19 results match your criteria: "Centre hospitalier universitaire régional de Bretonneau[Affiliation]"

Background: CASSIOPEIA part 1 demonstrated superior depth of response and prolonged progression-free survival with daratumumab in combination with bortezomib, thalidomide, and dexamethasone (D-VTd) versus bortezomib, thalidomide, and dexamethasone (VTd) alone as an induction and consolidation regimen in transplant-eligible patients newly diagnosed with myeloma. In CASSIOPEIA part 2, daratumumab maintenance significantly improved progression-free survival and increased minimal residual disease (MRD)-negativity rates versus observation. Here, we report long-term study outcomes of CASSIOPEIA.

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Long-term ophthalmological outcomes in patients with anterior plagiocephaly managed with a fronto-orbital advancement procedure.

J Fr Ophtalmol

May 2022

Department of Maxillofacial and Plastic Surgery, Trousseau Hospital, Tours University Hospital, Tours, France; Department of Pediatric Maxillofacial Surgery and Craniofacial Surgery, Clocheville Hospital, Reference Center for Rare Craniofacial Malformations, Tours University Hospital, Tours, France; Department of Craniofacial Surgery, Clocheville Hospital, Reference Center for Rare Craniofacial Malformations, Tours University Hospital, Tours, France.

Background: Anterior plagiocephaly results from early fusion of a unilateral coronal cranial suture, which affects 1/10,000 infants at birth and can be associated with ophthalmological complications. The study aimed to evaluate the frequency of oculomotor disorders and refractive errors in children with non-syndromic anterior plagiocephaly.

Methods: Patients with anterior plagiocephaly undergoing surgery using a fronto-orbital advancement technique were included in this retrospective study between 2011 and 2017.

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In the phase 3 MAIA study of patients with transplant-ineligible newly diagnosed multiple myeloma (NDMM), daratumumab plus lenalidomide/dexamethasone (D-Rd) improved progression-free survival (PFS) versus lenalidomide/dexamethasone (Rd). We present a subgroup analysis of MAIA by frailty status. Frailty assessment was performed retrospectively using age, Charlson comorbidity index, and baseline Eastern Cooperative Oncology Group performance status score.

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Background: CASSIOPEIA part 1 showed superior depth of response and significantly improved progression-free survival with daratumumab, bortezomib, thalidomide, and dexamethasone (D-VTd) versus bortezomib, thalidomide, and dexamethasone (VTd) as induction and consolidation in patients with autologous stem-cell transplant (ASCT)-eligible newly diagnosed multiple myeloma. In part 2, we compared daratumumab maintenance versus observation only.

Methods: CASSIOPEIA is a two-part, open-label, randomised, phase 3 trial of patients aged 18-65 years with newly diagnosed multiple myeloma and Eastern Cooperative Oncology Group performance status 0-2, done in 111 European academic and community practice centres.

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Introduction: The Ambulatory Clinic for Cataract Surgery (CACC) is a public department of the Bourges Medical Center, with a fast-track protocol without perioperative anesthesia care launched in 2015. This study aimed to evaluate the benefits of the CACC in terms of access to cataract surgery.

Methods: This retrospective study included all patients undergoing cataract surgery between 2012 and 2018.

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Article Synopsis
  • The study analyzed eye emergencies at the Bourges Medical Center in a rural area of France to understand their epidemiological characteristics and severity factors.
  • A total of 1809 patients were reviewed, with most self-referring and ocular surface disease being the most common condition.
  • The severity of eye conditions was linked to male gender, distance to the hospital, early symptom presentation, and especially referrals from healthcare providers, indicating these cases should be treated as severe.
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Ambulatory cataract surgery centre without perioperative anaesthesia care: a prospective cohort study.

Sci Rep

April 2021

Department of Ophthalmology, Centre Hospitalier Universitaire Régional de Bretonneau, Bretonneau University Hospital of Tours, 2 Boulevard Tonnellé, 37000, Tours, France.

This study aims to evaluate the safety and patient satisfaction of a fast-track procedure for cataract surgery under topical anaesthesia without perioperative anaesthesia care. This is a prospective single-centre study including all cataract procedures in the Centre Ambulatoire de la Chirurgie de la Cataracte at the Hospital of Bourges between May and August 2018. Procedures were performed under topical anaesthesia without the presence of a nurse anaesthesiologist or anaesthesiologist, the patient had not fasted, and no peripheral venous line was placed.

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Background: Abducens nerve palsy (ANP) is the most common oculomotor palsy. This study aimed to evaluate the efficacy of medial rectus recession with lateral rectus plication in patients with unilateral acquired ANP and to describe the etiologies of this condition.

Methods: Thirty-one patients were included in this retrospective single-center study conducted between 2000 and 2019 at the university research hospital in Tours.

