2,830 results match your criteria: "Lausanne University hospital and University of Lausanne[Affiliation]"

Cohort profile: the Swiss Mother and Child HIV Cohort Study (MoCHiV).

BMJ Open

September 2024

Cantonal Hospital St. Gallen, Department of Infectious Diseases, Infection Prevention and Travel Medicine, St Gallen, Switzerland

Purpose: Prospective, multicentric observational cohort study in Switzerland investigating measures to prevent mother-to-child transmission in pregnant women with HIV (WWH) and assessing health and development of their exposed children as well as of children with HIV (CWH) in general.

Participants: Between January 1986 and December 2022, a total of 1446 mother-child pairs were enrolled. During the same period, the study also registered 187 CWH and 521 HIV-exposed but uninfected children (HEU), for whom detailed maternal information was not available.

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Impact of multidisciplinary Endocarditis Team on management of infective endocarditis.

Braz J Infect Dis

October 2024

Lausanne University Hospital and University of Lausanne, Infectious Diseases Service, Lausanne, Switzerland; Cantonal Hospital of Sion and Institut Central des Hôpitaux (ICH), Infectious Diseases Service, Sion, Switzerland. Electronic address:

Infective Endocarditis (IE) is a complex, life-threatening disease. The aim of the present study was to evaluate the impact of the Endocarditis-Team on management of IE. This observational study conducted at a university hospital (2015‒22), included adult patients with IE.

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Article Synopsis
  • The Brain Imaging Data Structure (BIDS) is a community-created standard for organizing neuroscience data and metadata, helping researchers manage various modalities efficiently.
  • The paper discusses the evolution of BIDS, including the guiding principles, extension mechanisms, and challenges faced during its development.
  • It also highlights key lessons learned from the BIDS project, aiming to inspire and inform researchers in other fields about effective data organization practices.
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Utility of bone suppression imaging for the detection of pneumonia on chest radiographs.

Radiography (Lond)

October 2024

Department of Diagnostic and Interventional Radiology, Lausanne University Hospital and University of Lausanne, 1011 Lausanne, Switzerland. Electronic address:

Introduction: Chest X-rays (CXR) are routinely used to diagnose lung and heart conditions. AI based Bone suppression imaging (BSI) aims to enhance accuracy in identifying chest anomalies by eliminating bony structures such as the ribs, clavicles, and scapula from CXRs. The aim of this retrospective study was to assess the clinical value of BSI in detecting pneumonia.

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is a yeast pathogen causing nosocomial outbreaks of candidemia. Its ability to adhere to inert surfaces and to be transmitted from one patient to another via medical devices is of particular concern. Like other spp.

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Age-related changes in sleep spindle characteristics in individuals over 75 years of age: a retrospective and comparative study.

BMC Geriatr

September 2024

CHU de Besançon, Unité d'Explorations du Sommeil et de la Vigilance, Besançon, F-25000, France.

Background: Sleep and its architecture are affected and changing through the whole lifespan. We know main modifications of the macro-architecture with a shorter sleep, occurring earlier and being more fragmented. We have been studying sleep micro-architecture through its pathological modification in sleep, psychiatric or neurocognitive disorders whereas we are still unable to say if the sleep micro-architecture of an old and very old person is rather normal, under physiological changes, or a concern for a future disorder to appear.

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Photon-counting CT systems: A technical review of current clinical possibilities.

Diagn Interv Imaging

September 2024

University of Lyon, INSA-Lyon, University Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1206, 69621 Villeurbanne, France; Department of Radiology, Louis Pradel Hospital, Hospices Civils de Lyon, 69500 Bron, France.

In recent years, computed tomography (CT) has undergone a number of developments to improve radiological care. The most recent major innovation has been the development of photon-counting detectors. By comparison with the energy-integrating detectors traditionally used in CT, these detectors offer better dose efficiency, eliminate electronic noise, improve spatial resolution and have intrinsic spectral sensitivity.

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Background: Idiopathic normal pressure hydrocephalus (iNPH) can present with both episodic amnestic syndrome and biomarkers of Alzheimer's disease (AD) pathology.

Objective: To examine the associations between amnestic syndrome and cerebrospinal fluid (CSF) AD biomarkers in iNPH and the CSF tap test response in iNPH patients with amnestic syndrome.

Methods: We used the Free and Cued Selective Reminding Test to divide iNPH into amnestic and non-amnestic patients.

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The REPRIEVE trial suggests that primary cardiovascular disease (CVD) prevention could be considered among people with HIV at low CVD risk. We found cisgender women with low/moderate and high CVD risk are less likely to receive statins than cisgender men. Efforts are needed to guarantee equal access to statin-based CVD prevention.

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Background And Purpose: Ultra-high dose-rate radiotherapy (FLASH) has been shown to mitigate normal tissue toxicities associated with conventional dose rate radiotherapy (CONV) without compromising tumor killing in preclinical models. A prominent challenge in preclinical radiation research, including FLASH, is validating both the physical dosimetry and the biological effects across multiple institutions.

