1,100 results match your criteria: "Centre hospitalier et universitaire[Affiliation]"

Background: Results from the phase 3 PRODIGE 23 study showed that neoadjuvant chemotherapy (NAC) with mFOLFIRINOX and preoperative chemoradiotherapy improved disease-free survival compared with preoperative chemoradiotherapy in patients with locally advanced rectal cancer. We aimed to assess the health-related quality of life (HRQOL) outcomes from this study.

Patients And Methods: A total of 461 patients (231 versus 230 patients) from 35 French hospitals were randomly assigned to either NAC with FOLFIRINOX (oxaliplatin 85 mg/m, irinotecan 180 mg/m, leucovorin 400 mg/m, fluorouracil 2400 mg/m over 46 h intravenously every 2 weeks for 6 cycles) followed by preoperative chemoradiotherapy or chemoradiotherapy only.

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Tumor or not a tumor: Pitfalls and differential diagnosis in neuro-oncology.

Rev Neurol (Paris)

June 2023

Service de neuroradiologie diagnostique et interventionnelle, centre hospitalier et universitaire Grenoble-Alpes, CS 10217, 38043 Grenoble cedex 9, France.

The majority of intracranial expansive lesions are tumors. However, a wide range of lesions can mimic neoplastic pathology. Differentiating pseudotumoral lesions from brain tumors is crucial to patient management.

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Triple positive profile in antiphospholipid syndrome: prognosis, relapse and management from a retrospective multicentre study.

RMD Open

March 2023

Sorbonne Université, AP-HP, Service de Médecine Interne and Inflammation-Immunopathology-Biotherapy Department (DMU i3), Hôpital Saint-Antoine, F-75012, Paris, France

Objective: Antiphospholipid syndrome (APS) is defined by the association of thromboembolic and/or obstetrical clinical manifestations and the presence of antiphospholipid antibodies. The objective of our study was to evaluate the impact of the triple-positive profile in a cohort of 204 APS patients.

Methods: We conducted a retrospective study, including patients with primary or secondary APS, meeting the Sydney criteria with at least one thrombotic and/or obstetrical complication.

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Article Synopsis
  • * A qualitative study conducted in France involved interviews with 26 economically disadvantaged women and 7 healthcare professionals to gather their perspectives on CCT programs following childbirth.
  • * Women viewed CCT positively, seeing it as valuable support, whereas healthcare professionals expressed ethical reservations and concerns about potential impacts on patient relationships, despite acknowledging the need to evaluate such programs.
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Article Synopsis
  • The study focuses on SARS-CoV-2 variant epidemiology in Côte d'Ivoire, examining how variants with increased transmissibility and immune evasion have influenced the COVID-19 pandemic.
  • Utilizing 234 full SARS-CoV-2 genomes collected during the first and second waves of the pandemic in the country, researchers identified 20 viral lineages, with the Alpha and Eta variants notably driving the second wave in 2021.
  • The findings indicate that the spread of these variants in Côte d'Ivoire was primarily due to regional travel within West Africa, rather than international travel from outside the continent.
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Chronic kidney disease (CKD) has a high prevalence in Cameroon and will become an important public health problem. Its management must be comprehensive, starting with CKD prevention to the implementation of renal replacement therapies best suited to the needs of patients and resources available in Cameroon. Practical interventions involving nephrology departments in both Africa and Europe can contribute to an improved management of CKD in Africa.

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COVID-19 Vaccination and the Incidence of De Novo or Recurrent Rheumatoid Arthritis: A French and International (VigiBase) Signal Detection Study.

Clin Pharmacol Ther

May 2023

Laboratoire de Pharmacologie-Toxicologie, Pharmacovigilance & Centre d'évaluation et d'information sur la Pharmacodépendance-Addictovigilance, Centre Hospitalier Régional et Universitaire de Nancy Brabois, Bâtiment de Biologie Médicale et de Biopathologie, Vandœuvre-Lès-Nancy, France.

COVID-19 vaccination is critical in frequently immunocompromised patients with rheumatoid arthritis (RA). However, there is a question about the risk of RA flares following vaccination. Our study intended to find out about cases of new RA or flare-ups in people who already had RA that were reported in French and international pharmacovigilance databases after COVID-19 vaccination.

