66 results match your criteria: "University Hospital Lyon-Sud[Affiliation]"

Aim: The objectives of this study were to determine the prevalence of burnout risk and intention-to-leave among intensive care unit (ICU) nurses and analyse the association of these with workload and work environment.

Design: A cross-sectional survey of nurses working in ICUs was conducted in France between 15 January 2024 and 15 April 2024 alongside a longitudinal assessment of workload during the same period.

Methods: ICU nurse workload was assessed using the Nursing Activities Score (NAS).

View Article and Find Full Text PDF

Impact of age on surgical excision margins for vulvar squamous cell carcinomas: A multicenter study by the francogyn group.

Surg Oncol

November 2024

ECEVE U1123, National Institute of Health and Medical Research, Paris Cité University, Paris, France; Department of Obstetrics and Gynaecology, Lariboisiere University Hospital, University Paris Cité, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France.

Article Synopsis
  • Vulvar cancer primarily affects older women and requires surgical treatment, with guidelines emphasizing the importance of negative histological margins.
  • A study analyzed the impact of patient age on surgical outcomes, finding that older patients (≥65 years) had larger tumors but similar rates of negative excision margins compared to younger patients (<65 years).
  • Results indicated that younger patients experienced better recurrence-free survival and were more likely to undergo revision surgery despite the older group receiving more radical surgery.
View Article and Find Full Text PDF

Wnt/β-Catenin-Activated Nonpilomatrical Carcinoma of the Skin: A Case Series.

Mod Pathol

November 2024

Department of Pathology, Université de Tours, Centre Hospitalier Universitaire de Tours, Tours, France; "Biologie des infections à polyomavirus" Team, UMR INRA ISP 1282, Université de Tours, Tours, France.

Article Synopsis
  • The study investigates 16 primary cutaneous carcinomas with mutations in genes that activate the Wnt/β-catenin pathway, noting that these tumors lack matrical differentiation, which is typically associated with such mutations.
  • The tumors predominantly affected elderly patients, with a median age of 80, and were mainly located on the head, neck, and upper limbs, leading to metastatic cases in some patients.
  • Key findings include poor differentiation in tumor structure, distinct immunohistochemical profiles, and recurrent mutations in APC and CTNNB1, indicating that these tumors represent a unique group apart from other established skin tumor types.
View Article and Find Full Text PDF

Impact of age on tumor size in vulvar cancer: A multicenter study by the Francogyn group.

Eur J Surg Oncol

September 2024

ECEVE U1123, National Institute of Health and Medical Research, Paris Cité University, Paris, France; Department of Obstetrics and Gynaecology, Lariboisiere University Hospital, University Paris Cité, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France.

Objective: Vulvar cancer is a rare pathology affecting mainly elderly women. This study aims to evaluate the impact of age on tumor size in vulvar cancer.

Material And Methods: This was a multicenter retrospective observational study carried out between January 1, 1998, and December 31, 2020, in patients operated on for vulvar cancer.

View Article and Find Full Text PDF

Weak Correlation Between Perceived and Measured Intensive Care Unit Nursing Workload: An Observational Study.

J Nurs Care Qual

May 2024

Author Affiliations: Department of Anesthesiology and Intensive Care (Dr Wallet, and Messrs Bonnet, Thiriaud, and Caillet, Dr Piriou, Dr Vacheron, and Dr Friggeri), University Hospital Lyon Sud, Hospices Civils de Lyon, Pierre-Bénite, France; RESHAPE-INSERM U1290 (Dr Wallet and Drs Piriou and Dziadzko), Claude Bernard Lyon 1 University, Lyon, France; Department of Biostatistics, Bioinformatics and Public Health (Dr Vacheron), Hospices Civils de Lyon, Lyon, France; International Research Center in Infectiology (Dr Friggeri), INSERM U1111, CNRS UMR5308, ENS Lyon, Claude Bernard Lyon 1 University, Lyon, France; and Department of Anesthesiology (Dr Dziadzko), Intensive Care and Pain Management, University Hospital Croix Rousse, Hospices Civils de Lyon, Lyon, France.

Article Synopsis
  • - Efficient management of nursing workload in the ICU is crucial for patient safety and nurse well-being, but current assessment methods don't fully capture the complexity of nursing activities and workload perceptions.
  • - This study aimed to investigate the relationship between ICU nurses' perceived workload and the Nine Equivalents of Nursing Manpower Use Score (NEMS) using data from a 45-bed adult ICU.
  • - Results showed a weak positive correlation between nurses' perceived workload and the NEMS, highlighting the importance of acknowledging the diverse nature of nursing tasks and individual experiences in workload assessment.
View Article and Find Full Text PDF

Background: t-AML occurs after a primary malignancy treatment and retains a poor prognosis.

Aims: To determine the impact of primary malignancies, therapeutic strategies, and prognostic factors on clinical outcomes of t-AML.

Results: A total of 112 adult patients were included in this study.

View Article and Find Full Text PDF

Morbidity, mortality, and prognostic factors in gestational trophoblastic neoplasia with liver metastasis.

