2,387 results match your criteria: "Toulouse University hospital[Affiliation]"

Ischemic cardiopathy induced by capecitabine in gastric cancer: The role of dihydropyrimidine dehydrogenase metabolites.

Therapie

October 2024

Department of Medical and Clinical Pharmacology, Faculty of Medicine, Centre of PharmacoVigilance and Pharmacoepidemiology, Toulouse University Hospital, 31000 Toulouse, France. Electronic address:

Objectives: Fluoropyrimidine-based therapies, 5-fluorouracil (5-FU) and its oral prodrugs, capecitabine and tegafur/oteracil/gimeracil (S-1), are pivotal drugs to treat gastric cancer. Fluoropyrimidines are associated with cardiotoxicity including ischemic cardiopathy. The mechanisms of ischemic cardiopathy are considered to be multifactorial, potentially involving metabolites of 5-FU generated by the dihydropyrimidine dehydrogenase (DPD).

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Article Synopsis
  • The study aimed to compare the antibody response to SARS-CoV-2 in patients with inflammatory rheumatic diseases and healthy individuals.
  • Researchers screened unvaccinated patients with conditions like rheumatoid arthritis, spondyloarthritis, and psoriatic arthritis in France, and matched them with seropositive healthcare workers as controls.
  • Results showed no significant difference in antibody levels between both groups, with a trend indicating that patients with severe COVID-19 symptoms had higher antibody titres; treatments like glucocorticoids seemed linked to lower antibody responses.
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Space Analogs and Behavioral Health Performance Research review and recommendations checklist from ESA Topical Team.

NPJ Microgravity

October 2024

Directorate of Human and Robotic Exploration Programmes (HRE-RS). European Space Agency (ESA), Noordwijk, The Netherlands.

Space analog research has increased over the last few years with new analogs appearing every year. Research in this field is very important for future real mission planning, selection and training of astronauts. Analog environments offer specific characteristics that resemble to some extent the environment of a real space mission.

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Therapeutic strategy for advanced stages salivary carcinomas of the tongue: A multicenter REFCOR study.

Oral Oncol

December 2024

Otolaryngology, Head and Neck Surgery Department, University Cancer Institute Toulouse and Toulouse University Hospital, Larrey Hospital, Toulouse, France.

Introduction: Salivary carcinomas of the tongue represent a therapeutic challenge as their radical excision is particularly mutilating. We aimed to study the oncologic and functional outcomes of advanced stages salivary carcinomas of the tongue.

Materials And Methods: This retrospective multicentric study, based on the French national network on rare head and neck cancers (REFCOR), included all patients with a T3-T4 salivary carcinoma of the tongue, diagnosed between January 2009 and December 2018.

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Background: In POLA cohort, three pathological groups of CNS WHO grade 3 oligodendroglioma IDH-mutant and 1p/19q co-deleted have been described: group 1 (high mitotic count only), group 2 (microvascular proliferation MVP and no necrosis), and group 3 (MVP and necrosis).

Methods: 494 patients from the POLA cohort, with a median follow up of 96 months were included. To identify the impact of the pathological groups and contrast enhancement in group 1 on overall survival (OS) or progression free survival (PFS), survival curves were obtained (Kaplan-Meier method) and compared (log-rank test).

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Imlifidase in Highly Sensitized Kidney Transplant Recipients With a Positive Crossmatch Against a Deceased Donor.

Kidney Int Rep

October 2024

Bordeaux University Hospital, Department of Nephrology, Transplantation, Dialysis and Apheresis, UMR-CNRS5164 Immunoconcept, University of Bordeaux, Bordeaux, France.

Article Synopsis
  • Imlifidase is used for desensitizing highly sensitized adult kidney transplant candidates with a positive crossmatch against deceased donors, and results from the first 9 patients are reported after at least 3 months of follow-up.
  • All 9 patients had been on dialysis for an average of over 10 years, and after treatment with imlifidase, all patients showed negative results for donor-specific antibodies (DSAs) that could have restricted their transplant eligibility.
  • The study concludes that imlifidase appears to be effective and safe for desensitization in these patients, with no graft losses or deaths reported, although some patients did experience infections and DSA rebounds.
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Introduction: Degenerative meniscal lesions (DML) are frequent in the general population. However, the management of stable DML is always a challenge due to the lack of universal consensus and evidence.

Hypothesis: We assessed ultrasound-guided corticosteroids medial meniscal-wall infiltration as a conservative therapy for symptomatic DML and we searched for associated factors of very good response.

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Clinical outcomes for 2788 patients with transthyretin amyloidosis: Tafamidis meglumine early access program in France.

Arch Cardiovasc Dis

October 2024

Cardiology Department and French National Reference Centre for Cardiac Amyloidosis, Henri-Mondor University Hospital, AP-HP, GRC Amyloid Research Institute and IMRB, Inserm, Université Paris Est Créteil, 94010 Créteil, France. Electronic address:

Background: Early access experience in France with tafamidis meglumine, a selective transthyretin stabilizer for transthyretin-related amyloidosis cardiomyopathy (ATTR-CM), following transthyretin-related amyloidosis (ATTR) polyneuropathy approval and positive ATTR-ACT study results.

