907 results match your criteria: "Tours University[Affiliation]"

Septic arthritis of the facet joint is also a severe vertebral infection: A multicenter retrospective study of 65 patients.

Joint Bone Spine

July 2024

Department of Rheumatology, Rennes University Hospital, Rennes, France; University of Rennes, Inserm, INRAE, CHU of Rennes, Institut NUMECAN (Nutrition Metabolisms and Cancer), Rennes, France.

Article Synopsis
  • Septic arthritis of the facet joints (SAFJ) is a rare and serious infection, mostly reported in male patients around 68 years old, with common symptoms including acute back pain and fever.
  • A study conducted in five French medical centers included 65 patients, showing that it typically takes about 25 days to diagnose the condition, with Staphylococcus aureus identified as the leading pathogen in over 49% of cases.
  • The study found high rates of complications such as neurological symptoms and infective endocarditis, with mortality rates at 9.2%, 18.5%, and 23% over one, two, and three years, indicating significant morbidity and mortality associated with SAFJ.
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Background: Treatment with recombinant human erythropoietin (rHu-EPO) modestly prevented packed red blood cell transfusions (pRBCTs) in preterm infants in studies performed several years ago. In France, some neonatal units stopped using rHu-EPO, while others continued. The aim of this study was to explore the role of rHu-EPO in the prevention of pRBCTs in a recent cohort of preterm infants.

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Prevention and management of VZV infection during pregnancy and the perinatal period.

Infect Dis Now

June 2024

Division of Virology, WHO Rubella National Reference Laboratory, Groupe de Recherche sur les Infections pendant la grossesse (GRIG), Dept of Biology Genetics and PUI, Paris Saclay University Hospital, APHP, Paris, France; Université Paris-Saclay, INSERM U1184, CEA, Center for Immunology of Viral, Auto-immune, Hematological and Bacterial diseases (IMVA-HB/IDMIT), Fontenay-aux-Roses, France.

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Article Synopsis
  • * Data was collected from a national registry, focusing on patients treated with MT between 2015 and 2022, with 137 patients included, out of which 65% had ICA patency at day 1 post-procedure.
  • * Results indicated no significant difference in functional outcomes, mortality, or complications between patients with patent and occluded ICA on day 1, suggesting that immediate ICA recanalization may not be necessary in these cases.
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Background: Middle meningeal artery (MMA) embolization has been proposed as a treatment of chronic subdural hematoma (CSDH). The benefit of the procedure has yet to be demonstrated in a randomized controlled trial. We aim to assess the efficacy of MMA embolization in reducing the risk of CSDH recurrence 6 months after burr-hole surgery compared with standard medical treatment in patients at high risk of postoperative recurrence.

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  • In the AcT trial, researchers examined how effective and safe intravenous tenecteplase is compared to alteplase for treating patients with minor ischaemic strokes, specifically those with low NIHSS scores (≤5).
  • The study included 378 patients, showing that 51.8% of those treated with tenecteplase achieved good functional outcomes compared to 47.5% with alteplase, but the differences in outcomes were not statistically significant.
  • Safety results indicated no major differences between the two treatments in terms of severe complications like symptomatic intracranial hemorrhage or mortality within 90 days.
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Introduction: Rheumatoid purpura is the most common vasculitis in children, and its renal involvement determines the prognosis. To date, no national protocol exists for its management. A protocol was drafted for the French Grand Ouest inter-region in 2011 in order to standardize practices.

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Article Synopsis
  • The study aimed to evaluate community pharmacists, pharmacy technicians, and pharmacy students' knowledge and confidence regarding infantile haemangioma (IH) and propranolol treatment.
  • A national survey was conducted in France with 255 participants, revealing that only 33% had dispensed propranolol for IH recently, and only 38% scored above 50% on the knowledge questionnaire.
  • The findings indicate a significant lack of knowledge and low self-confidence in dispensing propranolol, suggesting a need for improved cooperation among healthcare professionals to enhance treatment practices.
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Prevalence of iron deficiency in patients admitted to a geriatric unit: a multicenter cross-sectional study.

BMC Geriatr

January 2024

UMR 7211, and Inflammation-Immunopathology-Biotherapy Department (DHU i2B), Sorbonne Universités, UPMC Univ Paris 06, Paris, France.

Article Synopsis
  • - The CARENFER PA study aimed to assess the prevalence of iron deficiency (ID) in older patients (over 75 years) in geriatric units, finding a high ID prevalence of 57.6% among 888 patients studied.
  • - The study revealed that ID was more common in patients with multiple comorbidities and elevated levels of inflammation, as indicated by CRP levels, with CRP being a strong predictor of ID.
  • - Additionally, older patients with ID performed worse on the Short Physical Performance Battery (SPPB) test, indicating a higher risk of adverse outcomes such as disability and falls compared to those without ID.
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Purpose: Testicular cancer (TC) predominantly affects young men and early detection enhances survival. However, uncertainty surrounds the impact of population-wide screening. Testicular self-examination (TSE) is a simple detection method but there is a gap in current practices that needs to be assessed.

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Quality of Life After Intravenous Thrombolysis for Acute Ischemic Stroke: Results From the AcT Randomized Controlled Trial.

Stroke

March 2024

Department of Community Health Sciences, University of Calgary, AB, Canada (T.T.S., O.I.A., A.A., M.A.A., S.B.C., A.M.D., M.D.H., B.L., B.K.M.).

Background: Recent evidence from thrombolysis trials indicates the noninferiority of intravenous tenecteplase to intravenous alteplase with respect to good functional outcomes in patients with acute stroke. We examined whether the health-related quality of life (HRQOL) of patients with acute stroke differs by the type of thrombolysis treatment received. In addition, we examined the association between the modified Rankin Scale score 0 to 1 and HRQOL and patient-reported return to prebaseline stroke functioning at 90 days.

