76 results match your criteria: "Caen-Normandy University[Affiliation]"

Objective: The objective of this study was to analyse the association between body composition and changes in health-related quality of life (HRQoL) of patients followed for hip and knee osteoarthritis (OA).

Methods: Longitudinal data from the Knee and Hip OsteoArthritis Long-term Assessments (KHOALA) cohort, a multicentre cohort of 878 patients with symptomatic knee and/or hip OA, were used. The main outcome criteria were changes in patient-reported outcomes measures, the Study Short Form-36 (physical functioning, pain, mental health and vitality) and the OsteoArthritis Knee and Hip Quality Of Life (OAKHQOL)(physical activity, pain and mental health).

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Epidemiology of stroke in France.

Arch Cardiovasc Dis

December 2024

Santé Publique France, 94410 Saint-Maurice, France.

Article Synopsis
  • The study reviews the management and outcomes of stroke cases in France, revealing significant data from the year 2022 after nearly a decade of a national stroke plan.
  • In total, 122,422 adults were hospitalized for stroke, with stark variations in care based on geographic and socioeconomic factors, and low rates of advanced treatments like mechanical thrombectomy.
  • The findings indicate high mortality rates within a year post-stroke and call for improved prevention strategies, better public awareness of stroke symptoms, and enhanced accessibility to stroke care services.
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Objectives: Limited information is available on the safety of a rechallenge with an immune checkpoint inhibitor (ICI) after occurrence of an immune-related adverse event (irAE). We aim to identify potential emergent safety signals.

Design: This is an update of our observational pharmacovigilance cohort study.

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Introduction: The rising incidence of renal cell carcinoma (RCC) is a significant concern in cancer research. This study analyses the characteristics of RCC patients based on their socio-professional category and explores the role of chlorinated solvents as a risk factor.

Materials And Methods: A multicentre, descriptive epidemiological study was conducted using the UroCCR database.

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Background: Determining which patients with ARDS are most likely to benefit from lung recruitment maneuvers is challenging for physicians. The aim of this study was to assess whether the single-breath simplified decremental PEEP maneuver, which evaluates potential lung recruitment, may predict a subject's response to lung recruitment maneuvers, followed by PEEP titration.

Methods: We conducted a pilot prospective single-center cohort study with a 3-step protocol that defined sequential measurements.

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Avoidable general anesthesia for nonobstetric surgery during pregnancy: A retrospective cohort pilot study (2011-2020).

Int J Obstet Anesth

September 2024

Department of Pediatric and Obstetrical Anesthesia and Critical Care, Hôpital Universitaire Necker Enfants Malades, 149, Rue de Sèvres, 75015, Paris, France; UPR 7323 "Pharmacologie et évaluation des thérapeutiques chez l'enfant et la femme enceinte", Université Paris Cité, 75006 Paris, France.

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Article Synopsis
  • The study investigates whether ibrutinib-related atrial fibrillation (IRAF) is linked to the dosage of ibrutinib, and if IRAF cases should lead to dosage adjustments or discontinuation of the drug.
  • Researchers analyzed data from the World Health Organization's VigiBase® pharmacovigilance database, focusing on 1,162 IRAF cases and various dosing regimens of ibrutinib (ranging from 140 mg/day to over 560 mg/day).
  • Results indicated that there was no significant association between the reported IRAF cases and the dosage of ibrutinib (p=0.09), suggesting IRAF is not a dose-dependent adverse drug reaction.
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Article Synopsis
  • The modified Mallampati classification is used to assess the risk of airway complications before surgery, but there may be inconsistencies in how it's evaluated, affecting its diagnostic accuracy.
  • In a study involving adult patients, researchers compared the traditional modified Mallampati score with a newer "best visible" score to predict difficult intubations, finding that the best visible score had lower sensitivity but higher specificity.
  • The results suggest that the best visible Mallampati score may misclassify many patients at risk for difficult intubation, highlighting the need for caution in using it as a predictor compared to the modified version.
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Background: The purpose of this study was to evaluate and compare the clinical and structural outcomes after arthroscopic repair of isolated supraspinatus tears in patients older than 70 years vs. patients younger than 50 years to determine whether age influences the treatment of these tears.

Methods: We conducted a retrospective, comparative study of 87 shoulders of 86 patients older than 70 years who underwent rotator cuff repair after isolated full-thickness supraspinatus tear between January 2010 and December 2020.

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Lower extremity peripheral artery disease (PAD) often results from atherosclerosis, and is highly prevalent in patients with type 2 diabetes mellitus (T2DM). Individuals with T2DM exhibit a more severe manifestation and a more distal distribution of PAD compared to those without diabetes, adding complexity to the therapeutic management of PAD in this particular patient population. Indeed, the management of PAD in patients with T2DM requires a multidisciplinary and individualized approach that addresses both the systemic effects of diabetes and the specific vascular complications of PAD.