Aim: To describe the characteristics and clinical outcomes for patients in the French ATTR-CM tafamidis meglumine early access programme (28 Nov 2018 to 01 Jun 2021).

Methods: Patients with confirmed ATTR-CM received tafamidis meglumine 20mg/day or 80mg/day.

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The Concept of Health, From Definition to Measurement and the Implications of the Reserves-Based Model for Nursing in France.

J Adv Nurs

October 2024

Department of Medicine, Maieutics and Paramedicine, Faculty of Health, AGING Research Team, Center for Epidemiology & Research in POPulation Health (CERPOP), UMR 1295, University Toulouse III Paul Sabatier, Toulouse, France.

Aim: To discuss a reserves-based model of Health, recently developed in the literature, defining Health and moving from conceptual considerations to methods of measuring Health, applicable to nursing practice and research.

Design: Discursive paper.

Methods: A discursive paper critically synthesising a reserves-based model of Health for conceptualising and operationalising Health, with reference to key Health theories from nursing science and social epidemiology.

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Aim: To evaluate the effectiveness and safety of insulin glargine 300 U/mL (Gla-300) initiation according to diabetes duration (DD).

Materials And Methods: We analysed patient-level data from 2381 insulin-naïve individuals with type 2 diabetes (T2D), of whom 2349 (98.7%) were treated with Gla-300 for 24 weeks.

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Cardiovascular hospitalizations and deaths in adults, children and pregnant women.

Arch Cardiovasc Dis

December 2024

Santé publique France, 12, rue du Val d'Osne, 94410 Saint-Maurice, France.

Article Synopsis
  • Cardiovascular diseases (CVDs) and strokes are the top causes of death globally, motivating a comprehensive study on their incidence and hospitalizations in France for adults and pregnant women.
  • In 2022, over 1.2 million adults were hospitalized for CVD, with a higher rate in men and those of lower socioeconomic status, while CVD caused approximately 138,137 adult deaths in 2021.
  • Among children, congenital heart defects affected 3,876 infants in early 2022, and for pregnant women between 2010-2018, there were 1,261 strokes and 225 acute coronary syndromes, highlighting the urgent need for better prevention and management strategies for CVD.
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Acceptability of "DIDE", a mobile application designed at facilitating care adherence of patients with substance use disorder.

Addict Sci Clin Pract

October 2024

Service de psychiatrie d'urgences, de crise et de liaison, CHU de Toulouse, Toulouse, France.

Background: Attrition continues to be a major hurdle for addiction treatment. Through the prism of the attachment theory, this phenomenon can be understood as a manifestation of the patient's insecure attachment style, needing a highly-responsive care delivery. We developed an electronic health mobile application, co-designed with patients, aimed at helping healthcare teams respond to their patients' needs, and fostering adherence to care.

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Article Synopsis
  • * This study analyzed cases of C bantiana infections in France and its territories, involving patients who were diagnosed through a comprehensive surveillance program, focusing on survival rates and the presence of central nervous system (CNS) involvement.
  • * Out of 23 patients identified from 2002 to 2022, 65% had CNS involvement, with a notable increase in cases reported in 2022, indicating a possible correlation with environmental factors like rising temperatures.
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Role of F-FDG-PET/CT in the initial staging of very high-risk Ewing Sarcoma in a prospective multicentric Phase II Study: Is there still a place for bone marrow sampling?

Br J Cancer

November 2024

Adolescents and Young Adults Unit, Medical Oncology and SIREDO (Care, Innovation and Research for Children, Adolescents, and Young Adults with Cancer) Departments, Curie Institute, Paris, France.

Article Synopsis
  • - The Ewing Sarcoma Family of Tumors (ESFT) includes rare cancers, with a significant portion showing metastatic spread, especially affecting bone and bone marrow, which worsens prognosis and necessitates stronger treatments.
  • - The French phase II COMBINAIR3 study compared the effectiveness of PET/CT to traditional bone marrow aspiration and biopsy (BMAB) for staging extra-pulmonary metastatic ESFT in 42 patients.
  • - Results indicated that PET/CT had high specificity (100%) and notable sensitivity (83.3%) in detecting bone marrow involvement, suggesting it can replace BMAB for initial staging, thereby enhancing treatment planning for high-risk ESFT patients.
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Introduction: Low cardiac output syndrome (LCOS) is a common complication in cardiac surgery, and we evaluated the incidence of its early occurrence after mitral and tricuspid combined cardiac surgery and its associated risk factors.

Material And Method: Retrospective, single institution study. We included 88 consecutive adult patients with severe mitral insufficiency scheduled for elective mitral and tricuspid valve replacement surgery between January 2015 and November 2018.

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Long, broad retinal scar secondary to high-power laser exposure.

