748 results match your criteria: "Centre hospitalier universitaire de Grenoble[Affiliation]"

Article Synopsis
  • Two blood biomarkers, GFAP and UCH-L1, are being studied for their ability to indicate if elderly patients with mild traumatic brain injury (mTBI) have intracranial lesions, particularly when tested within the first 12 hours.
  • The study involves a large cohort of over 2,300 elderly patients with mTBI and aims to evaluate the effectiveness of an automated test to predict brain CT scan outcomes, and establish reference values for these biomarkers in a non-TBI elderly population.
  • Ethical approval has been secured for the research, and results will be shared at scientific meetings in the future.*
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Long-term effects of subthalamic nucleus deep brain stimulation on speech in Parkinson's disease.

Sci Rep

July 2023

Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Viale Risorgimento 80, 42123, Reggio Emilia, Italy.

Bilateral subthalamic nucleus deep brain stimulation (STN-DBS) is an effective treatment in advanced Parkinson's Disease (PD). However, the effects of STN-DBS on speech are still debated, particularly in the long-term follow-up. The objective of this study was to evaluate the long-term effects of bilateral STN-DBS on speech in a cohort of advanced PD patients treated with bilateral STN-DBS.

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Article Synopsis
  • * Eligible candidates must have a calculated panel reactive antibody (cPRA) of 98% or higher, be under 65 years old, have been on the waiting list for at least three years, and have a low risk of biopsy complications.
  • * The treatment requires a negative post-Imlifidase crossmatch and a strong negative virtual crossmatch, and patients will undergo a specific immunosuppressive regimen along with ongoing monitoring for donor-specific antibodies and potential rejection.
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Objective: Breakthrough cancer pain should be properly assessed for better-personalized treatment plan. The Breakthrough Pain Assessment Tool is a 14-item tool validated in English developed for this purpose; no French version is currently available and validated. This study aimed to translate it in French and assess the psychometric properties of a French version of the Breakthrough Pain Assessment Tool (BAT-FR).

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Introduction: Cytomegalovirus (CMV) is the most frequent infectious complication following solid organ transplantation. Torque teno viruses (TTV) viremia has been proposed as a biomarker of functional immunity in the management of kidney transplant recipients (KTR). The QuantiFERON-CMV (QF-CMV) is a commercially available assay that allows the assessment of CD8 T-cell responses in routine diagnostic laboratories.

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Monocytes activated by pro-inflammatory signals adhere to the vascular endothelium and migrate from the bloodstream to the tissue ultimately differentiating into macrophages. Cell mechanics and adhesion play a crucial role in macrophage functions during this inflammatory process. However, how monocytes change their adhesion and mechanical properties upon differentiation into macrophages is still not well understood.

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Background: Genetic risk factors impact around 15% of Parkinson's disease (PD) patients and at least 23 variants have been identified including Glucocerebrosidase (GBA) gene variants. Using different clinical and instrumental qualitative-based data, various studies have been published on GBA-PD cohorts which suggested possible differences in dopaminergic nigrostriatal denervation pattern, particularly in caudate and putamen nuclei.

Methods: This retrospective study included two consecutive homogenous cohorts of GBA-PD and idiopathic (I-PD) patients.

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ANCA-associated scleritis: impact of ANCA on presentation, response to therapy and outcome.

Rheumatology (Oxford)

February 2024

Department of Internal Medicine, Hôpital Cochin, AP-HP, Paris, France.

Objectives: To describe the characteristics, treatment and outcome of isolated ANCA-associated scleritis at diagnosis compared with idiopathic scleritis with negative ANCA tests.

Methods: This retrospective multicentre case-control study was performed within the French Vasculitis Study Group (FVSG) network and in three French tertiary ophthalmologic centres. Data from patients with scleritis without any systemic manifestation and with positive ANCA results were compared with those of a control group of patients with idiopathic scleritis with negative ANCA tests.

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A Multimodal Cardioprotection Strategy During Cardiac Surgery: The ProCCard Study.