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Article Synopsis
  • This study analyzed the viral dynamics of SARS-CoV-2 in 655 hospitalized patients to explore its link to mortality, finding that older patients had slower viral clearance and higher mortality risk.
  • The research identified key risk factors for mortality, including age ≥65, male gender, and chronic pulmonary disease, along with the independent role of viral load dynamics.
  • A model suggested that effective treatments reducing viral production upon admission could significantly decrease time to viral clearance and potentially lower mortality rates for at-risk patients.
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To compare daratumumab plus standard-of-care (SoC; bortezomib/thalidomide/dexamethasone [VTd]) and VTd alone with other SoC for transplant-eligible newly diagnosed multiple myeloma. We conducted an unanchored matching-adjusted indirect comparison of progression-free and overall survival (PFS/OS) with D-VTd/VTd versus bortezomib/lenalidomide/dexamethasone (VRd), bortezomib/cyclophosphamide/dexamethasone (VCd) and bortezomib/dexamethasone (Vd). After matching adjustment, significant improvements in PFS were estimated for D-VTd versus VRd (hazard ratio [HR]: 0.

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Ambulatory surgery centers: possible solution to improve cataract healthcare in medical deserts.

J Cataract Refract Surg

March 2021

From the Department of Ophthalmology, Centre Hospitalier Universitaire Régional de Bretonneau (Bigoteau, Cook, Duroi, Pisella, Khanna), Regional Unit of Epidemiology (EpiDcliC), Service of Medical Information, Epidemiology and Medical Economy, Teaching Hospital of Tours, Medical School, University of Tours (Grammatico-Guillon), Tours; Department of Medical Information, Centre Hospitalier Jacques Coeur (Massot), and Department of Ophthalmology, Centre Hospitalier Jacques Coeur (Bigoteau, Baudet, Pichard, Slim), Bourges, France.

Purpose: To investigate the epidemiological impact of an ambulatory cataract surgery center providing a fast-track procedure without anesthetic evaluation on the access to cataract healthcare.

Setting: French nationwide study.

Design: Retrospective cross-sectional study.

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Introduction: Hyperoxaluria is a rare cause of hereditary crystalline retinopathy. We report the first case of acquired calcium oxalate crystalsretinopathy following domino liver transplantation (DLT).

Clinical Case: A 72-year-old patient was referred for bilateral visual impairment 9 months after DLT.

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Introduction: Allogeneic stem cell transplantation is currently the only curative therapy for hematological disorders. This treatment can lead to complications, of which ophtalmological involvement.

Methods: We reviewed the literature and established accessible and convenient recommendations for hematologists and ophthalmologists.

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Stomatological complications of allogeneic hematopoietic stem cell transplantation (HSCT) are frequent and very uncomfortable for patients. The primary complication is the graft versus host disease reaction. Other side effects of the procedure include infections, taste disorders and carcinogenic risks.

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Introduction: Urological recommendations never focused on prevention and treatment of urinary tract infections related to endo-ureteral material.

Methods: We conducted an evaluation of French professional practices in May 2019 in the aim of highlighting the important heterogeneity of practices using a Survey Monkey inquiry.

Results: One-hundred-and-seventy-five urologists answered the inquiry, as to say 13% of French urologists.

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Background: Bortezomib, thalidomide, and dexamethasone (VTd) plus autologous stem-cell transplantation is standard treatment in Europe for transplant-eligible patients with newly diagnosed multiple myeloma. We evaluated whether the addition of daratumumab to VTd before and after autologous stem-cell transplantation would improve stringent complete response rate in patients with newly diagnosed multiple myeloma.

Methods: In this two-part, randomised, open-label, phase 3 CASSIOPEIA trial, we recruited transplant-eligible patients with newly diagnosed multiple myeloma at 111 European sites.

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[Contraception: CNGOF Guidelines for Clinical Practice (Short Version)].

Gynecol Obstet Fertil Senol

December 2018

Département de gynécologie-obstétrique, faculté de médecine université de Montpellier (France), centre hospitalier universitaire Arnaud-de-Villeneuve, 34000 Montpellier, France.

The French College of Obstetrics and Gynecology (CNGOF) releases its first global recommendations for clinical practice in contraception, to provide physicians with an updated synthesis of available data as a basis for their practice. The French Health Authority (HAS) methodology was used. Twelve practical issues were selected by the organizing committee and the task force members.

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Autistic children and the object permanence task.

Acta Paedopsychiatr

July 1993

Département de Neurophysiologie, Centre Hospitalier Régional, Universitaire de Bretonneau, Tours, France.

Many mentally retarded autistic children can understand the concept of object permanence, but, in comparison to developmental-age matched normal children, the behavioral strategies they employ in carrying out the Casati-Lezine Object Permanence Test are deficient and lead to failure. These deficiencies appear unrelated to interference of stereotypic or other bizarre behavior in task performance. Similar problem-solving deficiencies can be found in mentally retarded children who are not autistic, suggesting that the deficiencies themselves are less related to the social-communication deficits of autistic children, but more to the general problem-solving difficulties found in children with a lower developmental quotient.

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