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Programmatic Implementation of Contact Investigation in Eight African Countries.

Trop Med Infect Dis

December 2022

International Union Against Tuberculosis and Lung Disease, 75001 Paris, France.

Article Synopsis
  • The project aimed to implement contact investigation (CI) methods in national tuberculosis programs across eight countries, focusing on children under 5 years and people living with HIV (PLHIV).
  • Over 9,000 home and clinic visits were conducted, revealing that 2.6% of children and 10.1% of PLHIV screened were diagnosed with active TB, with a high treatment uptake for both groups.
  • The initiative showed that CI can be effectively scaled up within existing TB programs in several African countries, leading to a successful implementation in six out of the eight participating nations by the end of 2021.
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Prevalence and incidence of HEV among men using HIV pre-exposure prophylaxis: A sub-study of the ANRS IPERGAY trial.

J Clin Virol

March 2023

Virologie, Hôpital Saint-Louis, Assistance Publique Hôpitaux de Paris, Paris, France; INSERM U944, CNRS UMR 7212, Institut Universitaire d'Hématologie, Université Paris Cité, Hôpital Saint Louis, 75010 Paris, France.

Article Synopsis
  • The study focused on the prevalence and incidence of hepatitis E virus (HEV) among men who have sex with men (MSM) in a trial for pre-exposure prophylaxis (PrEP).
  • Out of 416 MSM participants, 14.9% tested positive for HEV at the start, with only older age being a significant factor linked to positivity.
  • The overall incidence rate for new HEV infections over an average follow-up of 2.1 years was low at 1.19% per 100 person-years, suggesting that sexual transmission is not a major concern for HEV in this group, unlike hepatitis A virus (HAV).
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Reasons for delays to orthopaedic and trauma surgery: A retrospective five-year cohort.

Orthop Traumatol Surg Res

June 2023

Université Clermont Auvergne, CHU Clermont-Ferrand, CNRS, SIGMA Clermont, ICCF, 63000 Clermont-Ferrand, France. Electronic address:

Background: Early surgery seeks to decrease peri-operative complication rates and mean hospital stay lengths while also improving patient satisfaction. Few data exist on optimising care before orthopaedic and trauma surgery (OTS), notably regarding delays to surgery after admission. The objective of this study was to identify reasons for OTS delays at a university-hospital OTS centre in France.

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Is intramedullary pinning for isolated ulnar shaft fractures a surgical alternative to plate fixation?

Orthop Traumatol Surg Res

April 2023

Chirurgie orthopédique et traumatologie, centre hospitalier et universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France; Laboratoire de physiologie de l'exercice, EA 4338, Saint-Étienne, France.

Introduction: Unstable isolated ulnar shaft fractures are rare injuries that need to be surgically treated. The purpose of this study was to compare the functional and radiographic outcomes of two types of surgeries: closed reduction and intramedullary fixation (IMF) by pinning and open reduction and internal fixation (ORIF).

Hypothesis: Our hypothesis was that IMF obtained similar outcomes to ORIF.

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Introduction: Intravitreal injections (IVT) of a drug aim to rapidly obtain effective concentrations greater than those that would be obtained by a periocular or intravenous injection. The objective of the present study is to demonstrate the contribution of IVT in the treatment of pathologies of the posterior segment of the eye.

Methodology: We conducted a 21-month ambidirectional observational study from January 1, 2020, to September 30, 2021.

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Associations of white blood cell and platelet counts with specific depressive symptom dimensions in patients with bipolar disorder: Analysis of data from the FACE-BD cohort.

Brain Behav Immun

February 2023

Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital CHU Montpellier, Montpellier, France; IGF, Univ. Montpellier, CNRS, INSERM, Montpellier, France; Fondation FondaMental, France.

Evidences suggest that inflammation is increased in a subgroup of patients with depression. Moreover, increased peripheral inflammatory markers (cells and proteins) are associated with some, but not all depressive symptoms. On the other hand, similar studies on bipolar disorders mainly focused on blood cytokines.