J Cardiothorac Vasc Anesth

August 2023

Service d'Anesthésie-Réanimation, Hôpital Louis Pradel, Hospices Civils de Lyon, Lyon, France; Inserm U1060, Laboratoire CarMeN, IHU OPeRa, Lyon, France.

Objective: The ProCCard study tested whether combining several cardioprotective interventions would reduce the myocardial and other biological and clinical damage in patients undergoing cardiac surgery.

Design: Prospective, randomized, controlled trial.

Setting: Multicenter tertiary care hospitals.

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Article Synopsis
  • Nuclear F-actin in sperm cells is vital for supporting the acroplaxome and ensuring the correct positioning of the sperm membrane protein IZUMO1, crucial for sperm-oocyte fusion.
  • The study compares high-quality (A-SPZ) and low-quality (B-SPZ) human spermatozoa, revealing that excessive F-actin in B-SPZ altered the localization of IZUMO1.
  • F-actin depolymerization, induced by a treatment called cytochalasin D, improved both IZUMO1 repositioning and acrosome reaction, while promoting better sperm nuclear size and histone acetylation, suggesting F-actin's significant role in sperm quality control.
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Vertebroplasty versus bracing in acute vertebral compression fractures: A prospective randomized trial.

Ann Phys Rehabil Med

September 2023

Service de Neurochirurgie, Centre Hospitalier Universitaire de Clermont-Ferrand, 58 rue Montalembert, 63 000 Clermont-Ferrand, France; INSERM, CIC 1405, unité CRECHE, Centre Hospitalier Universitaire de Clermont-Ferrand, 58 rue Montalembert, 63 000 Clermont-Ferrand, France. Electronic address:

Background: The treatment of stable vertebral compression fractures remains controversial.

Objective: To compare the efficacy of vertebroplasty and bracing for acute vertebral compression fractures.

Methods: We conducted a prospective, randomized, non-blinded, single-center study.

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Article Synopsis
  • Patients with initially unresectable advanced non-small cell lung cancer (NSCLC) may achieve positive treatment outcomes after receiving immune checkpoint inhibitors (ICIs) and undergoing later surgery, although this is rare.
  • A study of 21 patients over four years found that 43% had early post-operative complications, with one patient dying from complications.
  • Despite these risks, the study showed a 100% rate of complete tumor resection and a 43% major pathologic response, with only diffusing capacity for carbon monoxide linked to complications.
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Introduction: Women frequently report pain associated with medical termination of pregnancy (MToP), and its management can differ largely between centres. This study aimed at evaluating in real-life settings pain related to MToP and its management in France.

Methods: This was a non-interventional prospective, longitudinal study run in 23 centres between 2015 and 2016 that included 893 pregnant women.

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Article Synopsis
  • Reciprocal translocation (RT) carriers have a higher risk of infertility, miscarriages, and children with health issues due to the production of unbalanced gametes.
  • Prenatal diagnosis (PND) and preimplantation genetic diagnosis (PGD) can help minimize these risks, but there are concerns about the effectiveness of sperm fluorescence in situ hybridization (spermFISH) as a diagnostic tool for RT carriers.
  • A study of 41 RT carriers indicated that acrocentric chromosomes lead to more unbalanced gametes, and the variability in balanced sperm rates suggests that using spermFISH routinely may not be beneficial for these patients.
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[Not Available].

Rev Infirm

January 2023

Service de néphrologie, hémodialyse, aphérèses et transplantation rénale, Centre hospitalier universitaire de Grenoble Alpes (CHUGA), CS 10217, 38043 Grenoble, France.

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Background: While prior Micra trials demonstrated a high implant success rate and favorable safety and efficacy results, changes in implant populations and safety over time is not well studied. The objective of this analysis was to report the performance of Micra in European and Middle Eastern patients and compare to the Micra Investigational Device Exemption (IDE) and Micra Post Approval Registry (PAR) studies.

Methods: The prospective, single-arm Micra Acute Performance European and Middle Eastern (MAP EMEA) registry was designed to further study the performance of Micra in patients from EMEA.

