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

Purpose: Roughly 20% of patients with non-small-cell lung cancer exhibit locally advanced, unresectable, stage III disease. Concurrent platinum-based chemoradiotherapy is the backbone treatment, which is followed by maintenance immunotherapy, yet with poor long-term prognosis. This phase II trial (IFCT-0803) sought to evaluate whether adding cetuximab to cisplatin and pemetrexed chemoradiotherapy would improve its efficacy in these patients.

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Background: Chronic pain affects approximately 30% of the general population, severely degrades quality of life (especially in older adults) and professional life (inability or reduction in the ability to work and loss of employment), and leads to billions in additional health care costs. Moreover, available painkillers are old, with limited efficacy and can cause significant adverse effects. Thus, there is a need for innovation in the management of chronic pain.

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Background: Early liver transplantation for severe alcohol-related hepatitis is an emerging treatment option. We aimed to assess the risk of alcohol relapse 2 years after early liver transplantation for alcohol-related hepatitis compared with liver transplantation for alcohol-related cirrhosis after at least 6 months of abstinence.

Methods: We conducted a multicentre, non-randomised, non-inferiority, controlled study in 19 French and Belgian hospitals.

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Degenerative cervical myelopathy (DCM) is characterized by a progressive deterioration in spinal cord function. Its evaluation requires subjective clinical examination with wide interobserver variability. Objective quantification of spinal cord function remains imprecise, even though validated myelopathy-grading scales have emerged and are now widely used.

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Sustained effectiveness of elexacaftor-tezacaftor-ivacaftor in lung transplant candidates with cystic fibrosis.

J Cyst Fibros

May 2022

Université de Paris, Institut Cochin, Inserm U1016, Paris, France; Respiratory Medicine and Cystic Fibrosis National Reference Center, Cochin Hospital, Assistance Publique Hôpitaux de Paris (AP-HP), Paris, France; ERN-Lung CF network, Frankfurt, Germany. Electronic address:

Background: Elexacaftor-tezacaftor-ivacaftor induces rapid clinical improvement in patients with cystic fibrosis (CF) and advanced pulmonary disease, often leading to suspend the indication for lung transplantation. Yet no long-term data is available in lung transplant candidates.

Methods: Lung transplant candidates (defined as being waitlisted for lung transplantation or considered for listing within 3 months) who have initiated elexacaftor-tezacaftor-ivacaftor were identified in the French cohort of patients with CF and advanced pulmonary disease.

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Screw misplacement in percutaneous posterior pelvic iliosacral screwing with and without navigation: A prospective clinical study of 174 screws in 127 patients.

Orthop Traumatol Surg Res

April 2022

Service de chirurgie orthopédique et traumatologique, centre hospitalier universitaire de Grenoble, université Grenoble Alpes, 38700 La Tronche, France; TIMC-IMAG lab, Université. Grenoble Alpes, CNRS UMR 5525, 38700 La Tronche, France.

Background: Recent studies of iliosacral screw fixation performed using intraoperative navigation systems have shown promising results. The Surgivisio Platform is a new-generation three-dimensional intraoperative navigation tool that has been used at our institution for 2years. The aim of this prospective study was to assess the contribution of navigation in terms of iliosacral screw positioning accuracy and of radiation exposure, by comparing outcomes with vs.

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Exploring the impact of interactive movement-based anatomy learning in real classroom setting among kinesiology students.

Anat Sci Educ

January 2023

Laboratoire Interuniversitaire de Biologie de la Motricité (EA 7424), Université Claude Bernard, Lyon 1, Villeurbanne, France.

Descriptive and functional anatomy is one of the most important sciences for kinesiology students. Anatomy learning requires spatial and motor imagery abilities. Learning anatomy is complex when teaching methods and instructional tools do not appropriately develop spatial and motor imagery abilities.

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Objective: To evaluate the impact of pathogen-reduced (PR) platelet transfusions on blood products requirement for clinical practice.

Background: PR platelets are increasing in use as standard blood products. However, few randomised trials have evaluated their impact on bleeding control or prevention.

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Objectives: To describe the characteristics, treatment and outcome of patients with immune thrombocytopenia with clinical significance (ITPCS) associated with SLE.

