2,062 results match your criteria: "Hospital Purpan; Toulouse[Affiliation]"

2024 update of the recommendations of the French Society of Rheumatology for the diagnosis and management of patients with rheumatoid arthritis.

Joint Bone Spine

December 2024

Université de Montpellier, Montpellier, France; Service de rhumatologie, CHU de Montpellier, CHU Lapeyronie, Montpellier, France; Inserm U1046, CNRS UMR 9214, University of Montpellier, Physiology and Experimental Medicine of the Heart and Muscles (PhyMedExp), Montpellier, France.

Article Synopsis
  • The French Society of Rheumatology updated its recommendations for managing rheumatoid arthritis (RA) based on the latest EULAR guidelines, involving a wide range of experts and patient representatives.
  • The guidelines stress the importance of shared decision-making and comprehensive management for individuals with RA or those at risk, focusing on both drug and non-drug therapies.
  • Additional emphasis is on the diagnosis and treatment of RA-related interstitial lung disease (RA-ILD), highlighting the need for collaboration between rheumatologists and pulmonologists for effective management.
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  • Mechanical thrombectomy using the SOFIA/SOFIA PLUS catheters is being evaluated as a primary treatment for acute ischemic stroke with large vessel occlusion, focusing on its safety and efficacy in a multi-center study involving 246 patients.
  • Results show that primary aspiration with the catheters achieved 72.8% complete recanalization and 63.8% of patients were functionally independent after 90 days, with acceptable complication rates.
  • The study supports using this technique as a first-line approach in stroke treatment, reinforcing the effectiveness of direct aspiration thrombectomy in managing acute ischemic strokes.
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  • Magnetic controlled growing rods (MCGRs) combined with a sacro-bi-iliac "T-construct" show promising results in correcting early onset neuromuscular scoliosis in non-walking patients, aiming to maintain pelvic balance over time.
  • A study involving 18 patients highlighted significant improvements in spinal curvature and pelvic tilt after surgery, with average corrections of 33.2° and 11°, respectively.
  • Despite a 35% complication rate (mostly mechanical), the study suggests that while some spinal correction was lost over time, pelvic stability was maintained, indicating a need for ongoing monitoring and possible interventions.
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Effect of adequacy of empirical antibiotic therapy for hospital-acquired bloodstream infections on intensive care unit patient prognosis: a causal inference approach using data from the Eurobact2 study.

Clin Microbiol Infect

December 2024

OUTCOMEREA Research Group, Drancy, France; Institut National de la Santé et de la Recherche Medicale, Infection Antimicrobial Modelisation Evolution, U1137, Team Decision Science in Infectious Diseases, Paris, France; Assistance Publique Hôpitaux de Paris, Bichat hospital, Medical and infectious diseases ICU, F75018, Paris France. Electronic address:

Article Synopsis
  • Hospital-acquired bloodstream infections (HA-BSI) in ICU patients can be life-threatening, and this study aimed to see how early adequate antibiotic treatment affects 28-day mortality rates for patients who survive at least one day after infection onset.
  • Using data from a multicenter study with 2,418 patients, researchers found that those who received adequate treatment within 24 hours had a lower 28-day mortality rate (32.8%) compared to those who were inadequately treated (40%).
  • The study concluded that inadequate antibiotic therapy within 24 hours contributes significantly to 28-day mortality, indicating that quicker treatment could greatly improve patient outcomes in cases of HA-BSI.
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Efficacy of partial tonsillectomy in periodic fever, aphthous stomatitis, pharyngitis and adenitis syndrome: a STROBE retrospective observational study.

Eur Ann Otorhinolaryngol Head Neck Dis

September 2024

Service d'Oto-Neurologie et ORL Pédiatrique, Centre Hospitalier de Toulouse, Hôpital Purpan, Place du Docteur Baylac, TSA 40031, 31059 Toulouse cedex, France.

Article Synopsis
  • PFAPA syndrome is a common cause of recurrent fever in children that affects their quality of life; the study aims to evaluate the impact of partial tonsillectomy compared to total tonsillectomy on symptoms.
  • In a study of 36 children, partial tonsillectomy led to a significant reduction of 10 fever episodes per year, with some patients requiring totalization but no major complications reported.
  • Although partial tonsillectomy was less effective than total tonsillectomy, it provided a reduction in symptoms with fewer complications, making it a viable option while waiting for remission as children grow older.
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The Global ECT MRI Research Collaboration (GEMRIC) has collected clinical and neuroimaging data of patients treated with electroconvulsive therapy (ECT) from around the world. Results to date have focused on neuroimaging correlates of antidepressant response. GEMRIC sites have also collected longitudinal cognitive data.

