55 results match your criteria: "Service hospitalier universitaire pneumologie physiologie[Affiliation]"

Background: Allergy, the most frequent immune disorder affecting 30% of the world's population, is the consequence of immunoglobin E (IgE) sensitization to allergens. Among the genetic factors suspected to be involved in allergy, the HLA class-II genomic region is a strong candidate.

Objective: To assess the association between HLA class-II alleles and specific IgE (sIgE) sensitization to a large number of respiratory allergen molecules.

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Background: Targeted lung denervation (TLD) is a novel bronchoscopic therapy that disrupts parasympathetic pulmonary nerve input to the lung reducing clinical consequences of cholinergic hyperactivity. The AIRFLOW-1 study assessed safety and TLD dose in patients with moderate-to-severe, symptomatic COPD. This analysis evaluated the long-term impact of TLD on COPD exacerbations, pulmonary function, and quality of life over 3 years of follow up.

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PTEN, ATM, IDH1 mutations and MAPK pathway activation as modulators of PFS and OS in patients treated by first line EGFR TKI, an ancillary study of the French Cooperative Thoracic Intergroup (IFCT) Biomarkers France project.

Lung Cancer

January 2021

Laboratory of Biochemistry and Molecular Biology, Centre Hospitalier Universitaire de Strasbourg, Hôpital de Hautepierre, Strasbourg, France; IRFAC UMR-S1113, Inserm, Université de Strasbourg, Strasbourg, France. Electronic address:

Objectives: Tumor mutation screening is standard of care for patients with stage IV NSCLC. Since a couple of years, widespread NGS approaches used in routine diagnostics to detect driver mutations such as EGFR, KRAS, BRAF or MET allows the identification of other alterations that could modulated the intensity or duration of response to targeted therapies. The prevalence of co-occurring alterations that could affect response or prognosis as not been largely analyzed in clinical settings and large cohorts of patients.

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Objectives: Lung transplant (LT) recipients require multidisciplinary care because of the complexity of therapeutic management. Pharmacists are able to detect drug-related problems and provide recommendations to physicians through pharmacists' interventions (PIs). We aimed at assessing the clinical impact of PIs on therapeutic management in LT outpatients.

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Article Synopsis
  • COPD exacerbations lead to worse health outcomes and higher healthcare costs, prompting the development of targeted lung denervation (TLD) to disrupt unhealthy nerve activity in the lungs.
  • The AIRFLOW-2 study evaluated the safety and effectiveness of TLD combined with standard therapy versus a sham procedure over two years in patients with moderate-to-severe COPD.
  • Results showed that TLD significantly delayed severe COPD flare-ups and maintained stable lung function and quality of life over the study period.
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[Non-invasive home ventilation in patients with severe hypercapnic chronic obstructive pulmonary disease: The SOMNOVENT' study].

Rev Mal Respir

November 2020

Service hospitalier universitaire pneumologie physiologie, pôle thorax et vaisseaux, CHU Grenoble Alpes, Grenoble, France; Inserm U 1042, laboratoire HP2, université Grenoble Alpes, Grenoble, France.

Background: Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality, especially in cases of chronic hypercapnic respiratory failure. Following a prolonged debate, the indication and benefits of noninvasive ventilation (NIV) have been recently established. Although improved ventilation and reduction in hyperinflation appear to underlie the positive effect on NIV in COPD, only a few studies have focused on specific ventilatory algorithms for improving PaCO2.

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COVID-19 in Lung Transplant Recipients.

Transplantation

January 2021

Hôpital Bichat-Claude Bernard, Service de Pneumologie B et Transplantation Pulmonaire, APHP.Nord-Université de Paris, Paris, France.

Background: A concern about the susceptibility of immunocompromised patients to the worldwide pandemic of coronavirus disease 2019 (COVID-19) has been raised. We aimed at describing COVID-19 infections in the French cohort of lung transplant (LT) patients.

Methods: Multicenter nationwide cohort study of all LT recipients with COVID-19 diagnosed from March 1 to May 19, 2020.

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Chronic obstructive pulmonary disease (COPD) in never-smokers exposed to organic dusts is still poorly characterized. Therapeutic strategies in COPD are only evaluated in smoking-related COPD. Understanding how never-smokers with COPD behave during exercise is an important prerequisite for optimal management.

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Characterization of chronic obstructive pulmonary disease in dairy farmers.

