279 results match your criteria: "Saint-Andre 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.

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Uses of the viable validity concept: A systematic scoping review.

Eval Program Plann

February 2025

Bordeaux Population Health Research Center U 1219, Inserm - University of Bordeaux, Case 11, 146 rue Léon Saignat, Bordeaux Cedexx 33076,  France; Bordeaux University Hospital -Saint-André Hospital, 1 rue Jean Burguet, Bordeaux 33000, France. Electronic address:

Objective: The concept of viable validity was first defined in 2010 within the framework of the integrative validity model. The concept has continued to evolve in the intervening years, and the purpose of this systematic scoping review is to describe and analyze the ways in which it has been deployed and appropriated by various research traditions.

Methods: We began by including all articles which cite Chen's original article "The bottom-up approach to integrative validity: a new perspective for program evaluation (Eval Program Plann.

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Article Synopsis
  • The study looked at why people with systemic sclerosis often get painful sores on their fingers (called digital ulcers) and how tiny blood vessel problems contribute to this.
  • Researchers measured blood pressure in the fingers of patients to find out if there was a link between lower pressure and the presence of these sores.
  • The results showed that a lot of people with ulcers had lower blood pressure in their fingers, suggesting that these blood flow issues play a big role in causing ulcers, separate from other blood vessel problems.
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Several high-quality, randomized, sham-controlled trials have provided evidence supporting the efficacy and safety of radiofrequency, ultrasound and alcohol catheter-based renal denervation (RDN) for reducing blood pressure (BP). A French clinical consensus document has therefore been developed to propose guidance for the appropriate use of RDN in the management of hypertension along with a dedicated care pathway and management strategy. The French experts group concluded that RDN can serve as an adjunct therapy for patients with confirmed uncontrolled, resistant essential hypertension despite treatment with≥3 antihypertensive drugs, including a long-acting calcium channel blocker, a renin-angiotensin system blocker and a thiazide/thiazide-like diuretic at maximally tolerated doses.

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Effectiveness of postprocessing on 3D printed resin biocompatibility in prosthodontics: A systematic review.

J Prosthet Dent

September 2024

Professor, Prosthodontics Department, Faculty of Dental Medicine, Bordeaux University, Bordeaux University Hospital, Saint-André Hospital, Bordeaux, France; and Academic Guest, Clinic of General-, Special Care- and Geriatric Dentistry, Center of Dental Medicine, University of Zürich, Zürich, Switzerland. Electronic address:

Statement Of Problem: Additive manufacturing is used in prosthodontics for producing casts, surgical guides, and interim and definitive prostheses. Printed resin components that will be in contact with the oral mucosa must meet biocompatibility requirements in accordance with current standards for medical devices. Despite such approvals being obtained by the manufacturer, the dentist remains responsible for following the manufacturer recommendations.

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Article Synopsis
  • * A study analyzed 12 patients, highlighting key signs like lack of response to antibiotics, symptom improvement after immunosuppressants, and concurrent immune-related issues, suggesting that this sinusitis is noninfectious.
  • * There is a need for more studies to determine how common this condition is and its potential impact on patients' outcomes when treated with ICIs.
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Article Synopsis
  • The CABASTY study investigated the effects of biweekly administration of a lower dose of cabazitaxel on pain and quality of life for older men with metastatic castration-resistant prostate cancer (mCRPC).
  • In a trial involving 196 patients, researchers compared biweekly dosing (16 mg/m) to a standard triweekly dosing (25 mg/m) regarding pain progression and health-related quality of life (HRQoL).
  • Results showed no significant differences in pain progression or HRQoL between treatment groups, but the biweekly group experienced a delayed onset of some adverse events, suggesting it could be a safer option for older patients.
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Impact of Atopic Dermatitis on Adult Women's Lives: A Survey of 1,009 French Women.

Acta Derm Venereol

May 2024

Patient Priority Department, European Market Maintenance Assessment, Fontenay sous Bois, France.

Atopic dermatitis (AD) is one of the most common inflammatory diseases, and has a higher prevalence among females in adulthood. The aim of this observational, cross-sectional, survey-based study was to evaluate the impact of AD on the daily lives of adult women patients. A scientific committee composed exclusively of women constructed a specific questionnaire in partnership with the French Eczema Association.

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Trends in Mortality in People With HIV From 1999 through 2020: A Multicohort Collaboration.

Clin Infect Dis

November 2024

Centre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Article Synopsis
  • Mortality rates among people with HIV significantly dropped after the introduction of combination antiretroviral therapy, particularly between 1999 and 2009, but remained stable from 2010 to 2020.
  • The study analyzed data from over 55,000 participants, revealing that AIDS-related deaths were most common in the earlier period, while deaths from non-AIDS-related malignancies increased in the later years.
  • Despite the decline in overall mortality, the reduction was not entirely attributed to better immune function or the presence of other risk factors, suggesting other contributing elements may be at play.
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Background: Infliximab is currently recommended as a third-line treatment for refractory sarcoidosis. Data in function of clinical phenotype are currently lacking. We evaluated patients' characteristics and responses to infliximab according to their GenPhenReSa cluster.

