164 results match your criteria: "Grenoble-Alps University[Affiliation]"

Context: Laryngoscopy is frequently required in neonatal intensive care. Awake laryngoscopy has deleterious effects but practice remains heterogeneous regarding premedication use. The goal of this statement was to provide evidence-based good practice guidance for clinicians regarding premedication before tracheal intubation, less invasive surfactant administration (LISA) and laryngeal mask insertion in neonates.

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Virtual Scoliosis Surgery Using a 3D-Printed Model Based on Biplanar Radiographs.

Bioengineering (Basel)

September 2022

eCential Robotics, Zone Mayencin II, Parc Equation-Bât.1, 2 Avenue de Vignate, 38610 Gières, France.

The aim of this paper is to describe a protocol that simulates the spinal surgery undergone by adolescents with idiopathic scoliosis (AIS) by using a 3D-printed spine model. Patients with AIS underwent pre- and postoperative bi-planar low-dose X-rays from which a numerical 3D model of their spine was generated. The preoperative numerical spine model was subsequently 3D printed to virtually reproduce the spine surgery.

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2017 French health authority guidelines for neonates at risk of early-onset sepsis: Adherence and barriers in a tertiary hospital.

Arch Pediatr

October 2022

Neonatal Intensive Care Unit, Grenoble Alpes University Hospital, Grenoble, France; TIMC-IMAG research department, Grenoble Alps University, Grenoble, France. Electronic address:

The objective of this study was to evaluate the adherence to the French Health Authority's 2017 guidelines concerning early-onset sepsis (EOS) in neonates. This 6-month prospective observational study was conducted in 2020 in a tertiary hospital maternity unit. Neonates were classified according to their risk of EOS and the level of appropriate surveillance was analyzed.

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Background: Long-term noninvasive ventilation (LTNIV) is widely used in patients with chronic hypercapnic respiratory failure (CHRF) related to COPD. Prognosis of these patients is however poor and heterogenous.

Research Question: In COPD patients under LTNIV for CHRF, is it possible to identify specific phenotypes which are predictive of probability of pursuing NIV and survival?

Study Design And Methods: A latent class analysis was performed in a COPD population under LTNIV included in a comprehensive database of patients in the Geneva Lake area, to determine clinically relevant phenotypes.

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Development of a Connected Sensor System in Colorectal Surgery: User-Centered Design Case Study.

JMIR Hum Factors

July 2022

Colorectal Surgery Unit, Visceral Surgery and Acute Care Surgery Department, CHU Grenoble Alpes, Grenoble, France.

Background: A successful innovative medical device is not only technically challenging to develop but must also be readily usable to be integrated into health care professionals' daily practice. Through a user-centered design (UCD) approach, usability can be improved. However, this type of approach is not widely implemented from the early stages of medical device development.

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Article Synopsis
  • The study focuses on the management of ano-rectovaginal fistulas (ARVF) resulting from obstetrical anal sphincter injury (OASIS), aiming to identify factors influencing surgical success.
  • A total of 60 patients were reviewed, revealing a 91.7% overall success rate in managing ARVF, though only 37.2% of specific surgical procedures were successful.
  • The research indicates that while a diverting stoma isn't necessary for improved outcomes, the Martius flap and Musset procedures yield better results than the less invasive endorectal advancement flap (ERAF) in cases involving sphincter injuries.
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Comparison of Trunk Motion between Moderate AIS and Healthy Children.

Children (Basel)

May 2022

TIMC, University Grenoble Alpes, CNRS, UMR 5525, VetAgro Sup, Grenoble INP, CHU Grenoble Alpes, 38000 Grenoble, France.

Analysis of kinematic and postural data of adolescent idiopathic scoliosis (AIS) patients seems relevant for a better understanding of biomechanical aspects involved in AIS and its etiopathogenesis. The present project aimed at investigating kinematic differences and asymmetries in early AIS in a static task and in uniplanar trunk movements (rotations, lateral bending, and forward bending). Trunk kinematics and posture were assessed using a 3D motion analysis system and a force plate.

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Background: Due to the lack of available evidence on pediatric trauma care organization, no French national guideline has been developed. This survey aimed to describe the management of pediatric trauma patients in France.

Methods: In this cross-sectional survey, an electronic questionnaire (previously validated) was distributed to intensive care physicians from tertiary hospitals via the GFRUP (Groupe Francophone de Réanimation et Urgences Pédiatriques) mailing list.

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Lifespan dynamics of cluster conformations in stationary regimes in granular materials.

Phys Rev E

January 2022

Grenoble Alps University, INRAE, UR ETNA, 2 rue de la Papeterie-BP 76, 38402 St-Martin-d'Hères, France and Université Savoie Mont Blanc, Laboratoire EDYTEM, UMR 5204, 5 bd. de la Mer Caspienne, 73376 Le Bourget-du-Lac, France.