Environ Res

September 2020

Service de Pneumologie, Oncologie Thoracique et Allergologie Respiratoire, CHRU de Besançon, France; UMR CNRS Chrono Environnement, Université de Franche-Comté, Besançon, France.

Article Synopsis
  • - The study investigated the prevalence and characteristics of Chronic Obstructive Pulmonary Disease (COPD) in dairy farmers, comparing them with non-farmers who also have COPD.
  • - Out of 4788 participants screened, 101 dairy farmers with COPD (DF-COPD) and 85 non-farmers with COPD (NF-COPD) were analyzed, revealing that dairy farmers had better lung function and quality of life than non-farmers, despite lower tobacco usage.
  • - The findings suggested that COPD in dairy farmers is linked more to individual health factors than occupational dust exposure, indicating that COPD from organic dust (like that found in farming) may be less severe than that caused by smoking.
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[Management of pulmonary arteriovenous malformation with pulmonary hypertension].

Rev Mal Respir

October 2020

Service de réanimation médicale, CHU de Besançon, Besançon, France.

Introduction: Pulmonary arteriovenous malformations (PAVM) are abnormal communications between arteries and pulmonary veins without interposition of capillaries. Embolization is effective both in reducing lifetime complications associated with PAVM and in improving arterial oxygenation. Embolization is however not recommended in patients with pulmonary hypertension (PH) as it abolishes low resistance pathways for pulmonary blood flow and therefore might be expected to elevate pulmonary arterial pressure (PAP).

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Article Synopsis
  • The study investigates comorbidities in patients with COPD, focusing on those exposed to organic dust (like dairy farmers) and tobacco smoking.
  • The research finds that, regardless of exposure, patients with COPD do not have a higher frequency of cardiovascular issues compared to non-COPD individuals.
  • Tobacco smoking is linked to an increased risk of cardiovascular comorbidities, while exposure to organic dust appears to lower that risk, emphasizing the importance of managing cardiovascular health in COPD patients.
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Circulating tumour cells as a potential biomarker for lung cancer screening: a prospective cohort study.

Lancet Respir Med

July 2020

Laboratory of Clinical and Experimental Pathology, Université Côte d'Azur, Centre Hospitalier Universitaire de Nice, University Hospital Federation OncoAge, Nice, France; Hospital-Related Biobank, Université Côte d'Azur, Centre Hospitalier Universitaire de Nice, University Hospital Federation OncoAge, Nice, France; Institute of Research on Cancer and Aging, Centre National de la Recherche Scientifique, Institut National de la Santé et de la Recherche Médicale, Université Côte d'Azur, Centre Hospitalier Universitaire de Nice, Nice, France.

Background: Lung cancer screening with low-dose chest CT (LDCT) reduces the mortality of eligible individuals. Blood signatures might act as a standalone screening tool, refine the selection of patients at risk, or help to classify undetermined nodules detected on LDCT. We previously showed that circulating tumour cells (CTCs) could be detected, using the isolation by size of epithelial tumour cell technique (ISET), long before the cancer was diagnosed radiologically.

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Article Synopsis
  • A study was conducted to assess the impact of COVID-19 on patients with thoracic cancers, who are believed to have higher mortality risks due to age, smoking, and existing health issues.
  • The research involved a multicenter registry called TERAVOLT, tracking patients with diagnoses like non-small-cell lung cancer and others who also had COVID-19, from January 2020 onward.
  • Preliminary results from the first 200 patients are being analyzed, focusing on how various characteristics (like age and health conditions) affect patient outcomes using statistical methods.
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Venoocclusive Disease With Both Hepatic and Pulmonary Involvement.

Chest

April 2020

Service de Pneumologie, Oncologie Thoracique et Allergologie Respiratoire, CHU de Besançon, Besançon, France. Electronic address:

Pulmonary venoocclusive disease (PVOD) is a rare form of pulmonary vascular disease with pulmonary hypertension characterized by preferential involvement of the pulmonary venous system. Hepatic venoocclusive disease (HVOD), also known as sinusoidal obstruction syndrome, is a condition that occurs in 13% to 15% of patients after hematopoietic stem cell transplantation (HSCT). Although hepatic and pulmonary venoocclusive diseases may share some pathologic features as well as some etiologies such as HSCT, these two disorders have never been described together in a single adult patient.

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Background: Mepolizumab was available in France as part of an early access programme for patients with severe eosinophilic asthma (nominative [temporary use authorisation] (nATU)) before its commercialisation. This study aimed to characterise patients who received mepolizumab in the nATU.