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Resilience and Mental-Health Symptoms in ICU Healthcare Professionals Facing Repeated COVID-19 Waves.

Am J Respir Crit Care Med

March 2024

Medical Intensive Care Unit, Saint Louis University Hospital, Assistance Publique-Hôpitaux de Paris, Paris-Cité University, Paris, France; FAMIREA study group.

Psychological resilience (the ability to thrive in adversity) may protect against mental-health symptoms in healthcare professionals during coronavirus disease (COVID-19) waves. To identify determinants of resilience in ICU staff members. In this cross-sectional survey in 21 French ICUs, staff members completed the 10-item Connor-Davidson Resilience Scale, Hospital Anxiety and Depression Scale, and Impact of Event Scale-Revised (for post-traumatic stress disorder [PTSD]).

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Article Synopsis
  • Alopecia areata (AA) is an autoimmune condition causing hair loss that can range from small patches to total loss of hair on the scalp and body, linked to immune responses targeting hair follicles.
  • Current treatment options are limited, with only two FDA-approved systemic drugs, baricitinib and ritlecitinib, specifically for severe AA, while other off-label treatments exist but often lack effectiveness and safety.
  • The review discusses the role of T cells in AA's development and explores new therapeutic approaches being researched that target various T-cell signaling pathways, aiming for more effective treatments beyond just JAK inhibitors.
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Article Synopsis
  • The CORIPLASM trial aimed to assess whether covid-19 convalescent plasma is effective in treating hospitalized adults with moderate covid-19, including those with weakened immune systems.
  • Conducted across 19 hospitals in France, the trial included 120 participants randomly assigned to receive either convalescent plasma or usual care between April 2020 and April 2021.
  • Key outcomes measured included the proportion of patients experiencing worsening symptoms by day 4 and survival without needing assisted ventilation by day 14, while secondary outcomes assessed overall survival and recovery times.
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Importance: Many patients 65 years or older with metastatic castration-resistant prostate cancer (mCRPC) are denied taxane chemotherapy because this treatment is considered unsuitable.

Objective: To determine whether biweekly cabazitaxel (CBZ), 16 mg/m2 (biweekly CBZ16), plus prophylactic granulocyte colony-stimulating factor (G-CSF) at each cycle reduces the risk of grade 3 or higher neutropenia and/or neutropenic complications (eg, febrile neutropenia, neutropenic infection, or sepsis) compared with triweekly CBZ, 25 mg/m2 (triweekly CBZ25), plus G-CSF (standard regimen).

Design, Setting, And Participants: A total of 196 patients 65 years or older with progressive mCRPC were enrolled in this prospective phase 3 randomized clinical trial conducted in France (18 centers) and Germany (7 centers) between May 5, 2017, and January 7, 2021.

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In Situ Patch Test and Repeated Open Application Test for Fixed Drug Eruption: A Multicenter Study.

J Allergy Clin Immunol Pract

February 2024

Médecine Sorbonne Universiy, Dermatology and allergology department, Hôpital Tenon, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France. Electronic address:

Background: Few studies have evaluated allergy workup in fixed drug eruption (FDE) in a large population.

Objective: To evaluate the sensitivity of a standardized allergy workup for diagnosing the cause of FDE, with a focus on in situ repeated open application tests (ROATs).

Methods: In a retrospective multicenter study, we analyzed the practice of conducting a complete allergy workup for the etiological diagnosis of FDE.

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Background: A French intersociety consensus on behalf the Société Française de Médecine Vasculaire and the Société de Chirurgie Vasculaire et Endovasculaire was proposed in 2021 for the management of patients with lower extremity peripheral artery disease (LEAD). Recent studies have been published and an update of this consensus about the management of low-density lipoprotein cholesterol (LDLc) and hypertriglyceridemia was required.

Methods: A steering committee of 12 vascular physicians and surgeons defined questions of interest about LDLc and hypertriglyceridemia management.

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Development of craniometry-based predictive model to determine occlusal vertical dimension by using the eye-ear distance in a French population.

J Prosthet Dent

October 2023

Associate Professor, Prosthodontics Department, Faculty of Dental Medicine, Bordeaux University, Bordeaux University Hospital, Saint-André Hospital, Bordeaux, France; and Academic Guest, Clinic of General-, Special Care, and Geriatric Dentistry, Center of Dental Medicine, University of Zürich, Zürich, Switzerland.. Electronic address:

Statement Of Problem: Techniques for determining occlusal vertical dimension (OVD) have limitations, including the lack of reproducibility or invasiveness. Recently, a craniometry-based predictive model comparing OVD with eye-ear distance (EED) was developed in Chile. However, this study included a specific population and excluded patients with a history of orthodontics.