We examine stationary regimes in granular materials from a dynamical systems theory perspective. The aim is to enrich the classical view of the critical state regime in granular materials, and more broadly, to improve the fundamental understanding of the underlying mesoscale mechanisms responsible for macroscopic stationary states in complex systems. This study is based on a series of discrete element method simulations, in which two-dimensional assemblies of nonuniformly sized circular particles are subjected to biaxial compression under constant lateral confining pressure.

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The globalisation of exchanges has resulted in excessive growth of material and immaterial flows. The disconnection among the supply, production, decision-making and consumption sites generates new spatial interdependencies. It determines local socio-economic dynamics and affects ecosystems.

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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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Objective: To compare mortality and rates of significant neurosensory impairment (sNSI) at 18-36 months' corrected age in infants born extremely preterm across three international cohorts.

Design: Retrospective analysis of prospectively collected neonatal and follow-up data.

Setting: Three population-based observational cohort studies: the Australian and New Zealand Neonatal Network (ANZNN), the Canadian Neonatal and Follow-up Networks (CNN/CNFUN) and the French cohort Etude (Epidémiologique sur les Petits Ages Gestationnels: EPIPAGE-2).

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Aims: To develop a suite of quality indicators (QIs) for the evaluation of the care and outcomes for adults undergoing cardiac pacing.

Methods And Results: Under the auspice of the Clinical Practice Guideline Quality Indicator Committee of the European Society of Cardiology (ESC), the Working Group for cardiac pacing QIs was formed. The Group comprised Task Force members of the 2021 ESC Clinical Practice Guidelines on Cardiac Pacing and Cardiac Resynchronization Therapy, members of the European Heart Rhythm Association, international cardiac device experts, and patient representatives.

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Facilitating the identification of extreme inactivity (EI) has the potential to improve morbidity and mortality in COPD patients. Apart from patients with obvious EI, the identification of a such behavior during a real-life consultation is unreliable. We therefore describe a machine learning algorithm to screen for EI, as actimetry measurements are difficult to implement.

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Cheyne-Stokes respiration (CSR) may trigger ventricular arrhythmia in patients with heart failure with reduced ejection fraction (HFrEF) and central sleep apnoea (CSA). This study determined the prevalence and predictors of a high nocturnal ventricular arrhythmia burden in patients with HFrEF and CSA (with and without CSR) and to evaluate the temporal association between CSR and the ventricular arrhythmia burden.  This cross-sectional ancillary analysis included 239 participants from the SERVE-HF major sub-study who had HFrEF and CSA, and nocturnal ECG from polysomnography.

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Objective: To report the largest multicentric experience on surgical management of retrorectal tumors (RRT).

Background: Literature data on RRT is limited. There is no consensus concerning the best surgical approach for the management of RRT.

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Purpose: This study aims to describe the epidemiology and management of chest trauma in our center, and to compare patterns of mechanical ventilation in patients with or without associated moderate-to-severe traumatic brain injury (TBI).

Methods: All children admitted to our level-1 trauma center from February 2012 to December 2018 following chest trauma were included in this retrospective study.

Results: A total of 75 patients with a median age of 11 [6-13] years, with thoracic injuries were included.

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The effect of heated humidified nasal high flow oxygen supply on exercise tolerance in patients with interstitial lung disease: A pilot study.

Respir Med

September 2021

Cardiopulmonary Rehabilitation Centre Dieulefit Santé, Dieulefit, Rhône-Alpes, France; HP2 Laboratory, INSERM U1042, Grenoble Alps University, Grenoble, France.

Background And Objectives: Patients with interstitial lung disease (ILD) experience early symptoms of dyspnoea and leg fatigue during exercise together with severe and rapid oxygen desaturation. Heated and humidified nasal high flow oxygen (NHF) has been proven to enhance exercise endurance and physiological parameters in COPD patients. This study aims to evaluate the effect of NHF on exercise tolerance in ILD patients.

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Background: Recent World Health Organization reports propose wearable devices to collect information on activity and walking speed as innovative health indicators. However, mainstream consumer-grade tracking devices and smartphone apps are often inaccurate and require long-term acceptability assessment.

Objective: Our aim is to assess the user acceptability of an instrumented shoe insole in frail older adults.

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Background: Nasal high flow (NHF) is a non-invasive breathing therapy that is based on the delivery via a large-caliber nasal cannula of heated and humidified air at flow rates that exceed peak inspiratory flow. It is thought that positive airway pressure generated by NHF can help reduce gas trapping and improve regional lung ventilation. There are no data to confirm this hypothesis at flow rates applicable in stable chronic obstructive pulmonary disease (COPD) patients.

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