Materials And Methods: We previously demonstrated dosimetric reproducibility of two different electron FLASH devices at separate institutions using standardized phantoms and dosimeters.

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This article elaborates research participant perspectives on the communication of individual research results from genomic analyses. While most analyses focus on how to communicate results from the perspectives of clinicians or researchers, there is insufficient data on user perspectives and how this information may be used, valued, and interpreted by patients and their families. The concept of personal utility, which considers factors related to quality of life, including on how information may impact the person's future decisions, has been shown to be particularly relevant to understand research participant perspectives and to move beyond clinical and analytic utility factors such as mortality and morbidity.

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Background: Early-life antibiotic exposure is disproportionately high compared to the burden of culture-proven early-onset sepsis (CP-EOS). We assessed the contribution of culture-negative cases to the overall antibiotic exposure in the first postnatal week.

Methods: We conducted a retrospective analysis across eleven countries in Europe, North America, and Australia.

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Rare primary liver cancers: An EASL position paper.

J Hepatol

July 2024

Centre de Recherche des Cordeliers, Université Paris Cité, Sorbonne Université, Inserm, F-75006, Paris, France; Institut du Cancer Paris CARPEM, AP-HP, Department of Oncology, Hopital Européen Georges Pompidou, F-75015, Paris, France.

Article Synopsis
  • Recent advancements in understanding liver cancer (hepatocarcinogenesis) have led to increased interest in rare primary liver cancers (PLCs) like combined hepatocellular-cholangiocarcinoma, fibrolamellar carcinoma, and hepatic epithelioid hemangioendothelioma.
  • An international panel of experts has compiled information on the causes, diagnosis, and treatment of these rare PLCs.
  • While clinical trials for some of these cancers are in progress, there's a clear need for more research and collaboration across nations to improve outcomes.
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Rebalancing the Immune System to Treat Type 1 Diabetes.

Cold Spring Harb Perspect Med

September 2024

Diabetes Center, University of California San Francisco, San Francisco, California 94143, USA

In type 1 diabetes (T1D), the immune system mistakenly attacks the pancreatic islet β cells resulting in the loss of insulin secretion. Insulin-replacement therapy developed more than a century ago provided means to manage the symptoms of diabetes without addressing the root cause of the disease-the faulty immune system. A healthy immune system has built-in mechanisms to limit unwanted, excessive immune activation and prevents damages to self-tissues.

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Long vs short intramedullary nails for reverse pertrochanteric fractures: A biomechanical study.

Med Eng Phys

September 2024

Service of Orthopedics and Traumatology, Lausanne University Hospital and University of Lausanne, Avenue Pierre-Decker 4, 1011 Lausanne, Switzerland; Laboratory of Biomechanical Orthopedics, Ecole Polytechnique Fédérale de Lausanne, Station 09, 1015 Lausanne, Switzerland.

There is currently no definitive evidence for the implant of choice for the treatment of reverse pertrochanteric fractures. Here, we aimed to compare the stability provided by two implant options: long and short intramedullary nails. We performed finite element simulations of different patterns of reverse pertrochanteric fractures with varying bone quality, and compared the short vs long nail stabilization under physiological loads.

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Article Synopsis
  • * A case study of a full-term female infant suffering from NLABD highlights the condition's severe cutaneous and respiratory effects, with diagnosis confirmed through skin biopsy and immunofluorescence, revealing pathogenic IgAs in the mother's breastmilk.
  • * The infant successfully recovered after extensive care over 8 weeks, demonstrating the necessity for timely diagnosis and management, while presenting new insights into the role of maternal breastmilk in the disease's pathogenesis.
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Combined portal and hepatic vein embolisation in perihilar cholangiocarcinoma.

HPB (Oxford)

December 2024

Department of Surgery, Maastricht University Medical Centre, P. Debyelaan 25, 6229, HX, Maastricht, The Netherlands; GROW - School for Oncology and Reproduction, Maastricht University, Universiteitssingel 40, 6229, ER, Maastricht, The Netherlands; Department of General, Visceral and Transplant Surgery, University Hospital Aachen, Pauwelsstraße 30, 52074 Aachen, Germany. Electronic address:

Background: Major hepatectomy in perihilar cholangiocarcinoma (pCCA) patients with a small future liver remnant (FLR) risks posthepatectomy liver failure (PHLF). This study examines combined portal and hepatic vein embolisation (PVE/HVE) to increase preoperative FLR volume and potentially decrease PHLF rates.

Methods: In this retrospective, multicentre, observational study, data was collected from centres affiliated with the DRAGON Trials Collaborative and the EuroLVD registry.

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Advanced Quantitative MRI Unveils Microstructural Thalamic Changes Reflecting Disease Progression in Multiple Sclerosis.

