441 results match your criteria: "Centre Hospitalier Universitaire de Saint Etienne[Affiliation]"

Background: Few studies have explored whether high-anticholinergic load may hamper rehabilitation in persons with schizophrenia. We aim to explore the associations between anticholinergic load of psychotropic treatment and functioning or cognitive performances of persons with psychosis engaged in psychosocial rehabilitation.

Methods: The study was performed using data collected at baseline assessment in the REHABase cohort including persons referred to a French network of psychosocial rehabilitation centers.

View Article and Find Full Text PDF

Is the analgesic effect of motor cortex stimulation somatotopically driven or not?

Neurophysiol Clin

July 2020

Service de neurochirurgie, hôpital Nord, centre hospitalier universitaire de Saint-Étienne, Saint Étienne, France; Inserm U1028, UMR 5292, central integration of pain lab, universités Jean Monnet et Claude Bernard Lyon 1, Saint-Étienne, France.

Objectives: Mechanisms of analgesic efficacy related to motor cortex stimulation (MCS) remain poorly understood. Specifically, it is unclear whether pain relief is somatotopically driven or not. We present three illustrative case-reports of MCS in which unintentional stimulation setting errors occurred, leading to differential (and reversible) pain relief outcomes across the hemi-body.

View Article and Find Full Text PDF

Background: Antibiotic therapy during preterm labor with intact membranes has been associated with an increased risk of neonatal death.

Objectives: Using an established rat model of group B Streptococcus (GBS)-induced chorioamnionitis, we hypothesized that ampicillin treatment increases placental inflammation, as shown in other bacterial infections.

Methods: At gestational day 19, 19 Lewis dams were intraperitoneally (i.

View Article and Find Full Text PDF

Objectives: The potential role of drugs in the onset of retroperitoneal fibrosis (RPF) is poorly understood. The aim of this study was to identify drugs that may cause RPF.

Methods: The authors used case/non-case method in the French PharmacoVigilance Database (FPVD).

View Article and Find Full Text PDF

Rivaroxaban or Enoxaparin in Nonmajor Orthopedic Surgery.

N Engl J Med

May 2020

From the Department of Anesthesia and Critical Care, Groupe Hospitalo-Universitaire Assistance Publique-Hôpitaux de Paris Centre-Université de Paris, Hôpital Cochin (C.M.S., N.R.), Unité de Recherche Clinique, Innovation, Pharmacologie, Centre Hospitalier Universitaire de Saint-Etienne, Sainboise INSERM Unité 1059, Université Jean Monnet, and INSERM CIE1408 (S.L., B.D., E.P., P. Mismetti), French Clinical Research Infrastructure Network (F-CRIN), Investigation Network on Venous Thromboembolism (INNOVTE) (S.L., P.G., P. Mismetti), and Institut du Thorax Curie-Montsouris, Institut Mutualiste Montsouris (P.G.), Paris, INSERM Centre National de la Recherche Scientifique 5558, Université Claude Bernard, Université de Lyon, Lyon (M.C.), and the Department of Anesthesia and Critical Care, Polyclinique du Parc, Saint Saulve (D.D.) - all in France; the Department of Anesthesia and Critical Care, University Hospital Doctor Peset, Valencia (J.L.), and the Department of Anesthesia and Critical Care, Hospital Universitario Fundación de Alcorcón, Madrid (J.M.-M.) - both in Spain; Sektionsleiter Endoprothetik, Sana Klinikum Offenbach, Offenbach am Main, Germany (P. Mouret); and McGill University, Montreal (W.F.).

Background: Nonmajor orthopedic surgery of the lower limbs that results in transient reduced mobility places patients at risk for venous thromboembolism. Rivaroxaban may be noninferior to enoxaparin with regard to the prevention of major venous thromboembolism in these patients.

Methods: In this international, parallel-group, randomized, double-blind, noninferiority trial, we randomly assigned adult patients undergoing lower-limb nonmajor orthopedic surgery who were considered to be at risk for venous thromboembolism on the basis of the investigator's judgment to receive either rivaroxaban or enoxaparin.

