649 results match your criteria: "Centre hospitalier universitaire d'Angers[Affiliation]"

Background: There is a lack of published data on real-world cabozantinib use in patients with advanced renal cell carcinoma after prior vascular endothelial growth factor (VEGF)-targeted therapy.

Methods: CASSIOPE was a real-world, prospective, multicenter, non-interventional postauthorization safety study of cabozantinib in adult patients with advanced renal cell carcinoma in Europe following prior VEGF-targeted treatment (NCT03419572). Endpoints included cabozantinib utilization (dose modifications due to adverse events [AEs; primary endpoint], dose, dose modifications, and treatment duration), safety, effectiveness (progression-free survival [PFS], overall survival [OS], best overall response [BOR]), and healthcare resource utilization.

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Hairy cell proliferations represent very different entities. They include hairy cell leukemia in its classic form (HCL), a well-defined entity, but also the variant form of HCL (LT-V ou HCL-V), whose presentation is far from HCL and whose prognosis is poorer. Other hairy cell proliferations include splenic red pulp lymphoma (SDRPL) and splenic marginal zone lymphomas (SMZL) with circulating villous cells.

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Primary central nervous system lymphoma of the spinal cord: A LOC network cohort study.

Rev Neurol (Paris)

December 2024

Service de neuro-oncologie, hôpital Pitié-Salpêtrière, IHU, ICM, Sorbonne université, AP-HP, 72, boulevard de la Villette, 75019 Paris, France.

Purpose: Primary central nervous system lymphoma (PCNSL) mainly affects the brain (>90% cases); there are very little data pertaining to PCNSL involving the spinal cord.

Methods: We retrospectively selected from the French LOC network database adult immunocompetent patients diagnosed with PCNSL involving the spinal cord between 2011 and 2022.

Results: Of the 2043 patients records retrieved from the database, 16 patients (median age: 62.

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A new generation of non-invasive tests of liver fibrosis with improved accuracy in MASLD.

J Hepatol

December 2024

Service d'Hépato-Gastroentérologie et Oncologie Digestive, Centre Hospitalier Universitaire d'Angers, Angers, France; Laboratoire HIFIH, UPRES EA3859, SFR 4208, Université d'Angers, Angers, France.

Background & Aims: The accuracy of non-invasive tests (NITs) should be ≥80% (EASL recommendation). We aimed to compare the accuracies of the recommended NITs for advanced fibrosis in MASLD and improve NIT accuracy.

Methods: 1051 MASLD patients were allocated to derivation (n=637) and validation (n=414) sets.

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Introduction: Iron deficiency, with or without anaemia, is common during the peri-operative period. It has been hypothesised that pre-operative iron deficiency is associated with an increased incidence of postoperative infection. We designed the CARIPO prospective observational study to assess the incidence of postoperative infection in patients with and without iron deficiency undergoing a variety of major surgeries.

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Hereditary optic neuropathies, including dominant optic atrophy and Leber's hereditary optic neuropathy, are genetic disorders characterized by retinal ganglion cell degeneration leading to vision loss, mainly associated with mitochondrial dysfunction. In this study, we analysed mitochondrial distribution and ultrastructure in the retina and longitudinal optic nerve sections of pre-symptomatic hereditary optic neuropathies mouse models with Opa1 and Nd6 deficiency to identify early mitochondrial changes. Our results show significant mitochondrial fragmentation and increased mitophagy in mice, indicating early mitochondrial changes prior to neuronal loss.

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Background And Purpose: Routine quality control procedures are still required for sCT based on artificial intelligence (AI) to verify the performance of the generators. The aim of this study was to evaluate three generators based on AI or bulk density (BD) assignment for the patient-specific quality assurance (PSQA) of another AI-based generator in clinical routine. A patient positioning study based on 2D/2D kV-image comparing the performances of four sCT generators was also performed.

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Executive functions disorders in children with frontal and temporal epilepsy.

Epilepsy Behav

December 2024

Univ Angers, Nantes Université, LPPL, SFR CONFLUENCES, Angers, France; Centre Référent des Troubles d'Apprentissage, Hôpital Femme-Enfant-Adolescent, CHU de Nantes, F-44000 Nantes, France.

Introduction: Children with focal epilepsy often present with executive functions (EFs) deficits. EFs deficits can contribute to adaptive challenges and have a negative impact on academic achievement. The purpose of this study was to investigate the EFs profiles of children diagnosed with frontal lobe epilepsy or temporal lobe epilepsy.

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Article Synopsis
  • - Multi-tissue foot injuries are common in kids, and microsurgery plays a crucial role in their treatment, illustrated by a case of a 4-year-old boy who suffered severe injuries from a lawnmower accident, including the loss of his big toe.
  • - The surgical team performed a unique combined free flap repair using muscle-sparing latissimus dorsi and serratus anterior, aiming to restore both function and appearance.
  • - Follow-up evaluations at 3 months and 1 year showed excellent recovery, with good scores in aesthetic and functional assessments, indicating that this surgical approach is effective for treating complex foot injuries in children.
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Introduction: First-line oxygenation strategy in patients with acute hypoxaemic respiratory failure consists in standard oxygen or high-flow nasal oxygen therapy. Clinical practice guidelines suggest the use of high-flow nasal oxygen rather than standard oxygen. However, findings remain contradictory with a low level of certainty.