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Article Synopsis
  • Management of first episodes of primary spontaneous pneumothorax (air in the chest cavity) is debated, with this study comparing simple aspiration and chest tube drainage as treatment methods.
  • The trial involved 402 adults aged 18-50 and measured lung expansion 24 hours post-treatment, finding a higher failure rate in the aspiration group (29%) compared to the chest tube group (18%).
  • Despite higher failure rates, the aspiration method resulted in less overall pain and fewer complications, with recurrence rates of pneumothorax being 20% for aspiration and 27% for drainage.
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The uterine volume is dramatically decreased after hematopoietic stem cell transplantation during childhood regardless of the conditioning regimen.

Fertil Steril

April 2023

CEReS Research Unit EA 3279 and Department of Public Health, Hôpital de la Timone, Marseille, France; Department of Pediatric Hematology, Immunology and Oncology, AP-HM, La Timone Children's Hospital, Marseille, France.

Article Synopsis
  • The study investigates how hematopoietic stem cell transplantation (HSCT) affects uterus size in women who survived childhood acute leukemia, focusing on the age at HSCT and conditioning type.
  • Conducted at 13 French university hospitals, the prospective cohort study included 88 female HSCT survivors compared to a control group, using MRI to measure uterine volume.
  • Results showed a significant reduction in uterine volume among HSCT survivors, with those receiving total body irradiation experiencing a 75.3% decrease, compared to a 43.1% decrease in those who received an alkylating agent-based regimen.
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Kappa Free Light Chain Biomarkers Are Efficient for the Diagnosis of Multiple Sclerosis: A Large Multicenter Cohort Study.

Neurol Neuroimmunol Neuroinflamm

January 2023

From the Unité de Recherche Clinique Cote d'Azur-UR2CA URRIS (M.L., C.L.-F.), Centre Hospitalier Universitaire de Nice; Département de Biostatistiques (S.L.-C.), Epidémiologie clinique et Santé Publique, Centre Hospitalier Universitaire de Nîmes; Département de Neurologie (X.A., P.L.), Centre Hospitalier Universitaire de Montpellier, Montpellier; Département de Neurologie (K.B., J.D.S.), Centre Hospitalier Universitaire de Strasbourg; Service de Neurologie (M.R., E.T.), Centre Hospitalier Universitaire de Nîmes; Laboratoire de Biochimie (S.S.), Centre Hospitalier Universitaire de Nîmes; Département de Neurologie (H.Z., T.A.), Centre Hospitalier Universitaire de Lille; Centre Hospitalier Universitaire de Lille (J.-D.P.), Service de Biochimie Automatisée, Protéines (UF 8833), Lille; Département de Neurologie (J.C., D.B.), Centre Hospitalier Universitaire de Toulouse, Hôpital Pierre-Paul Riquet, CRC-SEP, F-31059, Toulouse Cedex 9; Laboratoire d'Immunologie (B.P.-L.), Centre Hospitalier Universitaire de Toulouse; Département de Neurologie (J.-P.C.), Centre Hospitalier Universitaire de Saint-Etienne; Laboratoire de Biochimie (Y.T.), Centre Hospitalier Universitaire de Saint-Etienne; Département de Neurologie (O.C.), Centre Hospitalier Universitaire de Grenoble Alpes; Univ. Grenoble Alpes (B.T.), CNRS, UMR 5525, VetAgro Sup, Grenoble INP, CHU Grenoble Alpes, TIMC; Laboratoire de Biochimie (B.T., J.M.), Centre Hospitalier Universitaire de Grenoble Alpes; Département de Neurologie (T.M.), Centre Hospitalier de Dijon; Laboratoire de Biochimie (D.L., A.T.), Centre Hospitalier Universitaire de Dijon; Département de Neurologie (E.M.), Assistance-Publique des Hôpitaux de Paris, Centre Hospitalier Universitaire de la Pitié-Salpêtrière; Laboratoire d'Immunologie (D.S.), Assistance Publique des Hôpitaux de Paris, Centre Hospitalier Universitaire de la Pitié-Salpêtrière, Paris; Département de Neurologie (A.M., A.R.), Centre Hospitalier Universitaire de Tours; Université de Nantes (D.A.L.), C2RTI Inserm UMR1064, service de Neurologie, CHU Nantes; Département de Biochimie (E.B.-C., P.-O.B.), Centre Hospitalier Universitaire de Nantes; Aix Marseille Univ (J.P.), APHM, Hôpital de la Timone, Pôle de Neurosciences Cliniques, Service de Neurologie; Laboratoire de Biochimie (J.B.), Assistance Publique des Hôpitaux de Marseille, Centre Hospitalier Universitaire de La Conception; Laboratoire d'Immunologie (T.V.), Centre Hospitalier Universitaire de Montpellier; Laboratoire d'Immunologie (I.J.), Centre Hospitalier Universitaire Strasbourg; Laboratoire d'Immunologie (B.S.-P.), Centre Hospitalier Universitaire de Nice; Institut de Génomique Fonctionnelle (E.T.), Université de Montpellier, CNRS, INSERM, Montpellier; and Département de Neurologie (C.L.-F.), Centre Hospitalier Universitaire de Nice, France.