View Article and Find Full Text PDF

MRI of Reperfused Acute Myocardial Infarction Edema: ADC Quantification versus T1 and T2 Mapping.

Radiology

June 2020

From the Univ Lyon, UJM-Saint-Etienne, INSA, CNRS UMR 5520, INSERM U1206, CREATIS, Saint-Etienne, France (K.M., M.V., W.R., A.C., P.C.); Department of Radiology, Centre Hospitalier Universitaire de Saint Etienne, CREATIS UMR 5020, INSERM U1206, Avenue Albert Raimond, 42000 Saint Etienne Cedex, France (M.V., P.C.); Hôpital Cardiologique Louis Pradel, Centre d'Investigation Clinique, INSERM 1407, Lyon, France (N.M.); and Department of Cardiology, University Hospital Saint Etienne, Université Jean Monnet, Saint Etienne, France (K.I.).

Background After acute myocardial infarction (AMI), reperfusion injury is associated with microvascular lesions and myocardial edema. Purpose To evaluate the performance of apparent diffusion coefficient (ADC) quantification compared with T1 and T2 values in the detection of acute myocardial injury. Materials and Methods In this prospective study conducted from June 2016 to November 2018, participants without a history of heart failure or cardiomyopathy were enrolled after undergoing reperfusion for their first AMI.

View Article and Find Full Text PDF

Introduction: Published in 2018, the 5C scale is psychometrically validated to assess five psychological antecedents of vaccination (confidence, complacency, constraints, calculation and collective responsibility). The original version offers a validated English and German scale to assess these determinants with a short 5-item scale (1 item per antecedent) and a long 15-item scale (3 items per antecedent). This sample study protocol provides a step-by-step guidance for the process of adapting the 5C scale to another country, language or cultural context.

View Article and Find Full Text PDF

Background And Objectives: The efficacy of direct oral anticoagulants (DOACs) in the management of left ventricular (LV) thrombi remains to be determined, especially in patients with ischemic cardiomyopathy. This retrospective study sought to compare the efficacy of vitamin K antagonists (VKAs) and DOACs in patients with LV thrombi and evaluate the rate of LV thrombus resolution after adjusting anticoagulation.

Methods: This observational retrospective study included patients admitted to our institution for LV thrombus between January 2010 and August 2019.

View Article and Find Full Text PDF

[Introduction to symptom networks in psychopathology].

Med Sci (Paris)

February 2020

Service de neurologie et psychiatrie, CHU Grenoble-Alpes, domaine de La Merci, 38000 La Tronche, France - Adresse actuelle : Service de Psychiatrie du Centre Hospitalier Universitaire de Saint-Étienne, Hôpital de Bellevue, 25 boulevard Pasteur, 42000 Saint-Étienne, France.

In this article, we present the main methodological principles of symptom networks in psychopathology. It is a topological approach linking entities from different scales of analysis of an individual (from genetics to behavior, via cerebral connectivity). They are an alternative to the Diagnostic and Statistical Manual of Mental Disorders (DSM) and Research Domain Criteria (RDoC), but they do not exclude them.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate the cost and effectiveness of a standardized approach versus an open approach for diagnosing uveitis.
  • A total of 903 uveitis patients were analyzed, with the standardized strategy costing an average of 182.97 euros per patient, significantly lower than the 251.75 euros for the open strategy.
  • The standardized method resulted in fewer patient visits, radiological procedures, and laboratory tests, making it a more efficient and economical option for diagnosing uveitis.
View Article and Find Full Text PDF

The aim of this paper is to integrate different bodies of research including brain traveling waves, brain neuromodulation, neural field modeling and post-stroke language disorders in order to explore the opportunity of implementing model-guided, cortical neuromodulation for the treatment of post-stroke aphasia. Worldwide according to WHO, strokes are the second leading cause of death and the third leading cause of disability. In ischemic stroke, there is not enough blood supply to provide enough oxygen and nutrients to parts of the brain, while in hemorrhagic stroke, there is bleeding within the enclosed cranial cavity.

