56 results match your criteria: "Orleans Hospital[Affiliation]"

Article Synopsis
  • A study compared two methods for stopping glucocorticoids in rheumatoid arthritis patients with low disease activity: replacing prednisone with hydrocortisone or tapering prednisone down gradually.
  • The trial included 102 patients and found that after 12 months, 55% in the hydrocortisone group and 47% in the tapering group successfully discontinued glucocorticoids, showing no significant difference between the groups.
  • The results indicated that neither strategy was superior for achieving discontinuation, and there were no serious side effects related to adrenal insufficiency observed.
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Dentists and physiotherapists level of collaboration in the treatment of temporomandibular disorders in France.

BMC Oral Health

August 2024

Department of Medicine and Bucco-Dental Surgery, Faculty of Odontology, Tours Hospital, Tours University, Tours, France.

Objectives: Temporomandibular disorders (TMD) affect 10% of the population in France, significantly impacting patient's health and quality of life. The multifactorial etiology of TMD complicates its treatment. Consequently, adopting a multidisciplinary approach that encourages collaboration among healthcare professionals is recommended.

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Article Synopsis
  • - The phase II trial assessed the effectiveness of the RiBVD treatment (rituximab, bendamustine, velcade, and dexamethasone) in patients over 65 with mantle cell lymphoma (MCL), which resulted in a median progression-free survival of 79 months and overall survival of 111 months.
  • - TP53 mutation status and albumin levels were identified as significant prognostic factors, with TP53 mutations linked to a higher risk of shorter progression-free survival and overall survival in the analyzed patient population.
  • - A scoring system combining TP53 mutation status and albumin levels allowed differentiation of patient outcomes, indicating varying survival rates based on the presence of these factors, thus enhancing prognostic assessments
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Halting progressive multifocal leukoencephalopathy with pembrolizumab: the case of a patient with multiple sclerosis under fingolimod.

J Neurol

February 2024

Service des Maladies infectieuses et tropicales, Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP UMRS 1136), AP-HP, Hôpital Pitié Salpêtrière, Paris, France.

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We report two extensively drug-resistant (XDR) (NG) isolates combining high-level resistance to azithromycin and resistance to ceftriaxone, obtained in France from two heterosexual patients, one of whom returned from Cambodia. Whole genome sequencing identified MLST ST16406, the mosaic -60.001 which caused ceftriaxone resistance in the internationally spreading FC428 clone, and the A2059G mutation in the 23S rRNA gene.

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Background And Objectives: Activation of the complement system is involved in the pathogenesis of anti-glomerular basement membrane (anti-GBM) disease. Glomerular deposits of complement 3 (C3) are often detected on kidney biopsies. The primary objective of this study was to analyze the prognostic value of the serum C3 level and the presence of C3 glomerular deposits in patients with anti-GBM disease.

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Promoting Oral Health for Patients with Special Needs.

Int J Environ Res Public Health

June 2023

Faculty of Dentistry, Tours University, 37000 Tours, France.

The problem of poor oral health among people with disabilities is common in many low-, middle- and high-income countries [...

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Severe and fatal neonatal infections linked to a new variant of echovirus 11, France, July 2022 to April 2023.

Euro Surveill

June 2023

Laboratory of Human Genetics of Infectious Diseases, Necker Branch, Imagine Institute, Institut National de la Santé et de la Recherche Médicale U1163, Paris, France.

Article Synopsis
  • A new variant of echovirus 11 has been identified as the cause of nine severe neonatal infections, primarily affecting male infants, with a notable occurrence among twins.
  • The affected infants, aged 3-5 days at the time of illness, presented with severe sepsis and liver failure.
  • This variant, discovered in France since April 2022, has led to an increase in fatal neonatal enterovirus infections compared to previous years, prompting calls for national and international health alerts.
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Leadless cardiac pacing: Results from a large single-centre experience.

Arch Cardiovasc Dis

November 2023

Cardiology Department, Clinique du Millénaire, 34000 Montpellier, France.

Background: The efficacy and safety of leadless cardiac pacing as an alternative to conventional transvenous cardiac pacing in selected patients have been widely reported.

Aim: To report the experience of a high-volume implantation centre with older and new generations of leadless pacemakers.

Methods: This retrospective observational study included the first consecutive 400 patients who underwent implantation of a leadless pacemaker in our centre.

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Background: Intracranial solitary fibrous tumour (iSFT) is an exceptional mesenchymal tumour with high recurrence rates. We aimed to analyse the clinical outcomes of newly diagnosed and recurrent iSFTs.

Methods: We carried out a French retrospective multicentre ( = 16) study of histologically proven iSFT cases.

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FLAIR Vascular Hyperintensities as a Surrogate of Collaterals in Acute Stroke: DWI Matters.

