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

Ataxia with anti-regulator of G-protein signaling 8 autoantibodies (RGS8-Abs) is an autoimmune disease recently described in four patients. The present study aimed to identify other patients with RGS8-Abs, describe their clinical features, including the link between RGS8-related autoimmune cerebellar ataxia (ACA) and cancer. Patients with RGS8-Abs were identified retrospectively in the biological collections of the French Reference Center for Paraneoplastic Neurological Syndrome and the University of California San Francisco Center for Encephalitis and Meningitis.

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Dynamic Responses of Human Skin and Fascia to an Innovative Stimulation Device-Shear Wave Stimulation.

Biomimetics (Basel)

August 2024

Univ Lyon, Ecole Centrale de Lyon, CNRS, ENTPE, LTDS, UMR5513, 69130 Ecully, France.

Exposure to mechanical stimuli such as pressure and stretching prompts the skin to undergo physiological adaptations to accommodate and distribute applied forces, a process known as mechanotransduction. Mechanotherapy, which leverages mechanotransduction, shows significant promise across various medical disciplines. Traditional methods, such as massage and compression therapy, effectively promote skin healing by utilizing this mechanism, although they require direct skin contact.

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Promoting Health Literacy in the Workplace Among Civil Servants: Cross-Sectional Study.

JMIR Public Health Surveill

August 2024

Health Systemic Process Laboratory (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, Lyon, France.

Background: In 2022, the World Health Organization highlighted the alarming state of oral health (OH) worldwide and urged action to include OH in initiatives on noncommunicable diseases. The population needs improved OH skills and attitudes and an adequate level of OH literacy (OHL) and general health literacy (HL). The implementation of health promotion actions in the workplace, which is a part of most people's lives, appears to be an opportunity.

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Ovarian cancer (OC) is the leading cause of death in women with gynecological cancers. Its diagnosis is more likely in advanced ages, with the older population being the most seen in consultations. Poly(ADP-ribose) inhibitors (PARPi) have changed OC clinical practice and evolution, showing great benefit.

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Carbetocin versus oxytocin for the prevention of postpartum haemorrhage during caesarean section in patients at high risk of bleeding.

Eur J Obstet Gynecol Reprod Biol

September 2024

Department of Obstetrics, Centre Hospitalier Universitaire de Saint-Étienne, Saint-Étienne, France; INSERM U1059 Sainbiose, Université Jean Monnet, Saint-Étienne, France. Electronic address:

Objective: To evaluate the efficacy of carbetocin versus oxytocin in preventing postpartum haemorrhage (PPH) in women with risk factors for PPH who were delived by caesarean section.

Methods: This retrospective, monocentric, before-and-after cohort study assessed patients with haemorrhagic risk factors who underwent caesarean section after 24 weeks of gestation and who had haemorrhagic risk factors between August 2014 to December 2019.

Results: This study enrolled 518 patients, including 250 in the oxytocin group and 268 in the carbetocin group.

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Article Synopsis
  • Advances in lymphoma treatment have made assessing health-related quality of life (HRQoL) crucial for newly diagnosed patients, yet there's limited information on their HRQoL profiles at diagnosis.
  • A study involving 3922 adults with various lymphoma types utilized three validated EORTC questionnaires to evaluate HRQoL at diagnosis, achieving high completion rates between 84% and 88%.
  • Findings highlighted significant impairments in global health status across lymphoma subtypes, with factors like gender, performance status, and B symptoms affecting HRQoL, providing valuable insights for future research and clinical practices.
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Exploration of COVID-19 associated bradycardia using heart rate variability analysis in a case-control study of ARDS patients.

Heart Lung

October 2024

Hospices Civils de Lyon, Hôpital Lyon Sud, Service d'Anesthésie-Réanimation Médecine Intensive-Réanimation, 69495 Pierre-Bénite, Lyon, France; APCSe VetAgro Sup UPSP 2016.A101, 69280 Marcy l'Etoile, France. Electronic address:

Background: Bradycardia and dysautonomia observed during SARS-Cov2 infection suggests involvement of the autonomic nervous system (ANS). Limited data exists on ANS dysregulation and its association with outcomes in patients with acute respiratory distress syndrome (ARDS) related to COVID-19 (C-ARDS) or other etiologies (NC-ARDS).

Objectives: We aimed to explore sympathovagal balance, assessed by heart rate variability (HRV), and its clinical prognostic value in C-ARDS compared with NC-ARDS.

