192 results match your criteria: "Dijon Bourgogne University Hospital[Affiliation]"

Background: Nivolumab obtained approval in advanced melanoma (AM) with weight-adjusted dose (WAD) administration (3 mg/kg/2 weeks). In 2018, the dosage regimen was changed to flat dose (FD) administration (240 mg/2 weeks or 480 mg/4 weeks) based on a modeling study, without clinical data.

Methods: AM patients have been prospectively included in the French national multicenter MelBase database since 2013.

View Article and Find Full Text PDF

ORPHEE: A Real-World Study on rIX-FP Prophylaxis Use in Adolescent/Adult Patients With Hemophilia B.

Eur J Haematol

December 2024

CRH, CRC-MHC (Centre de Référence de l'Hémophilie, Centre de Ressource et de Compétence Des Maladies Hémorragiques Constitutionnelles), University Hospital, Rennes, France.

Objectives: To assess the real-world efficacy and safety of recombinant factor IX albumin fusion protein (rIX-FP) in patients with hemophilia B (HB) in France.

Methods: Data on dosing frequency, weekly consumption, and bleeds before-and-after switching to rIX-FP, were collected from December 2021 to February 2024. Annualized (spontaneous) bleeding rates [A(s)BRs] were calculated only in patients on prophylaxis with a follow-up ≥ 6 months.

View Article and Find Full Text PDF

Label-Free Optical Transmission Tomography for Direct Mycological Examination and Monitoring of Intracellular Dynamics.

J Fungi (Basel)

October 2024

Lipness Team, Translational Research Center in Molecular Medicine- INSERM Joint Research Unit (CTM-UMR1231), University of Burgundy, 21000 Dijon, France.

Live-cell imaging generally requires pretreatment with fluorophores to either monitor cellular functions or the dynamics of intracellular processes and structures. We have recently introduced full-field optical coherence tomography for the label-free live-cell imaging of fungi with potential clinical applications for the diagnosis of invasive fungal mold infections. While both the spatial resolution and technical set up of this technology are more likely designed for the histopathological analysis of tissue biopsies, there is to our knowledge no previous work reporting the use of a light interference-based optical technique for direct mycological examination and monitoring of intracellular processes.

View Article and Find Full Text PDF
Article Synopsis
  • * Participants using dCBT-I experienced significant reductions in work-related rumination, costs related to lost productivity due to presenteeism, and overall presenteeism scores, indicating improved work performance.
  • * Although the findings are promising, the review highlighted concerns about bias in some studies, low certainty in evidence, and emphasized the need for more research to confirm these results.
View Article and Find Full Text PDF

Background: Eosinophilic myocarditis is a life-threatening condition with a heterogeneous clinical presentation and aetiology. Cases of drug-induced or parasitic myocarditis have been reported but there is scant literature on the involvement of treatments, such as doxycycline, and eosinophil degranulation due to parasitic lysis.

Case Summary: Here, we report the case of a 59-year-old man without a relevant past medical history who developed a skin rash with hepatic cytolysis and mild eosinophilia.

View Article and Find Full Text PDF

In this article we aimed synthesize all available evidence regarding the effects of non-invasive brain stimulation (NIBS) techniques combined with mindfulness-based interventions (MBIs) on mental health indicators. We performed a systematic review of randomized controlled trials evaluating NIBS/MBIs combinations in clinical populations and a random effects pairwise meta-analysis of studies evaluating anxiety and depression symptoms. After independent trial selection by two authors based on titles/abstracts, and then on full texts, twelve trials were retrieved.

View Article and Find Full Text PDF

Medial arterial calcification of the lower limbs in diabetes: Time for awareness? A short narrative review.

Diabetes Metab

November 2024

Sorbonne Université, Paris, France; Institute of Cardiometabolism and Nutrition (ICAN), Paris, France; INSERM UMR_S 1138, Centre de Recherche des Cordeliers, Paris, France; Assistance Publique‑Hôpitaux de Paris (APHP), Department of Diabetology, Pitié-Salpêtrière Hospital, 47‑83 Boulevard de l'Hôpital, France. Electronic address:

In patients with diabetes, peripheral arterial disease, particularly below the knee, is associated with medial arterial calcification. This is a frequent and potentially serious complication, affecting all types of diabetes. In recent years, our understanding of the pathophysiology and clinical significance of medial arterial calcification has improved considerably.

View Article and Find Full Text PDF

Early access to post-emergency addiction care: ASAP project.

Encephale

November 2024

Addiction Medicine Department, Dijon Bourgogne University Hospital, Dijon, France; INSERM U1093, CAPS, Université de Bourgogne, UFR STAPS, Dijon, France.

