1,659 results match your criteria: "Universitaire de Toulouse[Affiliation]"

Background: Red blood cell transfusion can cause fluid overload. We evaluated the interaction between heart failure (HF) at baseline and transfusion strategy on outcomes in acute myocardial infarction (AMI).

Methods: We used data from the randomized REALITY trial.

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  • Talquetamab is a bispecific antibody approved for treating relapsed/refractory multiple myeloma in patients who have failed multiple earlier treatments, based on the MonumenTAL-1 trial results.
  • Researchers created a control group using data from two real-world studies to compare talquetamab's effectiveness against standard physician-selected therapies.
  • Results showed that patients receiving talquetamab had significantly better outcomes in terms of overall response, progression-free survival, and overall survival compared to those receiving other treatments.
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  • Acute myeloid leukemia (AML) with myelodysplasia-related characteristics presents a mixed prognosis, and there's limited understanding of patient outcomes after first-line treatment in refractory or relapsed cases.
  • A study involving 183 patients found that the median overall survival was 4.2 months, with no significant survival difference between refractory and relapsed patients; however, patients receiving best supportive care had markedly poorer outcomes.
  • The research suggests that both intensive chemotherapy and azacitidine are viable treatment options for this tough-to-treat population, and emphasizes the need for further exploration of new targeted therapies.
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Sudden Sensorineural Hearing Loss after COVID-19 Vaccination: A Review of the Available Evidence through the Prism of Causality Assessment.

Vaccines (Basel)

February 2024

Department of Clinical Pharmacology, Centre Régional de Pharmacovigilance et d'Information sur les Médicaments, Centre Hospitalier Universitaire de Besançon, 25000 Besançon, France.

Sudden sensorineural hearing loss (SSNHL), a rare audiological condition that accounts for 1% of all cases of sensorineural hearing loss, can cause permanent hearing damage. Soon after the launch of global COVID-19 vaccination campaigns, the World Health Organization released a signal detection about SSNHL cases following administration of various COVID-19 vaccines. Post-marketing studies have been conducted in different countries using either pharmacovigilance or medico-administrative databases to investigate SSNHL as a potential adverse effect of COVID-19 vaccines.

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The Ala1186Val Variant Linked to Cytoplasmic Body Myopathy and Cardiomyopathy Causes Protein Instability.

Biomedicines

January 2024

Institut Mondor de Recherche Biomédicale, Université Paris Est Créteil, Institut National de la Santé et de la Recherche Médicale U955, 94010 Créteil, France.

Filamin C-related disorders include myopathies and cardiomyopathies linked to variants in the gene. Filamin C belongs to a family of actin-binding proteins involved in sarcomere stability. This study investigates the pathogenic impact of the c.

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Minimal Residual Disease in Acute Myeloid Leukemia: Old and New Concepts.

Int J Mol Sci

February 2024

Laboratoire d'Hématologie Biologique, Institut Universitaire du Cancer de Toulouse Oncopole, Centre Hospitalier Universitaire de Toulouse, 31059 Toulouse, France.

Minimal residual disease (MRD) is of major importance in onco-hematology, particularly in acute myeloid leukemia (AML). MRD measures the amount of leukemia cells remaining in a patient after treatment, and is an essential tool for disease monitoring, relapse prognosis, and guiding treatment decisions. Patients with a negative MRD tend to have superior disease-free and overall survival rates.

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Introduction: In response to the COVID-19 pandemic, France was under lockdown for the first time from March 17 to May 10, 2020.

Purpose Of The Research: The aim of this work is to study the impact of lockdown on outpatients’ visits to the hospital pharmacy to collect chronic medication, in order to highlight the pharmaceutical classes concerned and to assess whether a decrease in medication adherence could be observed.

Method: Retrospectively, using hospital dispensing traceability software, the dispensing of drugs during the eight weeks of lockdown was compared with that during the two eight-week periods before and after lockdown.

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  • Ketamine is increasingly being used non-medically, especially among individuals with substance use disorders, with a notable rise in users from 2012 to 2021 according to data from the OPPIDUM program.
  • Analysis of the French National Pharmacovigilance Database between 2020 and 2022 revealed that a significant proportion of ketamine cases involved complications like ketamine use disorder and symptoms related to urinary and liver issues.
  • The findings highlight a concerning trend of growing ketamine use among substance users and associated health complications, although the overall non-medical use rates in the general population remain unclear.
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The clinical impact of individual dose adjustment of mycophenolate mofetil is still debated, due to conflicting results from randomized clinical trials. This retrospective study aimed to compare 3-year rejection-free survival and adverse effects between adult kidney transplant recipients (KTRs) with or without mycophenolate mofetil model-informed precision dosing (MIPD). MIPD is defined here as mycophenolic acid area under the curve (AUC) estimation using a limited sampling strategy, pharmacokinetic models and Bayesian estimators; dose recommendation to reach AUC = 45 mg.