Neurol Neuroimmunol Neuroinflamm

November 2024

From the Translational Imaging in Neurology (ThINk) Basel (A.C., M.O.-P., P.-J.L., M.W., M.B., L.M.-G., X.C., L.K., C.G.), Department of Biomedical Engineering, Faculty of Medicine, University Hospital Basel and University of Basel; Department of Neurology (A.C., M.O.-P., P.-J.L., M.W., M.B., L.M.-G., X.C., J.K., L.K., C.G.), University Hospital Basel; Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB) (A.C., M.O.-P., P.-J.L., M.W., M.B., L.M.-G., X.C., J.K., L.K., C.G.), University Hospital Basel and University of Basel, Switzerland; Dipartimento di Scienze della Salute, (A.C., M.P.S.), Università degli Studi di Genova, Italy; Division of Radiological Physics (M.W.), Department of Radiology, University Hospital Basel; Laboratory for Research in Neuroimaging (A.L.), Department of Clinical Neuroscience, Lausanne University Hospital and University of Lausanne; Neuropsychology and Behavioral Neurology Unit (P.C.), Division of Cognitive and Molecular Neuroscience, University of Basel, Switzerland; and IRCCS Ospedale Policlinico San Martino (M.P.S.), Genova, Italy.

Background And Objectives: In patients with multiple sclerosis (PwMS), thalamic atrophy occurs during the disease course. However, there is little understanding of the mechanisms leading to volume loss and of the relationship between microstructural thalamic pathology and disease progression. This cross-sectional and longitudinal study aimed to comprehensively characterize in vivo pathologic changes within thalamic microstructure in PwMS using advanced multiparametric quantitative MRI (qMRI).

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Fibro-Calcific Imaging: A Step Towards a More Comprehensive Approach to Aortic Valve Pathophysiology?

JACC Cardiovasc Imaging

November 2024

Cardiovascular Translational Laboratory, St. Paul's Hospital and University of British Columbia Centre for Heart Lung Innovation, Vancouver, British Columbia, Canada; Department of Cardiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.

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Article Synopsis
  • Drug dosing guidelines are based on average responses in the population, but individual differences can lead to ineffective treatment or adverse reactions due to genetic factors affecting drug metabolism.
  • A study genotyped 1533 Swiss patients to assess the prevalence of actionable genetic variants in relation to drug prescriptions, finding that 97.3% of participants had at least one variant.
  • The research indicates that 31% of patients received medications that could lead to adverse reactions due to these genetic variants, suggesting that personalized medicine could improve healthcare outcomes.
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Using weight loss to predict outcome and define a humane endpoint in preclinical sepsis studies.

Sci Rep

September 2024

Infectious Diseases Service, Department of Medicine, Lausanne University Hospital and University of Lausanne, CLED.04.407, Chemin des Boveresses 155, 1066, Epalinges, Switzerland.

Preclinical mouse models are critical for understanding the pathophysiological response to infections and developing treatment strategies for sepsis. In keeping with ethical values, researchers follow guidelines to minimize the suffering of the mice. Weight loss is a criteria used as a humane end point, but there is no official recommendation for a maximum weight loss leading to euthanasia.

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The system of radiological protection and the UN sustainable development goals.

Radiat Environ Biophys

November 2024

Centre for Radiation Protection Research, Stockholm University, Svante Arrheniusväg 20C, Stockholm, 106 91, Sweden.

In 2015 the United Nations issued 17 Sustainable Development Goals (SDGs) addressing a wide range of global social, economic, and environmental challenges. The main goal of this paper is to provide an understanding of how the current System of Radiological Protection relates to these SDGs. In the first part it is proposed that the current System of Radiological Protection is implicitly linked to sustainable development.

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Objectives: Life-sustaining treatments (LST) aim to prolong life without reversing the underlying medical condition. Being associated with a high risk of developing unwanted adverse outcomes, decisions about LST are routinely discussed with patients at hospital admission, particularly when it comes to cardiopulmonary resuscitation. Physicians may encounter many challenges when enforcing shared decision-making in this domain.

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Background: Patients can respond differently to intervention in the early phase of psychosis. Diverse symptomatic and functional outcomes can be distinguished and achieving one outcome may mean achieving another, but not necessarily the other way round, which is difficult to disentangle with cross-sectional data. The present study's goal was to evaluate implicative relationships between diverse functional outcomes to better understand their reciprocal dependencies in a cross-sectional design, by using statistical implication analysis (SIA).

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Article Synopsis
  • The study evaluated the effectiveness and safety of endovascular thrombectomy (EVT) in acute ischemic stroke patients treated within early (<6 hours) and extended (6-24 hours) time windows after symptom onset.
  • It compared outcomes like good functional recovery, intracranial hemorrhage, and mortality rates between the two groups, finding that while early treatment showed slightly better recovery rates, both time frames had similar safety outcomes.
  • Overall, the findings suggest that EVT remains a viable option for patients up to 24 hours after stroke symptoms, aligning with real-world clinical practices.
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