View Article and Find Full Text PDF

New OFSEP recommendations for MRI assessment of multiple sclerosis patients: Special consideration for gadolinium deposition and frequent acquisitions.

J Neuroradiol

June 2020

MRI center, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Pierre Bénite, France; Observatoire Français de la Sclérose en Plaques, Lyon, France; Université Lyon 1, CREATIS-LRMN, CNRS/UMR/5220-INSERM U630, Villeurbanne, France.

Purpose: New multiple sclerosis (MS) disease-modifying therapies (DMTs), which exert beneficial effects through prevention of relapse, limitation of disability progression, and improvement of patients' quality of life, have recently emerged. Nonetheless, these DMTs are not without associated complications (severe adverse events like. progressive multifocal leukoencephalopathy).

View Article and Find Full Text PDF

Rapid detection of mutations in decalcified lung cancer bone metastasis.

J Bone Oncol

April 2020

Hospices Civils de Lyon, Institut de pathologie multisite, Site Est, Bron, France.

Detection of molecular alterations in lung cancer bone metastasis (LCBM) is particularly difficult when decalcification procedure is needed. The Idylla™ real-time (RT)-PCR is compared to the routine method used in our laboratory, which combines next generation and Sanger sequencing, for the detection of mutations in LCBM. LCBM subjected to EDTA or formic acid decalcification were analysed for mutational status using two methods: first, the Ion Torrent Ampliseq next generation sequencing (NGS) assay +/- Sanger sequencing was used prospectively; then, the fully-automated, RT-PCR based molecular testing system Idylla™ Mutation Test was applied retrospectively.

View Article and Find Full Text PDF

Kaposi sarcoma among people living with HIV in the French DAT'AIDS cohort between 2010 and 2015.

J Eur Acad Dermatol Venereol

May 2020

Le Trait d'Union, Centre de Soins de l'infection par le VIH, Hôpitaux Universitaires, Strasbourg, France.

Background: Although antiretroviral therapy (ART) has reduced the risk of Kaposi sarcoma (KS), KS cases still occur in HIV-infected people.

Objective: To describe all KS cases observed between 2010 and 2015 in a country with high ART coverage.

Methods: Retrospective study using longitudinal data from 44 642 patients in the French Dat'AIDS multicenter cohort.

View Article and Find Full Text PDF

Objective: Muscle atrophy is frequent in critically ill patients and is associated with increased mortality and long-lasting alteration in quality of life. Muscle ultrasound has not been clearly validated in intensive care unit patients. The aim of this study was to compare the level of agreement between ultrasound and computed tomography scan for the measurement of quadriceps muscle thickness.

View Article and Find Full Text PDF

Prenatal imaging patterns of different forms of infantile myofibromatosis.

Ultrasound Obstet Gynecol

November 2020

Imagerie Pédiatrique et Fœtale, Centre Pluridisciplinaire de Diagnostic Prénatal Consultation Multidisciplinaire des Angiomes, Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France.

View Article and Find Full Text PDF

In 2020, accreditation of molecular tests according to ISO 15189 is a requirement for all French medical laboratories. For many years, the GBMHM group (French Group of Molecular Biologists in Hematology) supports this approach through organization of external quality evaluation campaigns, and by publishing recommendations that have allowed the accreditation of the most frequent molecular tests for most laboratories. However, some molecular abnormalities concerns very few patients (and sometimes a single patient), and therefore cannot be evaluated in the same way, because of the lack of external quality controls or inter-laboratory comparisons.

View Article and Find Full Text PDF

Autoantigenomics: Holistic characterization of autoantigen repertoires for a better understanding of autoimmune diseases.

Autoimmun Rev

February 2020

Synaptopathies and Autoantibodies, Institut NeuroMyoGene INSERM U1217/CNRS UMR, Faculty of Medicine Jacques Lisfranc, University Jean Monnet, University of Lyon, Saint-Étienne, France; Department of Neurology, Centre Hospitalier Universitaire de Saint-Étienne, Saint-Étienne, France.

Autoimmune diseases are mostly characterized by autoantibodies in the patients' serum or cerebrospinal fluid, representing diagnostic or prognostic biomarkers. For decades, research has focused on single autoantigens or panels of single autoantigens. In this article, we advocate to broaden the focus by addressing the entire autoantigen repertoire in a systemic "omics-like" way.

