4,439 results match your criteria: "Centre Hospitalier Lyon-sud[Affiliation]"

Article Synopsis
  • The study analyzed how advanced ovarian cancer patients respond to niraparib maintenance therapy and patterns of disease recurrence.
  • Of 314 patients, 190 developed new lesions, primarily in the peritoneum, lymph nodes, and liver, often seeing 1-3 new lesions upon progression.
  • Findings suggest that while many patients develop oligometastatic disease at recurrence, further research is needed to assess if local therapies could enhance outcomes when combined with targeted maintenance therapy.
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  • Adjusting drug doses based on kidney function through eGFR takes into account body surface area, but it can be tricky for patients with high or low BMI levels.
  • The study looked at CKD patients with diabetes to see how changing the way kidney function is estimated affects the rate of improper prescriptions for oral antidiabetic drugs.
  • Researchers found that deindexing kidney function estimates generally led to higher eGFR readings, especially in patients with higher BMI, and that this also changed the frequency of inappropriate drug prescriptions significantly.
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Unusual dermatitis in response to a transcutaneous electrical nerve stimulation device.

Eur J Dermatol

June 2024

Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Service d'Allergologie et Immunologie Clinique, Pierre Bénite cedex, F-96495, France, CIRI - Centre International de Recherche en Infectiologie (Team Epidermal Immunity and Allergy), Inserm U1111, CNRS UMR 5308, ENS de Lyon, Lyon.

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Journal club: JAK inhibitors and safety.

Eur J Dermatol

June 2024

Department of Dermatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain, Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Madrid, Spain.

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Introduction: Motor vehicular trauma, bite wounds, high-rise syndrome, and trauma of unknown origin are common reasons cats present to the emergency service. In small animals, thoracic injuries are often associated with trauma. The objective of this retrospective study was to evaluate limits of agreement (LOA) between thoracic point-of-care ultrasound (thoracic POCUS) and thoracic radiography (TXR), and to correlate thoracic POCUS findings to animal trauma triage (ATT) scores and subscores in a population of cats suffering from recent trauma.

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The objective of the study was the analysis of clinical types, outcomes, and risk factors associated with the outcome of adenovirus (ADV) infection, in children and adults after allo-HCT. A total number of 2529 patients (43.9% children; 56.

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Purpose: The occurrence of genitourinary (GU) toxicity is a common adverse event observed after external beam radiation therapy (EBRT) for prostate cancer (PCa). Recent findings suggest that the dose delivered to specific urinary organs at risk (OARs) such as the ureters, bladder trigone, and urethra is involved in the development of GU toxicity.

Methods And Materials: A multidisciplinary task force including 3 radiation oncologists, a uroradiologist, and a urologist was created in 2022.

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Human DNA-dependent protein kinase catalytic subunit deficiency: A comprehensive review and update.

J Allergy Clin Immunol

November 2024

Hospices Civils de Lyon, Lyon, France; Centre de Références Maladies Rares, Rhumatismes inflammatoires et les maladies Auto-Immunes Systémiques rares de l'Enfant (RAISE), Lyon, France; Centre International de Recherche en Infectiologie (CIRI), Institut National de la Santé et de la Recherche Médicale (INSERM) U1111, Centre National de la Recherche Scientifique Unité Mixte de Recherche (UMR) 5308, École Normale Supérieure de Lyon, Université Claude Bernard Lyon, Lyon, France; Department of Pediatrics Nephrology, Rheumatology, and Dermatology, Hôpital Femme-Mère-Enfant, Bron, France. Electronic address:

Article Synopsis
  • DNA-PKcs is crucial for repairing DNA double-strand breaks and is linked to a rare immunodeficiency in humans, with few documented cases compared to the well-studied Scid mouse model.
  • Seven patients with mutations in the PRKDC gene showed severe combined immunodeficiency symptoms, including granulomas and autoimmunity, highlighting a predominantly inflammatory clinical picture.
  • Hematopoietic stem cell transplantation has proven effective for many, leading to meaningful recovery of T- and B-cell functions in the long-term follow-up of most patients.
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Persistent headache in granulomatosis with polyangiitis.

Eur Ann Otorhinolaryngol Head Neck Dis

November 2024

Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA.

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The need for reliable biomarkers to predict clinical benefit from anti-PD1 treatment in metastatic melanoma (MM) patients remains unmet. Several parameters have been considered in the tumor environment or the blood, but none has yet achieved sufficient accuracy for routine clinical practice. Whole blood samples from MM patients receiving second-line anti-PD1 treatment (NCT02626065), collected longitudinally, were analyzed by flow cytometry to assess the immune cell subsets absolute numbers, the expression of immune checkpoints or ligands on T cells and the functionality of innate immune cells and T cells.

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Functional and Molecular Characterization of New Missense Variants in Patients with Hereditary Sensory and Autonomic Neuropathy Type 1 (HSAN1).

Genes (Basel)

May 2024

Unité Pathologies Métaboliques, Érythrocytaires et Dépistage Périnatal, Service de Biochimie et Biologie Moléculaire, Centre de Biologie et de Pathologie Est, Hospices Civils de Lyon, 69500 Bron, France.

Hereditary sensory and autonomic neuropathy type 1 is an autosomal dominant neuropathy caused by the or variants. These variants modify the preferred substrate of serine palmitoyl transferase, responsible for the first step of sphingolipids synthesis, leading to accumulation of cytotoxic deoxysphingolipids. Diagnosis of HSAN1 is based on clinical symptoms, mainly progressive loss of distal sensory keep, and genetic analysis.