AJNR Am J Neuroradiol

January 2023

From the Institute of Psychiatry and Neuroscience of Paris (L.L., A.L.B., J.B., W.B.H., C.P., O.N., J.-C.B., G.T., C. Oppenheim), Université Paris Cité, Institut National de la Santé et de la Recherche Médicale U1266, Federation Hospitalo-Universitaire NeuroVasc, Paris, France.

Background And Purpose: FLAIR vascular hyperintensities are thought to represent leptomeningeal collaterals in acute ischemic stroke. However, whether all-FLAIR vascular hyperintensities or FLAIR vascular hyperintensities-DWI mismatch, ie, FLAIR vascular hyperintensities beyond the DWI lesion, best reflects collaterals remains debated. We aimed to compare the value of FLAIR vascular hyperintensities-DWI mismatch versus all-FLAIR vascular hyperintensities for collateral assessment using PWI-derived collateral flow maps as a reference.

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Background/objective: The aim of this study was to evaluate relative performance of composite measures in psoriatic arthritis and assess the impact of structural damage and functional disability on outcomes during ixekizumab treatment.

Methods: Data from SPIRIT-P1 and SPIRIT-P2 were analysed to evaluate the effect of ixekizumab on achievement of low disease activity (LDA) and remission with the minimal disease activity (MDA) and very low disease activity (VLDA) composite, Disease Activity index for Psoriatic Arthritis (DAPSA), Psoriatic Arthritis Disease Activity Score, GRAppa Composite ScorE and modified Composite Psoriatic Disease Activity Index (mCPDAI). Performance was compared by quantifying residual symptom burden and the impact of structural damage and functional disability.

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Acute hydrocephalus and delayed cerebral infarction after aneurysmal subarachnoid hemorrhage.

Acta Neurochir (Wien)

September 2022

Department of Diagnostic and Interventional Neuroradiology, Bretonneau Hospital, University of Tours, Tours, France.

Article Synopsis
  • Doctors looked at patients who had bleeding in their brains to understand why some got delayed brain injury later on.
  • They found that having a build-up of fluid in the brain (called hydrocephalus) didn't cause this brain injury, even though many patients had it.
  • Instead, the injury was mostly linked to another problem called vasospasm, where the blood vessels in the brain shrink and can cause harm.
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Perfusion Imaging and Clinical Outcome in Acute Minor Stroke With Large Vessel Occlusion.

Stroke

November 2022

Neurology Department, GHU Paris psychiatrie et neurosciences, Sainte-Anne Hospital, Université de Paris, INSERM U1266, FHU NeuroVasc, France (P.S., J.-C.B., G.T.).

Background: Whether bridging therapy (intravenous thrombolysis [IVT] followed by mechanical thrombectomy) is superior to IVT alone in minor stroke with large vessel occlusion is unknown. Perfusion imaging may identify subsets of large vessel occlusion-related minor stroke patients with distinct response to bridging therapy.

Methods: We conducted a multicenter international observational study of consecutive IVT-treated patients with minor stroke (National Institutes of Health Stroke Scale score ≤5) who had an anterior circulation large vessel occlusion and perfusion imaging performed before IVT, with a subset undergoing immediate thrombectomy.

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Aim: To describe baseline characteristics and follow-up data in patients with lipodystrophy syndromes treated with metreleptin in a national reference network, in a real-life setting.

Patients And Methods: Clinical and metabolic data from patients receiving metreleptin in France were retrospectively collected, at baseline, at 1 year and at the latest follow-up during treatment.

Results: Forty-seven patients with lipodystrophy including generalized lipodystrophy (GLD; n = 28) and partial lipodystrophy (PLD; n = 19) received metreleptin over the last decade.

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Article Synopsis
  • Blinatumomab is a bispecific T-cell engager used for treating B-cell precursor acute lymphoblastic leukemia (B-ALL) in patients who have minimal residual disease (MRD) or are in relapse, with a study analyzing 73 patients receiving this treatment.
  • The results showed that high pre-treatment MRD levels correlated with poorer outcomes, specifically shorter relapse-free survival and overall survival rates.
  • The study suggests that understanding tumor burden prior to treatment could lead to more personalized strategies for managing relapsed patients, highlighting the importance of MRD levels in treatment planning.
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Flow-Through Arterialized Posterior Interosseous Nerve Grafts for Digital Neurovascular Bundle Defects: Anatomical Study.

Plast Reconstr Surg

January 2022

From the Department of Plastic, Reconstructive, and Aesthetic Surgery, Toulouse University Hospital, Hôpital Rangueil; Department of Orthopaedic Surgery, Mayo Clinic; Departments of Plastic and Reconstructive Surgery and Orthopaedic Surgery, Institut Universitaire Locomoteur et Sport, and Service de Chirurgie Viscérale d'Urgence, Hôpital Pasteur 2, University of Côte d'Azur; Department of Plastic, Reconstructive, and Aesthetic Surgery, Orléans Hospital; and Laboratoire d'Anatomie Normale, Faculté de Médecine de Nice, Université Côte d'Azur.