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Preliminary impression for maxillary defect: A two-step technique.

J Prosthodont

July 2024

Associate Professor, Prosthodontics Department, Faculty of Dental Medicine, Bordeaux University, Bordeaux University Hospital, Saint-André Hospital, Bordeaux, France.

Preliminary impressions must record the periphery and height of maxillary defects to allow for an eventual extension of the master impression tray. These impressions are usually made with irreversible hydrocolloid. Carrying the impression material into the defect can be complex, especially in the case of a limited oral opening.

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Severe adult hemophagocytic lymphohistiocytosis (HLHa) correlates with HLH-related gene variants.

J Allergy Clin Immunol

January 2024

Laboratory of Cellular and Molecular Mechanisms of Hematological Disorders and Therapeutical Implications, INSERM UMR1163/CNRS URL 8254, Paris, France; French National Center for Primary Immunodeficiencies, Necker University Hospital, AP-HP, Paris, France; Imagine Institute, Université Paris Cité, Paris, France; Clinical Hematology, Necker University Hospital, AP-HP, Paris, France. Electronic address:

Article Synopsis
  • - The study investigates the relationship between genetic factors and the severity of adult hemophagocytic lymphohistiocytosis (HLHa), focusing on gene variants related to HLH.
  • - Clinical data from 130 HLHa patients, including their genotypes for 8 specific HLH-related genes, were analyzed to assess disease outcomes, with findings showing a significant association between the number of genetic variants and severity of HLHa.
  • - Results indicate that HLH gene variants can impact the severity and treatment resistance in HLHa patients, highlighting their potential role in understanding the condition better.
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Vitiligo is the most common depigmenting skin disorder. Given the ongoing development of new targeted therapies, it has become important to evaluate adequately the surface area involved. Assessment of vitiligo scores can be time consuming, with variations between investigators.

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Frailty and prefrailty phenotypes increase the odds of abnormal cognitive impairment screens in people with HIV.

AIDS

November 2023

Department of Public Health and Epidemiology, AP-HP, Bicêtre Hospital, Paris-Saclay University, & INSERM CESP U1018, Le Kremlin Bicêtre.

Objective: Evaluate whether prefrail and frail people with HIV (PWH) have a higher risk of cognitive impairment on screens.

Methods: Analysis of PWH aged 70 or older included in the ANRS EP66 SEPTAVIH cohort, on antiretroviral therapy for at least 12 months and with a MoCA test at enrolment. Adjusted risk of a Montreal Cognitive Assessment (MoCA) less than 26 was compared in frail/prefrail versus robust PWH.

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Article Synopsis
  • The study evaluates the outcomes of delayed coloanal anastomosis (DCAA), focusing on its use as both a primary procedure and as a salvage after failed surgery.
  • Among 564 patients, complications occurred at similar rates for both types of DCAA, but anastomotic leakage was more common in salvage DCAA cases.
  • DCAA successfully preserved bowel continuity for 74% of patients after three years, with 75% of those not initially having a stoma avoiding it entirely by the last follow-up.
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Phenotypic Profiles Among 72 Caucasian and Afro-Caribbean Patients with Antisynthetase Syndrome Involving Anti-PL7 or Anti-PL12 Autoantibodies.

Eur J Intern Med

September 2023

Department of internal Medicine and Infectious Diseases Department, Haut Leveque Hospital, University Hospital Centre of Bordeaux, F33604 Pessac, France; INSERM, Biology of Cardiovascular Diseases, U1034, University of Bordeaux, F33604 Pessac, France. Electronic address:

Objectives: Antisynthetase syndrome (ASyS) is a rare autoimmune disease. We aimed to determine clinical, biological, radiological, and evolutive profiles of ASyS patients with anti-PL7 or anti-PL12 autoantibodies.

Methods: We performed a retrospective study that included adults with overt positivity for anti-PL7/anti-PL12 autoantibodies and at least one Connors' criterion.

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Digital optimization of teeth setup in an edentulous patient with partial glossectomy: A case report.

J Prosthodont

July 2023

Prosthodontics Department, Faculty of Dental Medicine, Bordeaux University, Bordeaux University Hospital, Saint-André Hospital, Bordeaux, France.

The purpose of this clinical report was to describe the use of a piezographic impression associated with computer-aided design and computer-aided manufacturing (CAD-CAM) for teeth setup and of digital tools for neuro-musculo-kinetic analyses. An edentulous patient with hemiglossectomy and heavily resorbed mandible consulted for complete denture rehabilitation to improve their masticatory function and speech. Master casts, wax rims, and piezographic impression were scanned for digital prosthetic work.

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