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Sixty-seven scorpion species have been described in France and its territories, where they have been found to be heterogeneously distributed. Indeed, only one species can be found on Réunion Island, while 38 species exist in French Guiana. The number of stings is also heterogenous, with up to 90 stings per 100,000 inhabitants occurring annually.

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Recent large meta-analyses suggested a poorer long-term patients' and grafts' outcomes after ABO incompatible (ABOi) living-donor kidney transplantation (LDKT) compared to ABO compatible LDKT. However, little is known about the long-term histological pattern after ABOi LDKT. We compared the histological features observed on protocol biopsies from 03/11 to 11/19 in 94 ABOi LDKT (including 14 with preformed Donor Specific Antibodies, pDSAs), 27 LDKT ABO compatible (ABOc) with pDSAs, and 21 ABOc without pDSAs) during the first five years post transplantation.

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Introduction: Although the presence of pathogens in skin wounds is known to delay the wound healing process, the mechanisms underlying this delay remain poorly understood. In the present study, we have investigated the regulatory role of proinflammatory cytokines on the healing kinetics of infected wounds.

Methods: We have developed a mouse model of cutaneous wound healing, with or without wound inoculation with and , two major pathogens involved in cutaneous wound bacterial infections.

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Article Synopsis
  • F-Fluorodeoxyglucose Positron Emission/Computed Tomography (FDG PET/CT) is a promising whole-body imaging technique that could potentially replace multiple cancer screening tests.* -
  • Previous research indicates that FDG PET/CT shows high sensitivity and negative predictive value for detecting hidden cancers in patients with unprovoked venous thromboembolism (VTE).* -
  • There are ongoing trials to evaluate the use of FDG PET/CT for identifying occult cancers in high-risk VTE patients, even though false positives may lead to unnecessary procedures.*
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Fatty liver and atherogenic dyslipidemia have opposite effects on diabetic micro- and macrovascular disease.

Diabetes Metab Syndr

October 2022

Division of Cardiology, Cliniques Universitaires St-Luc and Pôle de Recherche Cardiovasculaire, Institut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain, Brussels, Belgium.

Background And Aims: Non-alcoholic fatty liver (FL) is comorbid with obesity, metabolic syndrome and type 2 diabetes. Atherogenic dyslipidaemia (AD), frequent in FL, is associated with risk of micro- and macrovascular complications. Given the paradoxical ocular protection of FL in T2DM, we studied how FL modulates micro- and macrovascular complications as a function of AD.

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[Therapeutic escalation in a case of nevoid hyperkeratosis of the areola and the nipple].

Ann Chir Plast Esthet

January 2023

Service chirurgie plastique, reconstructrice et esthétique - brûlés, centre hospitalier et universitaire de Félix-Guyon, allée des Topazes, 97400 Saint-Denis-La Réunion, France.

Article Synopsis
  • Nevoid hyperkeratosis of the nipple areola complex (NAC) is a rare, benign skin condition that causes thickening and discoloration, first noted in 1923 and with an unknown cause.
  • A case study of a 26-year-old woman with this condition revealed bilateral symptoms and various treatment options explored.
  • Treatments included conservative methods (like calcipotriol), semi-conservative (CO2 laser), and surgical (excision), leading to satisfactory outcomes with no recurrence after one year.
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Background: No studies have evaluated, to our knowledge, potential differences in practices in France according to type of healthcare institution, i.e., university public hospital, community public hospital, or private hospital with or without participation in the public healthcare system.

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In this study, we aimed to identify the factors related to esophageal impaction following button battery (BB) ingestion in children. PilBouTox, a prospective multicentric observational cohort study, was conducted from French Poison Control Centers between June 1, 2016 and May 31, 2018. Children (0-12 years old) with BB ingestion were included.

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Background: Venous thromboembolism (VTE) is a concern for patients with newly diagnosed multiple myeloma.

Objectives: We aimed to evaluate VTE incidence, risk factors, and risk score.

Patients/methods: We performed a substudy of the "Intergroupe Francophone du Myelome 2009" randomized controlled trial.

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