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Background & Aims: Despite its growing incidence, hepatocellular carcinoma (HCC) related to metabolic dysfunction-associated steatotic liver disease (MASLD) in non-cirrhotic livers remains poorly characterized. We compared the characteristics, management, survival, and trends of MASLD-related HCC in patients with or without underlying cirrhosis in a large multicenter cohort.

Methods: A total of 354 cases of MASLD-related HCC presented at the liver tumor meetings of four French university hospitals between 2007 and 2018 were included in the study.

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Thanatological biochemistry has gained prominence in determining causes of death, especially when suspected fatal pathologies do not exhibit clear postmortem macroscopic and/or microscopic features, such as in cases of ketoacidosis. Indeed, in these cases, the measurement of β-hydroxybutyrate (BHB) in femoral blood and/or vitreous humor is of particular importance. However, data on its in vitro stability remain scarce, especially in vitreous humor.

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Effects of Losartan on Patients Hospitalized for Acute COVID-19: A Randomized Controlled Trial.

Clin Infect Dis

September 2024

Division of Critical Care Medicine, and Centre for Heart Lung Innovation, St Paul's Hospital, Vancouver, Canada.

Article Synopsis
  • Researchers investigated the effect of losartan, an angiotensin receptor blocker, on 28-day mortality in hospitalized COVID-19 patients compared to usual care, due to its potential impact on angiotensin levels.
  • The study was stopped early due to safety concerns, showing that adverse events and hypotension were significantly higher in the losartan group (39.8% SAEs and 30.4% hypotension) versus the control group (27.2% SAEs and 15.3% hypotension).
  • There was no significant difference in 28-day mortality (6.5% for losartan vs. 5.9% for usual care), indicating that ARBs should be used cautiously in this patient population to
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Article Synopsis
  • * Out of 75 patients with successful BCR expression, a significant majority had mutated immunoglobulin heavy chains (IgVH), and a subgroup of 12 patients showed a highly dominant BCR clone associated with worse clinical outcomes.
  • * The results indicated that high clonal dominance correlates with reduced BCR diversity and increased expression of specific genes, leading to poorer progression-free survival (PFS) and overall survival (OS) rates, corroborated by an independent patient cohort analysis.
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Objective: To propose guidelines for the management of complications of prosthetic mid-urethral tape surgery for stress urinary incontinence in women.

Methods: These guidelines are based on an exhaustive literature review on retropubic and trans-obturator mid-urethral tape complications. The expert panel rated the level of evidence of each study, summarized literature for the treatment of each complication, and proposed guidelines.

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Two cases of Francisella tularensis subspecies holartica prosthetic valve endocarditis, and review of the literature.

Eur J Clin Microbiol Infect Dis

November 2024

Laboratoire de Bactériologie-Hygiène Hospitalière, Centre National de Référence Francisella tularensis, Centre Hospitalier Universitaire Grenoble Alpes, CS 10217, Grenoble cedex 9, F-38043, France.

Article Synopsis
  • Francisella tularensis endocarditis is a rare infection that's tough to diagnose, with only a handful of cases documented.* -
  • The report discusses two new cases caused by the subsp. holarctica strain, highlighting their positive outcomes through antibiotic treatment and valve replacement surgery.* -
  • Effective treatment typically involves ciprofloxacin and gentamicin, alongside surgical intervention when required, with suspicion of the infection guided by local epidemiology and patient exposure.*
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Article Synopsis
  • The study is trying to help families make tough choices about stopping life-support in emergency rooms when patients can't talk.
  • They will create a special program to help families, doctors, and nurses with these decisions and check how it affects the stress levels of the families.
  • The research will take place in nine emergency departments in France and will measure how families feel after 7, 30, and 90 days, making sure everything follows ethical rules.
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Background: Factors associated with severe COVID-19 infection have been identified; however, the impact of infection on longer-term outcomes is unclear. The objective of this study was to examine the impact of COVID-19 infection on the trajectory of lung function and nutritional status in people with cystic fibrosis (pwCF).

Methods: This is a retrospective global cohort study of pwCF who had confirmed COVID-19 infection diagnosed between January 1, 2020 and December 31, 2021.

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Introduction: Early assessment of the prognosis of a patient in cardiac arrest during cardiopulmonary resuscitation is highly challenging. This study aims to evaluate the predictive outcome value of early point-of-care ultrasound (POCUS) in out-of-hospital settings.

Methods: This observational, prospective, multicentre study's primary endpoint was the positive predictive value (PPV) of POCUS cardiac standstill within the first 12 min of advanced life support (ALS) initiation in determining the absence of return of spontaneous circulation (ROSC).

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The 20-item dysexecutive questionnaire after severe traumatic brain injury: Distribution of the total score and its significance.

Neuropsychol Rehabil

August 2024

AP-HP, GH Paris Saclay, Hôpital Raymond Poincaré, Service de Médecine Physique et de Réadaptation, Garches, France.

Article Synopsis
  • This clinical trial investigates the effectiveness of a specific treatment or intervention for a medical condition.
  • The study involves patient participation and may include various phases to assess safety and efficacy.
  • Results are intended to contribute to the medical community's understanding of the treatment's impact on the targeted condition.
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