View Article and Find Full Text PDF

Prenatal imaging diagnosis of PIK3CA-related overgrowth spectrum disorders in first trimester with emphasis on extremities.

Ultrasound Obstet Gynecol

November 2020

Imagerie Pédiatrique et Fœtale, Centre de Compétence des Malformations Vasculaire Superficiel, FAVA Multi Network Hôpital Femme Mère Enfant, Université Claude Bernard Lyon 1, Lyon-Bron, France.

View Article and Find Full Text PDF

Reliability of gastric suctioning compared with ultrasound assessment of residual gastric volume: a prospective multicentre cohort study.

Anaesthesia

March 2020

Department of Anaesthesia and Intensive Care, APCSe VetAgro Sup UPSP 2016.A101, Marcy-l'Etoile, France.

We aimed to compare the reliability of aspiration via a nasogastric tube with ultrasound for assessment of residual gastric volume. Sixty-one adult patients who were mechanically ventilated and received continuous enteral feeding through a nasogastric tube for > 48 h were included. A first qualitative and quantitative ultrasound examination of the gastric antrum was followed by gastric suctioning, performed by an operator blinded to the result of the ultrasound examination.

View Article and Find Full Text PDF

40 years Western blotting: A scientific birthday toast.

J Proteomics

February 2020

Synaptopathies and Autoantibodies, Institut NeuroMyoGene INSERM U1217/CNRS UMR, Faculty of Medicine Jacques Lisfranc, University Jean Monnet, University of Lyon, Saint-Étienne, France; Centre Hospitalier Universitaire de Saint-Étienne, Saint-Étienne, France. Electronic address:

The Western blot technique was first published 40 years ago. Since then, it has been mentioned in the titles, abstracts, and keywords of more than 400,000 PubMed-listed publications. This anniversary represents an opportunity to look back to its origins, to address the question as to whether the technique is outdated and heading toward being replaced, and to point out current improvements.

View Article and Find Full Text PDF

The necessity of a more aggressive initial surgical treatment in patients with mesothelioma of the testicular tunica vaginalis.

Ann Med Surg (Lond)

November 2019

Service d'Oncologie Thoracique, Maladies de la Plèvre et Pneumologie Interventionnelle, Centre Hospitalier Universitaire Nord, and, Aix-Marseille University, Marseille, France.

Mesothelioma of the tunica vaginalis of the testis (MTVM) is a rare tumor encountering for less than 1% of mesothelioma. Patients suffering from these tumors have poor survival due to local and distant metastasis despite treatment. Actually, no specific treatment recommendations exist for this tumor, yet radical orchidectomy is the gold standard in limited disease.

View Article and Find Full Text PDF
Article Synopsis
  • This study assessed the long-term psychological effects of childhood cancer on survivors aged 18-38, specifically those diagnosed before age 15 in the Rhône-Alpes region of France between 1987 and 1999.
  • Out of 288 survivors, 55% reported having psychiatric issues, significantly higher than the 31.9% rate in the general French population, with anxiety, mood disorders, and substance dependency being the most common problems.
  • The research identified unemployment as a risk factor for mood disorders, and found that men had a higher likelihood of addiction compared to women, indicating a need for continuous psychological support for childhood cancer survivors.
View Article and Find Full Text PDF

Laparoscopic pyeloplasty in children younger than 1 year of age is still debatable due to its supposed technical difficulties and failure rate. We present our experience and outcome in infants. A retrospective study was conducted in 3 Departments of Pediatric Surgery.

View Article and Find Full Text PDF

Introduction: Endovascular thrombectomy is the standard of care for anterior circulation acute ischaemic stroke (AIS) secondary to emergent large vessel occlusion in patients who qualify. General anaesthesia (GA) or conscious sedation (CS) is usually required to ensure patient comfort and avoid agitation and movement during thrombectomy. However, the question of whether the use of GA or CS might influence functional outcome remains debated.

View Article and Find Full Text PDF