Methods: This retrospective, observational study analysed data from the hospital medical records of patients up to 24 months after treatment initiation.

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Quantitative and qualitative evaluation of spirometry for COPD screening in general practice.

Respir Med Res

March 2020

Service hospitalier universitaire pneumologie physiologie, pôle thorax et vaisseaux, CHU Grenoble, 38040 Grenoble, France; Université Grenoble Alpes, 38000 Grenoble, France. Electronic address:

Introduction: Proper diagnosis of COPD remains a challenge. Spirometry testing in primary care may help to reduce misdiagnosis, but its reliability as a diagnostic instrument needs to be assessed.

Objectives: To investigate (1) the validity of spirometry testing performed in primary care and (2) the accuracy of the diagnostic of airflow limitation obtained by these tests.

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Objectives: T790M mutations inEGFR-mutated non-small cell lung cancer (NSCLC) account for nearly 50% of acquired resistance mechanisms to EGFR-TKIs. Earlier studies suggested that tumor T790M could also be detected in TKI-naïve EGFR-mutated NSCLC. The aim of the study is to assess the prevalence and clinical significance of quantification of tumor pre-treatment T790M subclones.

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Cardiovascular Risk in COPD: Deciphering the Contribution of Tobacco Smoking.

Chest

April 2020

Service Hospitalier Universitaire Pneumologie Physiologie, Pôle Thorax et Vaisseaux, Centre Hospitalier Universitaire Grenoble-Alpes, Grenoble, France; Université Grenoble Alpes, Grenoble, France.

Article Synopsis
  • COPD is linked to a higher risk of cardiovascular disease, but the reasons for this connection are not completely understood.
  • This study aimed to measure systemic arterial stiffness in mild to moderate COPD patients and see how factors like tobacco smoking and organic dust exposure influence it.
  • Results showed that patients with COPD had higher arterial stiffness compared to healthy controls when exposed to tobacco smoke, but not with organic dust alone, indicating that tobacco smoking is a significant risk factor for arterial stiffness in COPD patients.
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[An acute complication following emphysema reduction with coils].

Rev Mal Respir

November 2019

Pôle thorax et vaisseaux, service hospitalier universitaire pneumologie physiologie, centre hospitalier et universitaire Grenoble Alpes, 38700 La Tronche 9, France; Université Grenoble Alpes, CS40700, 38058 Grenoble cedex 9, France.

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Background: The number of pharmacological agents and guidelines available for COPD has increased markedly but guidelines remain poorly followed. Understanding underlying clinical reasoning is challenging and could be informed by clinical characteristics associated with treatment prescriptions.

Methods: To determine whether COPD treatment choices by respiratory physicians correspond to specific patients' features, this study was performed in 1171 patients who had complete treatment and clinical characterisation data.

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Exposure to organic dusts is an independent causative factor of chronic obstructive pulmonary disease (COPD). Unhealthy dietary patterns have been associated with poor lung function in smokers. This study investigated whether dietary patterns were associated with post-bronchodilator airway obstruction, a hallmark of COPD, in dairy farmers exposed to organic dusts.

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Rationale: Targeted lung denervation (TLD) is a novel bronchoscopic treatment for the disruption of parasympathetic innervation of the lungs.

Objectives: To assess safety, feasibility, and dosing of TLD in patients with moderate to severe COPD using a novel device design.

Methods: Thirty patients with COPD (forced expiratory volume in 1 s 30-60%) were 1:1 randomized in a double-blinded fashion to receive TLD with either 29 or 32 W.

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Is atopy a risk indicator of chronic obstructive pulmonary disease in dairy farmers?

Respir Res

June 2019

Service de Pneumologie, Oncologie thoracique et Allergologie respiratoire, 3 Boulevard Fleming, 25000, Besancon, France.

Article Synopsis
  • Environmental and occupational allergens may play a role in the development of chronic obstructive pulmonary disease (COPD), particularly among dairy farmers.
  • A study involving 101 dairy farmers with persistent airflow limitation (PAL), 85 non-farming individuals with PAL, and matched controls revealed that those who farmed had higher rates of allergy history and specific sensitizations compared to controls.
  • The findings suggest a significant association between PAL in farmers and increased atopy markers, indicating that atopy may be a risk factor for respiratory issues in this occupational group.
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