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Characterization of oviduct epithelial spheroids for the study of embryo-maternal communication in cattle.

Theriogenology

March 2024

CNRS, INRAE, University of Tours, PRC, Nouzilly, 37380, France; Tours University, Faculty of Sciences and Techniques, Tours, 37200, France. Electronic address:

Article Synopsis
  • Most existing in vitro models for oviduct epithelial cells (OEC) face challenges like cell dedifferentiation and complexity, making studying embryo-maternal interaction difficult.
  • This study introduces a new model using bovine oviduct epithelial spheroids (OES) to establish optimal culture conditions and monitor changes in cell morphology, viability, and gene expression over a 10-day period.
  • Results indicated that specific culture conditions (M199/500 and SOF/25) support higher proportions of viable, vesicle-shaped OES and enhance embryo development when co-cultured, improving overall quality of the spheroids.
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Article Synopsis
  • The Ritux 3 trial showed that rituximab is effective and safe as a first-line treatment for pemphigus, although long-term follow-up data was previously lacking.!* -
  • This 7-year follow-up study evaluated the long-term outcomes for patients treated with rituximab alongside prednisone versus those treated with prednisone alone, focusing on disease-free survival and relapse rates.!* -
  • Results indicated that 93% of patients in the rituximab group achieved complete remission without corticosteroids, showing significantly higher disease-free survival and lower relapse rates compared to the prednisone-only group.!*
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Introduction: This study aimed to provide an updated analysis of the different prognostic trajectories of patients with anti-melanoma differentiation-associated gene 5 (MDA5) antibodies.

Methods: Among a cohort of 70 patients, baseline characteristics and phenotypes, treatments and outcomes were analyzed. A Cox proportional hazards model was used to identify factors associated with poor outcomes, i.

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RETRACTED ARTICLE: Precision Medicine: The Future Management of Geriatric Conditions.

J Nutr Health Aging

December 2023

Inserm UMR1027, Toulouse University III Paul Sabatier, Toulouse, France; Gérontopôle, Toulouse University Hospital, Toulouse, France.

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Article Synopsis
  • * Results showed significant improvements in key measures: time in range (TIR) increased by 9.1%, HbA1c decreased by 0.5%, and notable reductions in time spent below and above target levels.
  • * The majority of patients (92.7%) continued using the system, and more achieved glycemic goals after one year, although there were some reported cases of severe hypoglycemia and ketoacidosis.
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Autoimmune cytopenia (AIC) in children may be associated with positive antinuclear antibodies (ANA) and may progress to systemic lupus erythematosus (SLE). We evaluated the risk of progression to SLE of childhood-onset ANA-associated AIC. In the French national prospective OBS'CEREVANCE cohort, the long-term outcome of children with ANA-associated AIC (ANA titer ≥1/160) and a subgroup of children who developed SLE were described.

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Trastuzumab emtansine (Kadcyla®) was the first antibody-drug conjugate (ADC) approved by the Food and Drug Administration in 2013 against a solid tumor, and the first ADC to treat human epidermal growth factor receptor 2 positive (HER2+) breast cancer. However, this second generation ADC is burden by several limitations included heterogeneity, limited activity against heterogeneous tumor (regarding antigen expression) and suboptimal tumor penetration. To address this, different development strategies are oriented towards homogeneous conjugation, new drugs, optimized linkers and/or smaller antibody formats.

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Introduction: It is well known that polypharmacy is associated with adverse drug events. Accordingly, specialist geriatric units have to pay particular attention to the appropriateness of prescription and the withdrawal of potentially inappropriate medications. Even though community healthcare professionals are keen to received medication reconciliation results, the literature data show that the quality of communication between the hospital and the community needs to be improved.

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We demonstrate an important step toward on-chip integration of single-photon sources at room temperature. Excellent photon directionality is achieved with a hybrid metal-dielectric bullseye antenna, while back-excitation is permitted by placement of the emitter in a subwavelength hole positioned at its center. The unique design enables a direct back-excitation and very efficient front coupling of emission either to a low numerical aperture (NA) optics or directly to an optical fiber.

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Background And Purpose: Epilepsy is associated with higher morbidity and mortality compared to people without epilepsy. We performed a retrospective cross-sectional and longitudinal cohort study to evaluate cardiovascular comorbidity and incident vascular events in people with epilepsy (PWE).

Methods: Data were extracted from the French Hospital National Database.

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Introduction: Patient partnership is a key component of patient-centred care. One form of partnership is individual peer support, which can improve patients' quality of life and adherence to treatment. Patient with multiple sclerosis could benefit from this type of support, but such an intervention has not been explored in the literature.

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Phenylketonuria (PKU) is a genetic disorder that follows an autosomal recessive inheritance pattern. Dietary treatment is the cornerstone of therapy and is based on natural protein restriction, Phe-free L-amino acid supplements (protein substitutes) and low protein foods. The aim of this project was to collect information about the clinical management of patients with PKU, focusing on understudied or unresolved issues such as blood phenylalanine (Phe) fluctuations and clinical symptoms, particularly gastro intestinal (GI) discomfort and sleep problems.

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Chemerin concentration in egg white in layer and broiler hens during the laying period for 2 successive generations.

Poult Sci

February 2024

National Centre for Scientific Research, French Institute of Horse and Riding, Research for Agriculture Food and Environment, Tours University, Physiology of Reproduction and Behaviors, UMR85, F-37280 Nouzilly, France. Electronic address:

The genetic selection progress in layers and broilers makes poultry production one of the fastest growing industries. Objectives of the breeding companies are the stability or the increase in the laying rate and the production of viable chicks. New biomarkers are necessary to improve reproductive and egg performances.

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