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Article Synopsis
  • Tatton-Brown-Rahman syndrome (TBRS) is a genetic disorder characterized by overgrowth, intellectual disability, and distinct facial features, resulting from mutations in a gene that regulates DNA methylation.* -
  • A study of 24 French patients identified 17 new genetic variants, confirming that 100% showed intellectual disability, 96% had distinctive facial traits, and 87% exhibited overgrowth, alongside novel symptoms like hypertrichosis.* -
  • The findings enhance the understanding of TBRS's clinical presentation, aiding in diagnosis and patient care by clarifying its genetic and phenotypic diversity.*
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High-resolution ultrasound in the current landscape of dermatology imaging.

J Eur Acad Dermatol Venereol

July 2024

Groupe D'Imagerie Cutanée Non Invasive de la Societe fRncaise de Dermatologie GCNI, Paris, France.

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Aims: Many European healthcare providers struggle to adopt multidisciplinary, integrated care pathways for people with heart failure (HF) as recommended by the European Society of Cardiology. PRO-HF (Program to Optimize Heart Failure Patient Pathways) was developed to help clinicians identify strengths, gaps, and shortcomings in their HF pathways and support tailored interventions to optimize pathways and enhance patient care. We report initial findings from baseline assessments of HF pathway characteristics and challenges from 10 hospitals in six European countries (France, Ireland, Portugal, Spain, The Netherlands, and United Kingdom).

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Myocardial T1 mapping using an instantaneous signal loss simulation modeling and a Bayesian estimation method: A robust T1 extraction method free of tuning parameters.

Comput Biol Med

August 2024

Université de Lyon, INSA-Lyon, Université Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1206, Lyon, France; Radiology Department, UJM-Saint-Etienne, Centre Hospitalier Universitaire de Saint-Etienne, Saint Etienne, France. Electronic address:

The Instantaneous Signal Loss Simulation (InSiL) model is a promising alternative to the classical mono-exponential fitting of the Modified Look-Locker Inversion-recovery (MOLLI) sequence in cardiac T mapping applications, which achieves better accuracy and is less sensitive to heart rate (HR) variations. Classical non-linear least squares (NLLS) estimation methods require some parameters of the model to be fixed a priori in order to give reliable T estimations and avoid outliers. This introduces further bias in the estimation, reducing the advantages provided by the InSiL model.

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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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Objectives: Nontuberculous mycobacteria (NTM) bone and joint infections (BJIs) are uncommon. We evaluated the characteristics of BJIs and identified differences according to immune status.

Methods: We performed a multicenter retrospective study in France involving patients with documented NTM BJI over a 9-year period.

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Purpose: Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) are expected to be synergistic with intraperitoneal (IP) immunotherapy by increasing tumor antigen expression and mutational load. We assessed the feasibility and safety of IP nivolumab following complete CRS and HIPEC in pretreated patients with recurrent ovarian cancer (ClinicalTrials.gov identifier: NCT03959761).

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Contactless mechanical stimulation of the skin using shear waves.

J Mech Behav Biomed Mater

August 2024

Univ Lyon, Ecole Centrale de Lyon, CNRS, ENTPE, LTDS, UMR5513, 69130, Ecully, France. Electronic address:

The skin, the outermost organ of the human body, is vital for sensing and responding to stimuli through mechanotransduction. It is constantly exposed to mechanical stress. Consequently, various mechanical therapies, including compression, massage, and microneedling, have become routine practices for skin healing and regeneration.

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Myostatin gene invalidation does not prevent skeletal muscle mass loss during experimental sepsis in mice.

J Physiol

June 2024

Laboratoire Interuniversitaire de Biologie de la Motricité, Université Jean Monnet Saint Etienne, Lyon 1, Université Savoie Mont-Blanc, Saint Etienne, France.

Article Synopsis
  • Sepsis in ICU patients leads to muscle mass loss and decreased function, contributing to long-term disability.
  • A study tested whether disabling the myostatin gene, which normally inhibits muscle growth, could help prevent muscle wasting in septic mice, but results showed no benefits.
  • Both wild-type and myostatin knock-out mice experienced similar muscle mass and strength loss after sepsis, suggesting that targeting myostatin may not effectively improve outcomes in muscle wasting related to sepsis.
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Factors Associated with Fatigue in COVID-19 ICU Survivors.

Med Sci Sports Exerc

September 2024

Univ Lyon, CNRS 5261, INSERM U1315, Institut NeuroMyoGène (INMG), Unité de Physiopathologie et Génétique du Neurone et du Muscle, Lyon, FRANCE.