J Fr Ophtalmol

October 2024

Ophthalmology Department, Pierre-Paul Riquet Hospital, Toulouse University Hospital, place Baylac, 31059 Toulouse cedex, France; Faculty of Medicine, University of Toulouse III, Toulouse, France.

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Background: Pancreatic ductal adenocarcinoma (PDAC) has a poor prognosis. The POLO trial showed that olaparib (PARP inhibitor) improved progression-free survival (PFS) but not overall survival (OS), when used as maintenance therapy after ≥ 16 weeks of disease control with first-line platinum-based chemotherapy in patients with germline (g) BRCA 1 or 2 pathogenic variants (PV) metastatic PDAC. However, real-world data on the effectiveness of olaparib are missing.

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Allergen Immunotherapy for the Prevention and Treatment of Asthma.

Clin Exp Allergy

October 2024

Innovation & Science Department, Stallergenes Greer, Antony, France.

Allergic asthma is the predominant phenotype among asthmatics. Although conventional pharmacotherapy is a central component in the management of asthma, it does not enable control of asthma symptoms in all patients. In recent decades, some uncontrolled asthmatic patients, especially those with allergic asthma, have benefited from biological therapies.

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What Is This Study About?: This is a summary of the results of an ongoing study called CROWN. In the CROWN study, researchers looked at the effects of two medicines called lorlatinib (Lorbrena) and crizotinib (Xalkori) for people with advanced non-small cell lung cancer (NSCLC) who had not been treated yet. Everyone in the study had changes in a called anaplastic lymphoma kinase, or , in their cancer cells.

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Purpose: We conducted a proof-of-concept study to evaluate the effects of galantamine treatment versus placebo combined to cognitive rehabilitation (CR) after stroke.

Materials And Methods: In this 12-week, double blinded, randomized, controlled trial, patients were assigned to either combined approach of galantamine and CR (G-CR) or placebo and CR (P-CR). Primary outcome was the proportion of patients who crossed over from vascular cognitive disorder (VCD) to no-VCD at 12 weeks.

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Article Synopsis
  • The review discusses the pullback pressure gradient (PPG) as a new metric for evaluating coronary artery disease (CAD) and its role in improving clinical decisions related to percutaneous coronary interventions (PCIs).
  • Recent studies show a strong link between PPG values and post-PCI outcomes, indicating that higher PPG correlates with better patient results and helps identify at-risk plaque types.
  • PPG has the potential to become a standard tool in CAD management, guiding treatment plans and enhancing patient care, though further research is needed to establish specific thresholds and optimize its use.
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Clinical Meaningfulness in Alzheimer's Disease Clinical Trials. A Report from the EU-US CTAD Task Force.

J Prev Alzheimers Dis

October 2024

D. Angioni, Institut Hospitalo Universitaire HealthAge, Alzheimer's Disease Research and Clinical Center, Toulouse University Hospital, Toulouse, France,

Recent positive results of three phase III anti-amyloid monoclonal antibody trials are transforming the landscape of disease-modifying therapeutics for Alzheimer's disease, following several decades of failures. Indeed, all three trials have met their primary endpoints. However, the absolute size of the benefit measured in these trials has generated a debate on whether the change scores observed on clinical outcome assessments represent a clinically meaningful benefit to patients.

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  • Skin healing is a multi-phase process involving inflammation, tissue reconstruction, and remodeling, where macrophages play a key role in transitioning from inflammation to repair.
  • Mesenchymal stromal cells derived from adipose tissue (ADSCs) are increasingly utilized for their regenerative properties, aiding in wound healing and providing immunomodulatory benefits.
  • Direct application of ADSCs and macrophages to wounds can face challenges like cell viability; hence, using biomaterials as scaffolds to enhance cell survival and function is being explored for better skin regeneration outcomes.
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Autosomal recessive hypophosphatemic rickets type 2 due to ENPP1 deficiency (ARHR2).

Arch Pediatr

September 2024

AP-HP, Paris Saclay University, INSERM; Centre de Référence des Maladies Rares du Calcium et du Phosphore, Service d'Endocrinologie et diabète de l'enfant, Filières Santé Maladies Rares OSCAR, ERN endoRARE et BOND, Hôpital Bicêtre Paris-Saclay; U1185 physiologie et physiopathologie endocrinienne; Le Kremlin Bicêtre, France.

Article Synopsis
  • - Autosomal recessive hypophosphatemic rickets type 2 (ARHR2) is a rare disorder linked to mutations in the ENPP1 gene, leading to a variety of health issues, including GACI, OPLL, and pseudoxanthoma elasticum.
  • - ARHR2 manifests with elevated serum FGF23 levels, causing phosphate loss in the kidneys, resulting in symptoms similar to other hypophosphatemic rickets, including rickets in children and osteomalacia in adults.
  • - Genetic testing is crucial for diagnosing ARHR2 to ensure patients receive appropriate treatment options and access to clinical trials for new therapies.
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