France. Topics brought to consensus included the following: (1) approaches to reporting of Gleason patterns 4 and 5 quantities, and minor/tertiary patterns, (2) an agreement to report the presence of invasive cribriform carcinoma, (3) an agreement to incorporate intraductal carcinoma into grading, and (4) individual versus aggregate grading of systematic and multiparametric magnetic resonance imaging-targeted biopsies. Finally, developments in the field of artificial intelligence in the grading of prostatic carcinoma and future research perspectives were discussed.

Global Survey of Corneal Transplantation and Eye Banking

Abstract: Importance Corneal transplantation restores visual function when visual impairment caused by a corneal disease becomes too severe. It is considered the world’s most frequent type of transplantation, but, to our knowledge, there are no exhaustive data allowing measurement of supply and demand, although such data are essential in defining local, national, and global strategies to fight corneal blindness. Objective To describe the worldwide situation of corneal transplantation supply and demand. Design, Setting, and Participants Data were collected between August 2012 and August 2013 from a systematic review of published literature in parallel with national and international reports on corneal transplantation and eye banking. In a second step, eye bank staff and/or corneal surgeons were interviewed on their local activities. Interviews were performed during international ophthalmology or eye-banking congresses or by telephone or email. Countries’ national supply/demand status was classified using a 7-grade system. Data were collected from 148 countries. Main Outcomes and Measures Corneal transplantation and corneal procurements per capita in each country. Results In 2012, we identified 184 576 corneal transplants performed in 116 countries. These were procured from 283 530 corneas and stored in 742 eye banks. The top indications were Fuchs dystrophy (39% of all corneal transplants performed), a primary corneal edema mostly affecting elderly individuals; keratoconus (27%), a corneal disease that slowly deforms the cornea in young people; and sequellae of infectious keratitis (20%). The United States, with 199.10 −6 corneal transplants per capita, had the highest transplantation rate, followed by Lebanon (122.10 −6 ) and Canada (117.10 −6 ), while the median of the 116 transplanting countries was 19.10 −6 . Corneas were procured in only 82 countries. Only the United States and Sri Lanka exported large numbers of donor corneas. About 53% of the world’s population had no access to corneal transplantation. Conclusions and Relevance Our survey globally quantified the considerable shortage of corneal graft tissue, with only 1 cornea available for 70 needed. Efforts to encourage cornea donation must continue in all countries, but it is also essential to develop alternative and/or complementary solutions, such as corneal bioengineering.

Endarterectomy Versus Angioplasty in Patients with Symptomatic Severe Carotid Stenosis (EVA-3S) trial: results up to 4 years from a randomised, multicentre trial.

Abstract: Summary Background Carotid stenting is a potential alternative to carotid endarterectomy but whether this technique is as safe as surgery and whether the long-term protection against stroke is similar to that of surgery are unclear. We previously reported that in patients in the Endarterectomy Versus Angioplasty in Patients with Symptomatic Severe Carotid Stenosis (EVA-3S) trial, the rate of any stroke or death within 30 days after the procedure was higher with stenting than with endarterectomy. We now report the results up to 4 years. Methods In this follow-up study of a multicentre, randomised, open, assessor-blinded, non-inferiority trial, we compared outcome after stenting with outcome after endarterectomy in 527 patients who had carotid stenosis of at least 60% that had recently become symptomatic. The primary endpoint of the EVA-3S trial was the rate of any periprocedural stroke or death (ie, within 30 days after the procedure). The prespecified main secondary endpoint was a composite of any periprocedural stroke or death and any non-procedural ipsilateral stroke during up to 4 years of follow-up. Other trial outcomes were any stroke or periprocedural death, any stroke or death, and the above endpoints restricted to disabling or fatal strokes. This trial is registered with ClinicalTrials.gov, number NCT00190398. Findings 262 patients were randomly assigned to endarterectomy and 265 to stenting. The cumulative probability of periprocedural stroke or death and non-procedural ipsilateral stroke after 4 years of follow-up was higher with stenting than with endarterectomy (11·1% vs 6·2%, hazard ratio [HR] 1·97, 95% CI 1·06–3·67; p=0·03). The HR for periprocedural disabling stroke or death and non-procedural fatal or disabling ipsilateral stroke was 2·00 (0·75–5·33; p=0·17). A hazard function analysis showed the 4-year differences in the cumulative probabilities of outcomes between stenting and endarterectomy were largely accounted for by the higher periprocedural (within 30 days of the procedure) risk of stenting compared with endarterectomy. After the periprocedural period, the risk of ipsilateral stroke was low and similar in both treatment groups. For any stroke or periprocedural death, the HR was 1·77 (1·03–3·02; p=0·04). For any stroke or death, the HR was 1·39 (0·96–2·00; p=0·08). Interpretation The results of this study suggest that carotid stenting is as effective as carotid endarterectomy for middle-term prevention of ipsilateral stroke, but the safety of carotid stenting needs to be improved before it can be used as an alternative to carotid endarterectomy in patients with symptomatic carotid stenosis. Funding French Ministry of Health.

The lithospheric architecture of Africa: Seismic tomography, mantle petrology, and tectonic evolution

Abstract: We present a new analysis of the lithospheric architecture of Africa, and its evolution from ca. 3.6 Ga to the present. Upper-lithosphere domains , generated or reworked in different time periods, have been delineated by integrating regional tectonics and geochronology with geophysical data (magnetic, gravity, and seismic). The origins and evolution of lower-lithosphere domains are interpreted from a high-resolution global shear-wave tomographic model, using thermal/compositional modeling and xenolith/xenocryst data from volcanic rocks. These data are integrated to map the distribution of ancient highly depleted subcontinental lithospheric mantle (SCLM), zones of younger or strongly modified SCLM and zones of active mantle upwelling, and to relate these to the evolution of the upper lithosphere domains. The lithospheric architecture of Africa consists of several Archean cratons and smaller cratonic fragments, stitched together and flanked by younger fold belts; the continental assembly as we see it has only existed since lower Paleozoic time. The larger cratons are underlain by geochemically depleted, rigid, and mechanically robust SCLM; these cratonic roots have steep sides, extending in some cases to ≥300-km depth. Beneath smaller cratons (e.g., Kaapvaal) extensive refertilization has reduced the lateral and vertical extent of strongly depleted SCLM. Some cratonic roots extend ≥300 km into the Atlantic Ocean, suggesting that the upper lithosphere may detach during continental breakup, leaving fragments of SCLM scattered in the ocean basin. The cratonic margins, and some intracratonic domain boundaries, have played a major role in the tectonics of Africa. They have repeatedly focused ascending magmas, leading to refertilization and weakening of the SCLM. These boundaries have localized successive cycles of extension, rifting, and renewed accretion; the ongoing development of the East Africa Rift and its branches is only the latest stage in this process. The less depleted SCLM that underlies some accretionary belts may have been generated in Archean time, and repeatedly refertilized by the passage of magmas during younger tectonic events. Our analysis indicates that originally Archean SCLM is far more extensive beneath Africa than previously recognized, and implies that post-Archean SCLM rarely survives the collision/accretion process. Where continental crust and SCLM have remained connected, there is a strong linkage between the tectonic evolution of the crust and the composition and modification of its underlying SCLM.