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The gold standard for otosclerosis diagnosis, aside from surgery, is high-resolution temporal bone computed tomography (TBCT), but it can be compromised by the small size of the lesions. Many artificial intelligence (AI) algorithms exist, but they are not yet used in daily practice for otosclerosis diagnosis. The aim was to evaluate the diagnostic performance of AI in the detection of otosclerosis.

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[Adherence to chest physiotherapy in adults with cystic fibrosis].

Rev Mal Respir

September 2024

Centre Hospitalier Lyon Sud, CRCM adulte de Lyon, Pierre-Bénite, France; Research on Healthcare Performance (RESHAPE), Inserm U1290, Lyon, France.

Introduction: Chest-physiotherapy is a key element in treatment of cystic fibrosis and patient adherence is a major issue in global cystic fibrosis care. This study aims to assess adherence to chest physiotherapy in adults with cystic fibrosis who not treated with tritherapy and to analyze the impact of certain factors on adherence.

Methods: Thus is a cross-sectional study, conducted using a questionnaire and a physiotherapy evaluation.

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Article Synopsis
  • Atopic dermatitis (AD) is a long-lasting skin condition that can significantly affect a person's quality of life and mental health.
  • A study evaluated the effectiveness of lebrikizumab on quality of life and mental health in patients with moderate-to-severe AD over a 16-week period, using various assessment tools.
  • Results showed notable improvements in overall quality of life, anxiety, and depression among those treated with lebrikizumab compared to placebo, indicating its potential benefits for patients suffering from AD.
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Purpose: Peri-operative management of nasal cerebrospinal fluid (CSF) leaks is not consensual due to limited evidence. The main aim of this study was to identify key factors in peri-operative management of endoscopic endonasal CSF leak repair among international experts.

Methods: A 60-item survey questionnaire collected opinions of members of international learned societies of ENT surgeons and neurosurgeons on nasal packing, post-operative instructions, antibiotic prophylaxis, and CSF volume depletion.

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Purpose: The influence of human immunodeficiency virus (HIV) infection on clinical outcomes in patients receiving (chemo)radiation therapy (RT) for squamous cell carcinoma of the anus (SCCA) is debated. The objective of this study was to compare efficacy and safety according to HIV status in patients with SCCA treated with C/RT.

Methods And Materials: Between January 2015 and April 2020, 488 patients with a known HIV status (17.

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Article Synopsis
  • Diabetic nephropathy (DKD) is a leading cause of kidney failure globally, and current clinical practices show gaps in the effective screening and management of the condition, particularly in primary care settings.
  • There are barriers to starting important treatments like SGLT2 inhibitors for patients with DKD, especially among the elderly, with difficulties in achieving blood pressure goals also noted.
  • Real-world data suggest that SGLT2 inhibitors not only slow kidney decline and lower acute kidney injury risk better than GLP-1 receptor agonists but also highlight the need for a comprehensive strategy to improve care for diabetic patients with kidney issues.
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Objectives: Dihydropyrimidine dehydrogenase (DPD) deficiency is the main cause of severe fluoropyrimidine-related toxicities. The best strategy for identifying DPD-deficient patients is still not defined. The EMA recommends targeted genotyping or uracilemia (U) testing.

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Background: CASSIOPEIA part 1 demonstrated superior depth of response and prolonged progression-free survival with daratumumab in combination with bortezomib, thalidomide, and dexamethasone (D-VTd) versus bortezomib, thalidomide, and dexamethasone (VTd) alone as an induction and consolidation regimen in transplant-eligible patients newly diagnosed with myeloma. In CASSIOPEIA part 2, daratumumab maintenance significantly improved progression-free survival and increased minimal residual disease (MRD)-negativity rates versus observation. Here, we report long-term study outcomes of CASSIOPEIA.

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Background: Abrocitinib, an oral, once-daily, Janus kinase 1-selective inhibitor, is efficacious in moderate-to-severe atopic dermatitis with a manageable long-term safety profile.

Objective: We aimed to provide updated integrated long-term safety results for abrocitinib from available data accrued up to a maximum of almost 4 years in patients with moderate-to-severe atopic dermatitis from the JADE clinical development program.

Methods: Analysis included 3802 patients (exposure: 5213.

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KELIM score predicts outcome in patients with platinum-resistant/refractory recurrent ovarian cancer.

Biomark Med

August 2024

EA UCBL/HCL 3738, Centre pour l'lnnovation en Cancérologie de Lyon (CICLY), Faculty of Medicine Lyon-Sud, Claude Bernard University Lyon 1, Oullins-Pierre-Bénite, 69921, France.

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Background: Despite modern systemic chemotherapy, survival remains poor for patients with advanced isolated peritoneal metastases from the gastrointestinal tract. We aimed to assess the safety and efficacy of pressurized intraperitoneal aerosol chemotherapy (PIPAC) with oxaliplatin.

Patients And Methods: We conducted a phase 1/2, open label, non-comparative, dose escalation and expansion trial of PIPAC with oxaliplatin in patients with a peritoneal cancer index (PCI) of more than 5, 13 and 15 for respectively a gastric, small bowel and colorectal primary cancer, and who had received at least three months of systemic chemotherapy.

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Article Synopsis
  • * A review of 116 patients treated with darvadstrocel showed that 44% achieved clinical remission, while 29% experienced deep remission after a median follow-up of 11 months, with some patients needing further surgery.
  • * Factors like higher fistula location and younger age were associated with better treatment outcomes, but overall, complete remission rates remain below 50%, highlighting a notable need for ongoing interventions.
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