Methods: This retrospective multicentre study included SLE patients who experienced ≥1 ITPCS (defined as ITP with attributable bleeding disorders and/or a platelet count <30×109/l). Other causes of secondary thrombocytopenia were excluded.

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Effective connectivity in subcortical visual structures in de novo Patients with Parkinson's Disease.

Neuroimage Clin

March 2022

University Grenoble Alpes, Inserm U1216, Centre Hospitalier Universitaire de Grenoble, Grenoble Institute of Neurosciences, Grenoble, France. Electronic address:

Background: Parkinson's disease (PD) manifests with the appearance of non-motor symptoms before motor symptoms onset. Among these, dysfunctioning visual structures have recently been reported to occur at early disease stages.

Objective: This study addresses effective connectivity in the visual network of PD patients.

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Determining the Interrater Reliability of the SOFMER Activity Score (version 2) for Individuals in Rehabilitation Centers.

Arch Phys Med Rehabil

June 2022

Service de Médecine Physique et de Réadaptation Pédiatrique (L'Escale), Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon, Bron; Université de Lyon, Lyon; Institut Neuromyogène, Lyon, France.

Objective: To assess the interrater reliability of the SOFMER Activity Score (SAS) (version 2 [v2], an 8-item [4 motor and 4 cognitive] and 5-level scale) and improve its scoring system before conducting further validation steps.

Design: Cross-sectional, prospective, observational, noninterventional, and multicentric study.

Setting: The study was conducted between November 2018 and September 2019 in 4 French rehabilitation centers (2 public university hospitals for adults and 2 private not-for-profit rehabilitation centers for children).

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Article Synopsis
  • * A study using a mouse model discovered that male offspring from mothers on a low-protein diet during pregnancy and nursing had normal sperm structure and count but reduced fertility as adults.
  • * The research highlights that maternal nutritional stress can alter sperm capacitation, lowering fertilization success while leaving sperm production unchanged, suggesting implications for understanding and treating certain infertility cases.
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Article Synopsis
  • - Ankyrin proteins, particularly ANKRD31, play a crucial role in connecting membrane proteins to the cytoskeleton and have been recently discovered to be involved in spermatogenesis and male germ cell development.
  • - Researchers created a knockout mouse model lacking ANKRD31, which resulted in infertility and issues like oligo-astheno-teratozoospermia, characterized by low sperm count, immotility, and abnormal morphology.
  • - The study also revealed that the absence of ANKRD31 disrupts the formation of the blood-epididymal barrier due to cell junction problems, highlighting its importance for maintaining sperm integrity and overall reproductive health.
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Introduction: The aims of this narrative review was to report on the contemporary data of renal colic (RC) in terms of epidemiology and pressure on emergency structures and also to describe the latest therapeutic developments about uncomplicated RC, depending on the pediatric, adult and pregnancy population.

Material And Methods: A request to the health surveillance network for emergencies and deaths (SurSaUD®, Santé Publique France) revealed original data on the contemporary epidemiology of renal colic. A narrative synthesis of the articles (French, English) available on the Pubmed database was produced in June 2021.

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[Management of complications of upper urinary tract trauma (kidney and ureter)].

Prog Urol

November 2021

CHU de La Conception, AP-HM, 13005 Marseille, France.

Introduction: Complications of kidney and ureter trauma are directly in the field of the urologist. If they have a second place in the vital prognosis, a good knowledge of these pathologies is essential.

Methods: A systematic review of the literature was carried out using the Medline database in order to identify the most relevant articles in English and French.

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[Renal Parenchyma Trauma and General Trauma Recommandations].

Prog Urol

November 2021

Hôpital d'instruction des Armées Sainte-Anne, BP 600, 83800 Toulon cedex 09, France.

Introduction: Among trauma emergencies, kidney damage is uncommon. The urologist is frequently on the second line in the management of patients with multiple traumatic lesions. Knowledge of treatment is necessary to be able to integrate the different teams involved in an approach that is both vital in the context of damage control and functional with a concern for parenchymal preservation.