View Article and Find Full Text PDF

Classic Hodgkin Lymphoma: The LYSA pragmatic guidelines.

Eur J Cancer

December 2024

Department of Hematology, Hospices Civils de Lyon, CHU Lyon-Sud, Pierre-Bénite, France.

Classic Hodgkin lymphoma (HL) is a distinct entity among hematological malignancies of B-cell origin. It is characterized by its unique histopathological features and generally favorable prognosis. Over the years, advancements in understanding its pathogenesis, coupled with refined diagnostic and evaluation modalities, as well as therapeutic strategies, have significantly transformed the landscape of HL management.

View Article and Find Full Text PDF

French protocol for the diagnosis and management of giant cell arteritis.

Rev Med Interne

October 2024

Department of Internal Medicine and Clinical Immunology, Referral Centre for Rare Systemic Autoimmune and Autoinflammatory Diseases (MAIS), Dijon Bourgogne University Hospital, Dijon, France; Inserm, EFS BFC, UMR 1098, RIGHT Graft-Host-Tumour Interactions/Cellular and Genetic Engineering, Bourgogne Franche-Comté University, Dijon, France. Electronic address:

Article Synopsis
  • Giant cell arteritis (GCA) primarily affects women over 50, causing symptoms like headaches and jaw pain, and can lead to severe complications like vision loss due to eye involvement.
  • Diagnosis relies on advanced imaging techniques such as FDG-PET and CT scans, while the temporal artery biopsy is considered the gold standard.
  • Urgent treatment with high doses of corticosteroids is critical to prevent vision loss, and long-term management is necessary to monitor for recurrence and potential cardiovascular issues.
View Article and Find Full Text PDF

Evaluation of the sagittal vertical axis with postural and 3D motion analyses in lumbar spinal stenosis.

BMC Musculoskelet Disord

October 2024

CHU Dijon-Bourgogne, Centre d'Investigation Clinique, Module Plurithématique, Plateforme d'Investigation Technologique, Dijon, 21000, France.

Background: Sagittal balance, commonly impaired in lumbar spinal stenosis (LSS) patients, is typically assessed using the sagittal vertical axis (SVA) with EOS imaging. However, to limit X-ray exposure and medical costs, it could be interesting to evaluate the capacity of quantified motion analysis to estimate the 3D modeling of SVA in patients with symptomatic LSS.

Methods: An estimation of the SVA in patients with LSS was performed with 3D motion analysis.

View Article and Find Full Text PDF

Background: Diabetic foot ulcers are chronic, difficult to heal, and potentially life-threatening. Few medical devices have been studied in diabetic ulcers penetrating to bone or tendon.

Methods: We conducted an international, open-label randomized controlled trial, randomly assigning patients with diabetic ulcers penetrating to bone, joint, or tendon 1:1 to intact fish skin graft or standard wound care, with assigned treatment applied through 14 weeks.

View Article and Find Full Text PDF
Article Synopsis
  • * A study examined 131 female patients with X-linked dominant incontinentia pigmenti (IP), finding that 36% produced autoantibodies against IFN-α and/or IFN-ω, significantly higher than age-matched controls.
  • * The presence of these autoantibodies is linked to an abnormally small thymus and predisposes patients to life-threatening viral infections, while those without these autoantibodies do not face the same risk.
View Article and Find Full Text PDF

ApolipoproteinC1 (apoC1) is the main physiological inhibitor of the cholesterol ester transfer protein (CETP). Increased CETP activity is associated with macrovascular complications in patients with type 1 diabetes (T1D). ApoC1 has lost its ability to inhibit CETP in patients with T1D, and in vitro glycation of apoC1 increases CETP activity, suggesting that hyperglycemia could be a factor implicated in the loss of the inhibitory effect of apoC1 on CETP.

View Article and Find Full Text PDF

The agreement intra-class correlation coefficient (ICCa) is a suitable statistical index for inter-rater reliability studies. With balanced Gaussian data, we prove the explicit form of ICCa asymptotic normality (ASN), valid both with analysis of variance (ANOVA), maximum likelihood (ML), or restricted ML (REML) estimates. An asymptotic confidence interval is then derived and its performances are examined by simulation compared to the most commonly used methods, under small, moderate and large sample size designs.

View Article and Find Full Text PDF

Linezolid in enterococcal urinary tract infection: a multicentre study.

Eur J Clin Microbiol Infect Dis

November 2024

Department of infectious and tropical diseases, Franche-Comté university, CHU Besançon, UMR-CNRS 6249 Chrono-environnement, Besançon, F-25000, France.

Purpose: Few data have been published on the efficacy of linezolid in enterococcal urinary tract infection (e-UTI). The aims of this study were to describe the characteristics of patients with enterococci UTI treated with linezolid, and to evaluate the efficacy and the tolerance of linezolid treatment.