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Dupilumab has demonstrated efficacy in the treatment of atopic dermatitis. However, a subset of patients experiences ocular adverse events (OAEs), including conjunctivitis and dry eye syndrome, the pathological mechanisms of which are still unknown. In a bicentric study, we used DNA microarray analysis to compare the transcriptome of conjunctival cells of patients with atopic dermatitis collected by impression cytology before (M0) and 4 months after (M4) initiating dupilumab treatment.

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Induced membrane technique for malignant bone tumours of the humerus.

Int Orthop

November 2024

Department of Pediatric Orthopedic and Reconstructive Surgery, Sorbonne University, Armand Trousseau Hospital, APHP, Paris, 75571, France.

Purpose: The aim of this study was to report on mid- to long-term results following large humeral tumoral resection and reconstruction with the induced-membrane technique in skeletally immature patients suffering from primary malignant bone tumours.

Methods: A retrospective analysis identified all children who underwent the two stages of a humeral reconstruction using the induced-membrane technique for primary malignant humerus tumours between 2002 and 2020. Functional assessment was conducted by an independent observer using the Musculoskeletal Tumor Society (MSTS) scoring system for the upper limb.

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Effect of a comfort scale compared with a pain numerical rate scale on opioids consumption in postanaesthesia care unit: the COMFORT study.

Br J Anaesth

October 2024

University of Rennes, CHU Rennes, Inserm, COSS1242, CIC 1414, Anesthesia and Intensive Care Department, Rennes, France. Electronic address:

Background: The way that pain is assessed in the PACU could impact on postoperative pain and analgesic consumption. However, there is currently no evidence to support this speculation. The authors hypothesised that using a comfort scale reduces postoperative opioid consumption when compared with a standard numerical rating scale (NRS) to evaluate pain in the PACU.

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Innate immune response in acute critical illness: a narrative review.

Ann Intensive Care

September 2024

Service de Médecine Intensive Réanimation, CHRU Tours, Tours, France.

Background: Activation of innate immunity is a first line of host defense during acute critical illness (ACI) that aims to contain injury and avoid tissue damages. Aberrant activation of innate immunity may also participate in the occurrence of organ failures during critical illness. This review aims to provide a narrative overview of recent advances in the field of innate immunity in critical illness, and to consider future potential therapeutic strategies.

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Article Synopsis
  • Clinical outcomes after a stroke cannot be predicted solely by clinical factors; instead, assessing changes in brain structure through MRI techniques like DTI and VBM during recovery may provide valuable insights.
  • A study with 21 patients evaluated motor deficits and brain changes over 4 months post-stroke, finding significant reductions in white matter integrity and increased cortical thickness in specific brain areas correlated with motor improvement.
  • Results suggest that recovery relies more on the integrity of corticospinal tract fibers from the premotor cortex than on alternate motor fiber pathways, highlighting the importance of certain brain regions in rehabilitation success.
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In this article, the authors wish to offer the product of their reflections on the concept of coercive control, and share various findings from their day-to-day practice. The text should be read as an invitation to clinical reflection on the conceptualization of a specific form of abuse. Reflection on this approach, initially ignored by the authors, has enriched clinical thinking on certain care situations.

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Large-scale HEV genotype 3 outbreak on New Caledonia Island.

Hepatology

August 2024

Toulouse University Hospital, Hôpital Purpan, Place du Dr Baylac, Laboratoire de Virologie, National Reference Centre for Hepatitis E, Toulouse, France.

Background And Aims: Several symptomatic cases of HEV infections were reported to the New Caledonia Island Public Health Service between August and December 2023. This prompted epidemiological and virological investigations to identify the source of infection.

Approach And Results: HEV RNA was assessed in symptomatic patients, various food items, and pig farms on the Island.

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Objective: There is currently scarce data on the electroclinical characteristics of epilepsy associated with synapsin 1 (SYN1) pathogenic variations. We examined clinical and electro-encephalographic (EEG) features in patients with epilepsy and SYN1 variants, with the aim of identifying a distinctive electroclinical pattern.

Methods: In this retrospective multicenter study, we collected and reviewed demographic, genetic, and epilepsy data of 19 male patients with SYN1 variants.