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Article Synopsis
  • Immune-checkpoint inhibitors (ICIs) can lead to serious heart issues like myocarditis, which can also involve broader muscle-related symptoms, highlighting the need for understanding associated risks.
  • A study conducted across 17 countries from 2014 to 2023 examined data from 748 patients to identify factors that predict severe outcomes related to these heart complications, using a statistical model for analysis.
  • Key findings indicated that certain conditions (like active thymoma) and symptoms (like low heart function) significantly increased the risk of severe heart-related events, and a risk score created from these factors effectively predicted outcomes, validated in multiple cohorts.
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Article Synopsis
  • Simulation-based education in healthcare utilizes realistic clinical scenarios for effective learning, and the SoFraSimS has created guidelines to enhance scenario design for various simulation types.
  • A literature review and expert input led to the identification of key criteria for creating effective simulation scenarios across modalities.
  • The resulting templates consist of five sections that structure scenario context, learning objectives, preparation needs, simulation analysis, and post-simulation improvements to maximize educational outcomes.*
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Chronic subdural hematomas (CSDH) are increasingly prevalent, especially among the elderly. Surgical intervention is essential in most cases. However, the choice of surgical technique, either craniotomy or burr-hole opening, remains a subject of debate.

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Posttraumatic stress disorder (PTSD) is a significant public health concern, with only a third of patients recovering within a year of treatment. While PTSD often disrupts the sense of body ownership and sense of agency (SA), attention to the SA in trauma has been lacking. This perspective paper explores the loss of the SA in PTSD and its relevance in the development of symptoms.

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Article Synopsis
  • This study reviews the risk of arterial hypertension in patients using poly (ADP-ribose) polymerase inhibitors (PARPi) based on data from randomized controlled trials (RCTs).
  • In analyzing 41 RCTs with over 15,000 patients, it was found that while olaparib was associated with a lower hypertension risk compared to placebo, niraparib significantly increased the risk of hypertension. The incidence was reported at about 19.87%.
  • The findings highlight the importance of monitoring for hypertension when using niraparib to ensure the therapeutic benefits are maintained, especially given that 66% of hypertension cases in real life were serious.
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Pharmacokinetics and pharmacodynamics of antibody-drug conjugates for the treatment of patients with breast cancer.

Expert Opin Drug Metab Toxicol

March 2024

Academic Trials Promoting Team (ATPT), Institut Jules Bordet, Hôpital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (U.L.B), Brussels, Belgium.

Introduction: Currently three antibody-drug-conjugates (ADC) are approved by the European Medicines Agency (EMA) for treatment of breast cancer (BC) patient: trastuzumab-emtansine, trastuzumab-deruxtecan and sacituzumab-govitecan. ADC are composed of a monoclonal antibody (mAb) targeting a specific antigen, a cytotoxic payload and a linker. Pharmacokinetics (PK) and pharmacodynamics (PD) distinguish ADC from conventional chemotherapy and must be understood by clinicians.

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Purpose: Intraoperative alveolar recruitment maneuvers (ARM) used during protective ventilation strategy may have severe adverse hemodynamic effects, reported mainly during abrupt continuous positive airway pressure (CPAP). Stepwise increase and decrease in positive end expiratory pressure (PEEP) may be used. We compared the hemodynamic effects of these two maneuvers.

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Article Synopsis
  • - Autism spectrum disorder (ASD) is marked by challenges in social communication and repetitive behaviors, with maternal immune activation (MIA) during mid-pregnancy identified as a risk factor, affecting about 15% of those with ASD.
  • - This study hypothesized that individuals with ASD who experienced MIA would show greater socio-adaptive impairments compared to those without, analyzing data from 295 mother-child pairs, with findings indicating more severe socialization difficulties in the ASD-MIA group.
  • - Limitations of the study include its retrospective nature and a relatively small sample size, underscoring the need for larger prospective studies to explore the specific biological mechanisms behind the socio-adaptive challenges in ASD-MIA individuals.
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Introduction: Polypharmacy can lead to drug-drug interactions (DDIs), especially with ART. The burden of co-medications, including over-the-counter (OTC) drugs and self-medications, could be underestimated. We aimed to investigate the proportion of people living with HIV (PLHIV) with declared and undeclared co-medications, as well as their potential burden.

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Evaluation of quality of care in neonatal anesthesia using a bundle of intraoperative parameters.

Paediatr Anaesth

October 2023

Department of Pediatric Anesthesia and Intensive Care, Necker-Enfants Malades University Hospital, AP-HP, Centre-Université de Paris, Paris, France.

Background: Maintenance of physiological homeostasis is key in the safe conduct of pediatric anesthesia. Achieving this goal is especially difficult in neonatal surgery.

Aims: The first aim was to document the absolute number of seven intraoperative parameters monitored during anesthesia in neonates undergoing gastroschisis surgery.

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Comparison of Injuries Associated With Electric Scooters, Motorbikes, and Bicycles in France, 2019-2022.

JAMA Netw Open

June 2023

Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique; AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, site Pitié-Salpêtrière, Département d'Anesthésie Réanimation, F-75013 Paris, France.

Importance: Electric scooter (e-scooter) use is increasing in France and in many urban environments worldwide. Yet little is known about injuries associated with use of e-scooters.

Objective: To describe characteristics and outcomes of major trauma involving e-scooters.

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