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[Nidcap behavioral observation].

Soins Pediatr Pueric

February 2024

Service de néonatalogie, Hôpital des enfants, Centre hospitalier universitaire de Toulouse, 330 avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France. Electronic address:

Who says Neonatal Individualized Developmental Care and Assessment Program (Nidcap) says observation of the baby's behavior. But what is a Nidcap observation? Who are the professionals who can use this method and what are their objectives? How does an observation of this type take place? How do professionals approach their analyzes with parents? Which babies benefit from it? What does this practice bring to the caregiver who uses it? So many questions that are important to address to better understand the Nidcap observation.

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Venetoclax-azacitidine is approved for treatment of patients with newly diagnosed acute myeloid leukemia (AML) ineligible for intensive chemotherapy based on the interim overall survival (OS) analysis of the VIALE-A study (NCT02993523). Here, long-term follow-up is presented to address survival benefit and long-term outcomes with venetoclax-azacitidine. Patients with newly diagnosed AML who were ineligible for intensive chemotherapy were randomized 2:1 to receive venetoclax-azacitidine or placebo-azacitidine.

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  • - Pemigatinib is used for treating advanced or metastatic cholangiocarcinoma (CCA) in patients with FGFR2 rearrangements, and a study evaluated its effectiveness and safety in real-world settings across multiple centers in France and Italy.
  • - A total of 72 patients were assessed, revealing an overall response rate (ORR) of 45.8% and disease control rate (DCR) of 84.7%, with a median overall survival (OS) of 17.1 months over a follow-up period of about 19.5 months.
  • - Common side effects included fatigue, ocular issues, and skin toxicity, primarily mild, with 22.2% experiencing severe adverse events (Grade
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Adherence to the MIND diet and the odds of mild cognitive impairment in generally healthy older adults: The 3-year DO-HEALTH study.

J Nutr Health Aging

March 2024

Centre on Aging and Mobility, University of Zurich, Zurich, Switzerland; Department of Geriatrics and Aging Research, University of Zurich, Zurich, Switzerland; Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse, Toulouse, France and UMR INSERM 1027, University of Toulouse III, Toulouse, France; IHU HealthAge, University Hospital Toulouse, France. Electronic address:

Background: The Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet may slow cognitive decline in older adults. A potential mechanism could be possible anti-inflammatory properties of the MIND-diet.

Objective: To examine whether adherence to the MIND diet at baseline is associated with the odds of mild cognitive impairment (MCI) and changes in biomarkers of inflammation (High-sensitivity C-reactive Protein(hsCRP), interleukin-6(IL-6)) over three years in adults ≥70 years.

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Letter to the the Editor: The WHO ICOPE Program to Monitor Intrinsic Capacity in Older Adults with Cancer.

J Frailty Aging

February 2024

Dr Steinmeyer Zara, Centre Hospitalier Universitaire de Toulouse, Cité de La Santé, 20 Rue Du Pont Saint Pierre, TSA 60033, Toulouse Cedex 9, 31059, Toulouse, France. E-mail: Tel.: +33561322392.

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CCL7 Chemokine Is a Marker but Not a Therapeutic Target of Acute Kidney Injury.

Nephron

June 2024

Département de Néphrologie et Transplantation d'Organes, Centre de référence des maladies rénales rares (SORARE), French Intensive Care Renal Network (FIRN), University Hospital of Toulouse, Toulouse, France.

Background: Chemokines orchestrate immune cells activation and infiltration during acute kidney injury (AKI).

Objectives: We aim to test whether deletion of C-C chemokine ligand 7 (CCL7), a small chemokine related to CCL2 (MCP-1), may modulate AKI development and progression toward kidney fibrosis.

Method: Expression of CCL7 was quantified in murine cortical tubular (MCT) cells exposed to myoglobin or lipopolysaccharide or submitted to metabolic reprogramming.