Background: Digital neurovascular bundle defects are often encountered during crush or avulsion injuries and require complex reconstruction. Use of an arterialized nerve graft (neurovascular graft) serving both as an interpositional arterial conduit and as a nerve graft could be a reconstructive option in these cases. In this anatomical study, the authors aimed to describe a neurovascular graft of the posterior interosseous nerve and a branch of the anterior interosseous artery for neurovascular bundle reconstruction of the fingers.

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Epidemiology of infective endocarditis in Africa: a systematic review and meta-analysis.

Lancet Glob Health

January 2022

Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, Yaoundé, Cameroon.

Background: The epidemiology of infective endocarditis in Africa is inadequately characterised. We therefore aimed to comprehensively summarise the available data for the incidence, risk factors, clinical pattern, microbiology, and outcomes of infective endocarditis in Africa.

Methods: We did a systematic review and meta-analysis.

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Background: Metastatic signet-ring cell colorectal carcinoma is rare. We analyzed its clinicopathological and molecular features, prognostic factors and chemosensitivity.

Methods: Retrospective study from 2003 to 2017 in 31 French centers, divided into three groups: curative care (G1), chemotherapy alone (G2), and best supportive care (G3).

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International multicentre observational study to assess the efficacy and safety of a 0·5 mg kg per day starting dose of oral corticosteroids to treat bullous pemphigoid.

Br J Dermatol

December 2021

Department of Dermatology, Rouen University Hospital, Center for Autoimmune Bullous Diseases, and INSERM U1234, Normandie University, Rouen, France.

Background: European guidelines propose a 0·5 mg kg per day dose of oral prednisone as initial treatment for bullous pemphigoid (BP). We assessed the safety and efficacy of this regimen depending on BP extent and general condition of the patients.

Methods: In a prospective international study, we consecutively included all patients diagnosed with BP.

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Transient abdominal telangiectasia of the newborn.

Pediatr Dermatol

July 2021

Department of Dermatology, Nantes University, CHU Nantes, UMR 1280 PhAN, INRA, Nantes, France.

We report 20 newborns who developed, at a median age of 7 days, large abdominal patches of radially arranged purplish telangiectasia in a bilateral and symmetrical pattern in relation to the midline, creating a "butterfly wing" pattern. Clinical examination was normal in 13 newborns, six newborns had abdominal distention, and one newborn had poor weight gain due to inadequate breastfeeding. Most lesions spontaneously resolved within 3 months and did not reoccur for 19 newborns.

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Background And Aims: Complex aortic atheroma (CAA) is a common cause of acute brain ischemia (BI), including ischemic stroke (IS) and transient ischemic attack (TIA), and is associated with recurrence. The CHA2DS2-VASc score is a useful tool for predicting stroke in patients with atrial fibrillation (AF), and can also predict cardiovascular events in other populations, including non-AF populations. The ADAM-C score is a new risk score for predicting the diagnostic yield of transesophageal echocardiography (TEE) after BI.

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Article Synopsis
  • Fluid management is crucial in treating sepsis and septic shock, with studies showing mixed results on the impact of chloride-rich fluids like normal saline on kidney health.
  • This study looked at 239 septic shock patients to see if high chloride intake (>18g in the first 48 hours) affected acute kidney injury (AKI) and other health outcomes.
  • Findings revealed no significant link between high chloride doses and kidney function deterioration, ICU stay length, or mortality rates, suggesting high chloride administration is safe in the early treatment phase.
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Low-phospholipid-associated cholelithiasis syndrome: Prevalence, clinical features, and comorbidities.

JHEP Rep

April 2021

Reference Center for Inflammatory Biliary Diseases and Autoimmune Hepatitis, ERN RARE-LIVER, Saint-Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne University, Paris, France.

Background & Aims: Low-phospholipid-associated cholelithiasis (LPAC) syndrome, a rare genetic form of intrahepatic cholelithiasis in adults, is still poorly understood. We report the results of the largest-ever case-control study of patients with LPAC syndrome aiming to assess the prevalence, clinical features, and comorbidities of the disease.

Methods: We included all LPAC cases diagnosed between 2001 and 2016 in 11 French centres.

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Patients and spouses coping with inflammatory arthritis: Impact of communication and spousal perceived social support and burden.

Joint Bone Spine

May 2021

Centre d'Education Thérapeutique pour les Rhumatismes Chroniques (CERC), Cochin Hospital, AP-HP, Paris, France. Electronic address:

Article Synopsis
  • The study aimed to see how the health of a patient's spouse and their relationship affects the patient's health when they have rheumatoid arthritis (RA) or spondyloarthritis (SpA).
  • Researchers looked at different health aspects like mental health and self-confidence using questionnaires completed by patients and their spouses.
  • The results showed that when spouses are less stressed and communication is better, patients tend to feel healthier mentally and have more confidence.
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