Methods: An observational multicentre retrospective study was conducted in 5 hospitals in France.

View Article and Find Full Text PDF
Article Synopsis
  • Polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) often overlap, but PMR lacks the vascular inflammation present in GCA, suggesting different underlying mechanisms.
  • *In a study involving 45 isolated PMR patients and 29 PMR/GCA overlap patients, various serum biomarkers related to inflammation and vascular function were measured to differentiate between the two conditions before starting treatment.
  • *Results indicated that certain biomarker ratios, specifically CXCL9/IL-6 and MMP-3/sCD141, were more effective at diagnosing GCA in patients with isolated PMR, demonstrating the potential to guide further examination for those at risk.*
View Article and Find Full Text PDF

Patatin-like phospholipase domain-containing lipase 8 (PNPLA8), one of the calcium-independent phospholipase A2 enzymes, is involved in various physiological processes through the maintenance of membrane phospholipids. Biallelic variants in PNPLA8 have been associated with a range of paediatric neurodegenerative disorders. However, the phenotypic spectrum, genotype-phenotype correlations and the underlying mechanisms are poorly understood.

View Article and Find Full Text PDF
Article Synopsis
  • A study tested 15 bacterial strains to evaluate the effectiveness of combining amoxicillin and ceftriaxone.
  • Results showed a synergy between the two antibiotics in 93% of cases using minimal inhibitory concentration strips and 80% using checkerboard methods.
  • This combination could potentially be used as a new treatment option for listeriosis moving forward.
View Article and Find Full Text PDF

Background: Systematic treatment with intravenous acyclovir is usually given when varicella zoster virus (VZV) DNA is isolated in cerebrospinal fluid (CSF), indicating central nervous system (CNS) involvement. Our study aimed to describe therapeutic management and acute kidney injury (AKI) occurrence during acyclovir treatment of VZV infection with CNS involvement.

Methods: Multicentre, retrospective study including all patients from 2010 to 2022 with VZV DNA in CSF.

View Article and Find Full Text PDF
Article Synopsis
  • * Researchers analyzed 188 tumor samples, finding that 22.3% had predisposing conditions like Lynch syndrome and Crohn's disease, with mutations in genes such as KRAS and TP53 being most common.
  • * Results indicate that certain mutations relate to disease stage, with APC mutations linked to poorer survival in localized cases, while a defective mismatch repair (dMMR) status was associated with better overall survival rates.
View Article and Find Full Text PDF

Plasma 16:0 ceramide as a marker of cardiovascular risk estimated by carotid intima-media thickness in people with type 2 diabetes.

Diabetes Metab

July 2024

INSERM Unit 1231, Faculty of Health Sciences - University of Burgundy, 3 Bd Lattre de Tassigny, F-21000 Dijon, France; Department of Endocrinology and Diabetology, Dijon Bourgogne University Hospital, 2 Bd Maréchal Lattre de Tassigny, F-21000 Dijon, France.

Aim: New tools are required to better assess cardiovascular risk in individuals with type 2 diabetes mellitus (T2DM). Plasma ceramides emerge as promising candidates, given their substantial influence on the pathogenesis of both T2DM and atherosclerosis. The current study aimed to investigate whether plasma ceramides in patients with T2DM are a predictive factor for carotid intima-media thickness (CIMT), a well-established noninvasive marker for atherosclerosis that predicts adverse cardiovascular outcomes.

View Article and Find Full Text PDF

Glycemic and lipid control in patients with diabetes at time of myocardial infarction.

Ann Pharm Fr

September 2024

Department of Pharmacy, University Hospital and EPICAD LNC UMR 1231, University of Burgundy & Franche Comte, Dijon, France. Electronic address:

Objective: Cardiovascular risk is increased in patients with diabetes. Little is known about glycemic and lipid control in patients with diabetes. We aimed to assess glycemic and lipid controls in patients with diabetes at time of their myocardial infarction.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to investigate the effects of liraglutide on the metabolism of HDL apolipoprotein AI (apoAI) in patients with type 2 diabetes (T2D), as accelerated catabolism of apoAI is linked to conditions common in T2D.
  • After six months of liraglutide treatment, significant improvements were observed in body mass index (BMI), HbA1c levels, insulin resistance, and fasting triglycerides among the participants, but key measures like HDL cholesterol and adiponectin levels remained unchanged.
  • Ultimately, liraglutide did not alter the kinetics of HDL apoAI, suggesting that only moderate reductions in triglycerides and insufficient enhancements in insulin sensitivity might explain the lack of expected effects on HDL
View Article and Find Full Text PDF