Background And Objectives: Kappa free light chains (KFLC) seem to efficiently diagnose MS. However, extensive cohort studies are lacking to establish consensus cut-offs, notably to rule out non-MS autoimmune CNS disorders. Our objectives were to (1) determine diagnostic performances of CSF KFLC, KFLC index, and KFLC intrathecal fraction (IF) threshold values that allow us to separate MS from different CNS disorder control populations and compare them with oligoclonal bands' (OCB) performances and (2) to identify independent factors associated with KFLC quantification in MS.

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Invasive pneumococcal infections in France: Changes from 2009 to 2021 in antibiotic resistance and serotype distribution of Streptococcus pneumoniae based on data from the French Regional Pneumococcal Observatories network.

Infect Dis Now

February 2023

Observatoire Régional du Pneumocoque Pays-de-la-Loire, Centre Hospitalier Universitaire d'Angers, Département de Biologie des Agents Infectieux, Laboratoire de Bactériologie, Angers, France; Nantes Université, Angers Université, INSERM, CNRS, INCIT, UMR 1302/EMR6001, équipe ATOMycA, France. Electronic address:

Objective: The 23 French Regional Pneumococcal Observatories (ORPs) analyzed antibiotic resistance and serotypes of Streptococcus pneumoniae strains isolated from invasive infections in France over a 12-year period.

Methods: Between 2009 and 2021, the ORPs analyzed 19,319 strains, including 1,965 in children and 17,354 in adults. Strains were assessed for their resistance to penicillin G, amoxicillin and cefotaxime.

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Background: Given the rapidly evolving pandemic of COVID-19 in 2020, authorities focused on the repurposing of available drugs to develop timely and cost-effective therapeutic strategies. Evidence suggested the potential utility of remdesivir in the framework of an early access program. REMDECO-19 is a multicenter national cohort study assessing the ability of remdesivir to improve the outcome of patients hospitalized with COVID-19.

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Article Synopsis
  • * Data was gathered from a registry created by the European Academy of Neurology, involving 1523 COVID-19 patients across multiple countries, focusing on their demographics, medical history, and neurological issues.
  • * Results showed that 79.6% of patients exhibited neurological symptoms, with cognitive dysfunction, stroke, and sleep disturbances being the most common; findings also indicated variations based on age and existing health conditions.
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Article Synopsis
  • The study explores how the timing of androgen-deprivation therapy (ADT) relative to radiotherapy (RT) affects outcomes for prostate cancer, particularly comparing prostate-only RT (PORT) and whole-pelvis RT (WPRT).
  • Researchers analyzed data from 12 randomized trials involving 7,409 patients and utilized advanced statistical methods to assess the impact of ADT sequencing on metastasis-free survival and overall survival.
  • Findings indicated that for patients receiving PORT, concurrent/adjuvant ADT resulted in better metastasis-free survival and lower rates of prostate cancer-specific mortality, whereas WPRT showed no significant differences in outcomes based on ADT timing.
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