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Article Synopsis
  • * A 26-year-old male diver experienced DCS after diving at a significant depth, underwent PFO closure, but 10 years later showed symptoms indicating the prosthesis had reopened.
  • * The case emphasizes the difficulties in managing PFO in divers and questions the long-term effectiveness of PFO closures, suggesting that diving conditions might affect the durability of such medical implants.
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  • The study investigated immune checkpoint inhibitor-related encephalitis (ICI-encephalitis) to better understand its characteristics, identify diagnostic biomarkers, and explore factors predicting patient outcomes.* -
  • It analyzed data from 67 patients (median age 69 years) diagnosed between 2015-2023, finding that 64% had focal syndromes (like limbic encephalitis) while 36% had meningoencephalitis, with the former showing worse treatment responses and higher mortality rates.* -
  • The presence of PNS-related antibodies and abnormal MRI findings were more common in focal encephalitis cases, highlighting important distinctions that could guide future diagnostics and therapeutic strategies.*
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Age-at-death estimation is an important issue in forensic medicine and anthropology. Initially, methods relied on morphological criteria, but with the advancement of radiology, new techniques such as morphological studies on multi-slice computed tomography (CT) reconstructions have emerged. Recent studies have shown promising results by investigating the correlation between age and bone mineral density (BMD).

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Article Synopsis
  • - The study aimed to create a predictive calculator to determine the chances of achieving adequate occlusion (Raymond-Roy classification 1 or 2) when using the woven endobridge (WEB) device for intracranial aneurysms, drawing from a large dataset.
  • - Analyzed data from 356 patients across 30 centers worldwide revealed that larger aneurysm neck size and partial thrombosis were linked to lower chances of successful occlusion, while the calculator showed good predictive accuracy.
  • - The newly developed tool offers a valuable resource for clinicians to better estimate the success of using the WEB device in treating intracranial aneurysms, helping to enhance patient care.
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Background And Aims: Chronic hepatitis D infection is the most severe form of viral hepatitis and can rapidly progress to cirrhosis or hepatocellular carcinoma. Despite recommendations for systematic screening of hepatitis B surface antigen (HBsAg)-positive individuals, data from real-world studies have reported a low frequency of hepatitis D (or delta) virus (HDV) screening. Our cross-sectional analysis evaluated the diagnostic cascade for hepatitis D infection in tertiary centres and described the characteristics of HDV-positive patients.

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Article Synopsis
  • Late onset Pompe disease (LOPD) is a rare disorder that affects muscle function due to a lack of a specific enzyme, leading to issues such as macroglossia (enlarged tongue) and swallowing difficulties in patients.
  • A study of 100 adult LOPD patients revealed that 32% experienced some level of swallowing difficulties, with 20% dealing with daily dysphagia and 18% facing aspiration risks, yet only a small number were receiving help from speech therapists.
  • The findings suggest that common swallowing problems significantly affect patients' daily lives, highlighting the need for healthcare professionals to be more aware of these symptoms and to provide coordinated care involving specialists like speech therapists and dietitians.
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Psychometric properties of the French Infant-Toddler Working Alliance Inventory Short version (IT-WAI-S).

Psychother Res

August 2024

Department of Medical Information, Clinical research and epidemiology unit, CHRU Montpellier, University of Montpellier, Montpellier, France.

Objective: Therapeutic alliance has been little investigated in infant and toddler therapy, with no tools specifically adapted to this population. However, we have developed the Infant-Toddler Working Alliance Inventory-Short form (IT-WAI-S) which is based on the Working Alliance Inventory. The aim of this study was to assess the psychometric properties of this original French tool, in its two versions: for parent (IT-WAI-SP) and for therapist (IT-WAI-STh).

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Background: Rhabdoid tumors (RT) are aggressive, rare tumors predominantly affecting young children, characterized by biallelic SMARCB1 gene inactivation. While most SMARCB1 alterations are acquired de novo, a third of cases exhibit germline alterations, defining Rhabdoid Tumors Predisposition Syndrome. With the increased sensitivity of next-generation sequencing (NGS), mosaicisms in genes linked to genetic diseases are more detectable.

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Background: Severe acute respiratory syndrome coronavirus 2, the virus responsible for coronavirus disease 2019, affects multiple organs. The virus enters cells through angiotensin-converting enzyme-2 and host factors present in genital organs, leading to concern over virus shedding in semen and reproductive function.

Objectives: To investigate severe acute respiratory syndrome coronavirus 2 in semen from patients with a mild infection, identify the seminal infected cells, and explore the effect of the infection on sex hormones and semen parameters.

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Treatment of large intracranial aneurysms using the Woven EndoBridge (WEB): a propensity score-matched analysis.

Neurosurg Rev

July 2024

Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, USA.

Article Synopsis
  • - The Woven EndoBridge (WEB) device is used for treating wide-neck intracranial bifurcation aneurysms smaller than 10 mm, but there's limited data on its effectiveness for larger aneurysms.
  • - A study reviewed data from the WorldWide WEB Consortium involving 898 patients to compare outcomes between small and large aneurysms, using propensity score matching (PSM) for accuracy.
  • - Results showed that large aneurysms had significantly lower rates of adequate occlusion and higher rates of retreatment compared to small aneurysms, suggesting that these findings could influence treatment choices and patient discussions in the future.
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