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Context: The administration of immune checkpoints inhibitors (ICIs) within hospitalization at home (HaH) organizations is an interesting alternative to conventional care. Three surveys were carried out to describe the different organizational models of French HaHs and criteria used by physicians in patient selection.

Methods: Three surveys were conducted between April 1 and August 31, 2020.

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Objective: Investigate shear wave elastography (SWE) and quantitative ultrasound (QUS) parameters in patients hospitalized for lower limb deep vein thrombosis (DVT).

Method: Sixteen patients with DVT were recruited and underwent SWE and radiofrequency data acquisitions for QUS on day 0, day 7, and day 30 after the beginning of symptoms, in both proximal and distal zones of the clot identified on B-mode scan. SWE and QUS features were computed to differentiate between thrombi at day 0, day 7, and day 30 following treatment with heparin or oral anticoagulant.

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Article Synopsis
  • Numerical chromosomal aberrations in sperm are a leading cause of infertility and developmental issues in mammals, including primates; however, their prevalence in non-human primates like chimpanzees is not well studied.
  • This research investigates sperm aneuploidy in chimpanzees using custom probes and sperm-FISH analysis on over 10,000 sperm nuclei, revealing specific rates of disomy and gamete proportions.
  • The findings represent the first comprehensive overview of sperm aneuploidy in non-human primates, enhancing understanding of its origins and mechanisms.
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Introduction: Final overall survival (OS) analyses are presented for EGFR mutations and liver or brain metastases subgroups in the phase 3 IMpower150 study (NCT02366143) evaluating atezolizumab plus bevacizumab plus carboplatin and paclitaxel (ABCP) or atezolizumab plus carboplatin and paclitaxel (ACP) versus bevacizumab plus carboplatin and paclitaxel (BCP).

Methods: Overall, 1202 patients (intention-to-treat population) with chemotherapy-naive, metastatic, nonsquamous NSCLC were randomized to ABCP, ACP, or BCP. Patients with treated, stable brain metastases were permitted.

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This study compares the effects on motor symptoms between conventional deep brain stimulation (cDBS) and closed-loop adaptive deep brain stimulation (aDBS) in patients with Parkinson's Disease. The aDBS stimulation is controlled by the power in the beta band (12-35 Hz) of local field potentials recorded directly by subthalamic nucleus electrodes. Eight subjects were assessed in two 8-h stimulation sessions (first day, cDBS; second day, aDBS) with regular levodopa intake and during normal daily activities.

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Background: There is growing evidence of gender-specific phenotypic differences among patients with idiopathic pulmonary fibrosis (IPF), which may affect patient outcomes.

Objectives: We present the characteristics of patients with IPF at inclusion in the French Rare Disease Cohort - Interstitial Lung Disease (RaDiCo-ILD) with the aim of characterizing gender-specific phenotypic differences.

Methods: Patients with IPF who were enrolled in the national, multicentre RaDiCo-ILD cohort were included.

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[Neurological sequels and follow-up of the child victim of non-accidental head trauma].

Soins Pediatr Pueric

September 2021

Hôpital Couple Enfant, Centre hospitalier universitaire de Grenoble, BP 217, 38043 Grenoble cedex, France. Electronic address:

Babies who suffer non-accidental head injuries systematically show sequels, whether they are neurological, cognitive or behavioural. Some of these disorders are immediately identified, such as neurological sequels, but others, such as cognitive or behavioural disorders, are revealed much later. Regular monitoring by a neuro-paediatrician is therefore essential in order to be able to adapt the child's care as closely as possible to his or her needs according to the sequels presented.

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[Shaken Baby Syndrome, legal aspects].

Soins Pediatr Pueric

September 2021

Hôpital Couple Enfant, Centre hospitalier universitaire de Grenoble, BP 217, 38043 Grenoble cedex, France. Electronic address:

In July 2017, the French National Authority for Health published a recommendation for good practice specific to shaken baby syndrome specifying the diagnostic approach, the mechanisms involved in shaking and the date of injury. This recommendation details the legal aspects in the case of a diagnosis of non-accidental head trauma, as well as the procedure to follow to report these situations. The High Authority for Health reaffirms this recommendation in December 2019, insisting on the importance of the role of carers in the identification, diagnosis and prevention of these situations.

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