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Purpose: To assess the likely pathogenic/pathogenic (LP/P) variants rates in Mendelian dementia genes and the moderate-to-strong risk factors rates in patients with Alzheimer disease (AD).

Methods: We included 700 patients in a prospective study and performed exome sequencing. A panel of 28 Mendelian and 6 risk-factor genes was interpreted and returned to patients.

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Background: Healthcare use patterns preceding a diagnosis of Alzheimer's Disease and Related Diseases (ADRD) may be associated with the quality of healthcare use trajectories (HUTs) after diagnosis. We aimed to identify determinants of future favorable HUTs, notably healthcare use preceding ADRD identification.

Methods: This nationwide retrospective observational study was conducted on subjects with incident ADRD identified in 2012 in the French health insurance database.

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Background: Patients with acute brain injury are at high risk of ventilator-associated pneumonia (VAP). The benefit of short-term antibiotic prophylaxis remains debated. We aimed to establish the effect of an early, single dose of the antibiotic ceftriaxone on the incidence of early VAP in patients with severe brain injury who required mechanical ventilation.

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Artificial intelligence-based prediction models for acute myeloid leukemia using real-life data: A DATAML registry study.

Leuk Res

January 2024

Centre de Recherches en Cancérologie de Toulouse, Université Toulouse 3 Paul Sabatier, Toulouse, France; Centre Hospitalo-Universitaire de Toulouse, Institut Universitaire du Cancer de Toulouse-Oncopole, Service d'hématologie, Toulouse, France. Electronic address:

Article Synopsis
  • Researchers created AI-based prediction models using data from 3,687 acute myeloid leukemia patients, focusing on two treatment types: intensive chemotherapy and azacitidine.
  • A multilayer perceptron neural network demonstrated prediction accuracies of 68.5% for intensive chemotherapy patients and 62.1% for those treated with azacitidine.
  • The Boruta algorithm effectively identified key diagnostic features needed for predictions, streamlining the complexity of data analysis for hematologists and potentially improving treatment decisions.
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  • Schistosomiasis is affecting more people in France, particularly children, due to cases acquired from endemic areas, leading to potential outbreaks.
  • A study collected data from 122 pediatric patients treated for urinary schistosomiasis between 2013 and 2019, revealing common symptoms like hematuria and complications, including chronic kidney disease.
  • The majority of patients responded well to treatment with praziquantel, highlighting the need for better awareness and systematic screening for schistosomiasis among practitioners, especially in non-endemic regions.
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Effects of vitamin D, omega-3 and a simple strength exercise programme in cardiovascular disease prevention: The DO-HEALTH randomized controlled trial.

J Nutr Health Aging

February 2024

Department of Geriatrics and Aging Research, University of Zurich, Zurich, Switzerland; Centre on Aging and Mobility, University of Zurich, Zurich, Switzerland; Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse, Toulouse, France; UMR INSERM 1027, University of Toulouse III, Toulouse, France; IHU HealthAge, University Hospital Toulouse, France. Electronic address:

Background: The effects of non-pharmaceutical interventions in the prevention of cardiovascular diseases (CVD) in older adults remains unclear. Therefore, the aim was to investigate the effect of 2000 IU/day of vitamin D, omega-3 fatty acids (1 g/day), and a simple home strength exercise program (SHEP) (3×/week) on lipid and CVD biomarkers plasma changes over 3 years, incident hypertension and major cardiovascular events (MACE).

Methods: The risk of MACE (coronary heart event or intervention, heart failure, stroke) was an exploratory endpoint of DO-HEALTH, incident hypertension and change in biomarkers were secondary endpoints.

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  • Urogenital cancer treatments can negatively affect fertility, leading to ongoing debates about how to preserve it, with little evidence and no international guidelines available.
  • An online survey conducted with urologists across five European countries revealed that while a majority recommend sperm cryopreservation before orchidectomy, practices for sperm extraction vary widely and proposals for cryopreservation in prostate and bladder cancer cases are inconsistent.
  • The study highlights significant differences in fertility preservation practices based on national guidelines, emphasizing the need for standardized international recommendations to better address this issue for urological cancer patients.
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Secondary lymphedema (LD) corresponds to a severe lymphatic dysfunction leading to the accumulation of fluid and fibrotic adipose tissue in a limb. Here, we identified apelin (APLN) as a powerful molecule for regenerating lymphatic function in LD. We identified the loss of APLN expression in the lymphedematous arm compared to the normal arm in patients.

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