Article Synopsis
  • About 30% of COVID-19 patients need hospitalization, with 20% requiring ICU care, and many experience ongoing fatigue even weeks after recovery, highlighting the need to understand its causes.
  • The study involved 59 patients who had been in the ICU, where assessments included questionnaires, blood tests, and exercise testing to evaluate fatigue and lung function post-discharge.
  • Results showed 56% of patients reported fatigue, linked to poorer lung function and lower maximal voluntary activation; this suggests that respiratory health and muscle function are crucial for recovery and emphasizes the importance of rehabilitation.
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OPN, BSP, and Bone Quality-Structural, Biochemical, and Biomechanical Assessment in OPN, BSP, and DKO Mice.

Calcif Tissue Int

July 2024

LBTO, Pôle Santé Nord - Faculté de Médecine, Inserm, U1059 Sainbiose, Rm 118, Université Jean Monnet, Mines St Etienne, 10 Chemin de La Marandière, St Priest en Jarez, F42270, Saint-Etienne, France.

Osteopontin (OPN) and Bone Sialoprotein (BSP), abundantly expressed by osteoblasts and osteoclasts, appear to have important, partly overlapping functions in bone. In gene-knockout (KO, -/-) models of either protein and their double (D)KO in the same CD1/129 genetic background, we analyzed the morphology, matrix characteristics, and biomechanical properties of femur bone in 2 and 4 month old, male and female mice. OPN mice display inconsistent, perhaps localized hypermineralization, while the BSP are hypomineralized throughout ages and sexes, and the low mineralization of young DKO mice recovers with age.

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A multidisciplinary and structured investigation of three suspected clusters of transverse upper limb reduction defects in France.

Eur J Epidemiol

July 2024

Department of Obstetrics and Gynecology, DMU Santé des femmes et des nouveau-nés, Hopital Antoine Béclère, Assistance Publique-Hôpitaux de Paris, Université Paris Saclay, Clamart, France.

Article Synopsis
  • A scientific expert committee reanalyzed suspected clusters of transverse upper limb reduction defects (TULRD) in France from 2019-2021, addressing public health concerns despite no initial risk exposure findings.
  • Methods included reviewing medical records, conducting spatiotemporal analyses for statistical significance, and examining environmental exposures through questionnaires and surveys.
  • Results showed no significant clusters in one area, a small cluster in another without identifiable risk factors, and only two cases in a third area, emphasizing the need for a standardized approach in managing similar health concerns.
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Article Synopsis
  • The article DOI: 10.3389/fcell.2023.1115622 has been revised or corrected for accuracy.
  • This correction aims to address errors or inaccuracies present in the original publication.
  • Readers should refer to the corrected version for the most accurate information related to the study.
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An AluYa5 Insertion in the 3'UTR of COL4A1 and Cerebral Small Vessel Disease.

JAMA Netw Open

April 2024

NeuroDiderot, Université Paris Cité, Institut National de la Santé Et de la Recherche Médicale, Unité Mixte de Recherche 1141, Paris, France.

Importance: Cerebral small vessel diseases (CSVDs) account for one-fifth of stroke cases. Numerous familial cases remain unresolved after routine screening of known CSVD genes.

Objective: To identify novel genes and mechanisms associated with familial CSVD.

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Objectives: In the post-SARS-CoV-2 pandemic era, "breakthrough infections" are still documented, due to variants of concerns (VoCs) emergence and waning humoral immunity. Despite widespread utilization, the definition of the anti-Spike (S) immunoglobulin-G (IgG) threshold to define protection has unveiled several limitations. Here, we explore the advantages of incorporating T-cell response assessment to enhance the definition of immune memory profile.

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Evaluating the Knowledge of and Behavior Toward COVID-19 and the Possibility of Isolating at a City Level: Survey Study.

JMIR Public Health Surveill

April 2024

Laboratoire Parcours Santé Systémique- UR4129, Université Jean Monnet, Université de Lyon, St Priest-en-Jarez, France.

Background: Mass testing campaigns were proposed in France during the first wave of the COVID-19 pandemic to detect and isolate asymptomatic individuals infected by SARS-CoV-2. During mass testing in Saint-Étienne (February 2021), we performed a survey of the general population.

Objective: We evaluated, on the scale of a city's population, the literacy level about SARS-CoV-2 transmission, barrier gesture respect, and isolation acceptability or possibility in case of SARS-CoV-2 infection.

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Background: Major depressive disorder is one of the leading causes of disability worldwide. Although most international guidelines recommend psychological and psychosocial interventions as first-line treatment for mild to moderate depression, access remains limited in France due to the limited availability of trained clinicians, high costs for patients in the context of nonreimbursement, and the fear of stigmatization. Therefore, online blended psychological treatment such as Deprexis could improve access to care for people with depression.

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