J Gynecol Obstet Hum Reprod

October 2023

University of Lyon 1, Hospices Civils de Lyon, University Hospital Lyon Sud, Department of Gynecological Surgery and Oncology, Obstetrics, 165 chemin du grand Revoyet, 69495 Pierre Bénite, France; French Center for Trophoblastic Diseases, University Hospital Lyon Sud, 165 chemin du grand Revoyet, 69495 Pierre Bénite, France; Université Lyon-1, EA 3738 CICLY, Oullins cedex F-69921, France.

Background: Liver metastases of gestational trophoblastic neoplasia (GTN) are rare, but associated with poor prognosis. The additional concomitant presence of brain or intra-abdominal metastases, with liver metastases has been described as worsening factors, but the literature on this topic is reduced.

Objective: To estimate the overall mortality, specific hepatic morbidity, and mortality, and to identify prognostic factors for patients with GTN and liver metastases.

View Article and Find Full Text PDF

Introduction: Gestational trophoblastic neoplasia (GTN) is a group of rare tumors characterized by abnormal trophoblastic proliferation following pregnancy including invasive moles, choriocarcinomas, and intermediate trophoblastic tumors (ITT). Although the treatment and follow-up of GTN has been heterogeneous, globally the emergence of expert networks has helped to harmonize its management.

Areas Covered: We provide an overview of the current knowledge, diagnosis, and management strategies in GTN and discuss innovative therapeutic options under investigation.

View Article and Find Full Text PDF

Background: Necrobiosis lipoidica located to the breast; without evidence of glucose intolerance, is extremely rare, and its association to Crohn's disease is not usual.

Case Presentation: We report an interesting case of an association of necrobiosis lipoidica of the breast and Crohn's disease in a 54-year-old Moroccan woman. Skin necrobiotic changes are a characteristic feature in necrobiosis lipoidica, but they are exceptional in metastatic Crohn's disease, since there are only three published cases of necrobiotic skin lesions on the lower leg resembling erythema nodosum in metastatic Crohn's disease.

View Article and Find Full Text PDF
Article Synopsis
  • A study on Stage IVa thymoma, a rare cancer, evaluated the effects of subtotal pleurectomy and HITHOC treatment on patients with either de novo tumors or distant relapses.
  • The research analyzed 40 patients over 24 years, finding a hospital mortality rate of 2.5% and significant differences in disease-free intervals between de novo tumors (49 months) and distant relapses (85 months).
  • The study concludes that HITHOC combined with pleurectomy may yield favorable outcomes for selected patients, but more multicentric research is necessary to establish it as a standard treatment.
View Article and Find Full Text PDF

Extreme Hyperferritinemia: Causes and Prognosis.

J Clin Med

September 2022

Department of Internal Medicine, University Hospital Croix-Rousse, Lyon 1 University, 69004 Lyon, France.

The significance of extreme hyperferritinemia and its association with certain diagnoses and prognoses are not well characterized. We performed a retrospective analysis of adult patients with at least one total serum ferritin (TSF) measurement ≥ 5000 µg/L over 2 years, in three university hospitals. Conditions associated with hyperferritinemia were collected, and patients were classified into 10 etiological groups.

View Article and Find Full Text PDF

Murine typhus complicated by sHLH mimicking adult-onset Still's disease.

Rev Med Interne

October 2022

Department of Internal Medicine, University Hospital Lyon Croix-Rousse, Claude-Bernard University - Lyon 1, Lyon, France; University Claude-Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM U1290, Lyon, France.

Introduction: Adult-onset Still's disease (AOSD) is a rare multisystemic disorder and a diagnostic challenge for physicians because of the wide range of differential diagnoses. Common features of AOSD and secondary hemophagocytic lymphohistiocytosis (sHLH) could favour diagnostic uncertainty, in particular in case of infection-related sHLH.

Observation: A 61-year-old man was admitted to our internal medicine department for suspected AOSD.

View Article and Find Full Text PDF

Purpose: The aim of the survey was to define the indications for preventive tracheostomy in transoral robotic surgery (TORS) for head and neck cancers.

Methods: From October 2019 to January 2020, an online questionnaire was e-mailed to French surgical ENT teams with considerable experience of the TORS procedure (Gettec group). A descriptive analysis of the answers was performed.

View Article and Find Full Text PDF

Transcriptomic Characterization of Postmolar Gestational Choriocarcinoma.

Biomedicines

October 2021

French Center for Trophoblastic Diseases, University Hospital Lyon Sud, 165 Chemin du Grand Revoyet, 69495 Pierre Bénite, France.

Article Synopsis
  • The human placenta exhibits some characteristics similar to tumors, such as rapid growth and immune evasion, but the transition from benign to malignant conditions is not well understood.
  • A study using a 730-gene panel discovered 33 genes that differed between hydatidiform moles and postmolar choriocarcinoma, highlighting the dysregulation of the TGF-β pathway.
  • The findings suggest that the TGF-β pathway plays a significant role in placental cancer progression, and further research could explore its potential as a biomarker and treatment target.
View Article and Find Full Text PDF

Gitelman-Like Syndrome Caused by Pathogenic Variants in mtDNA.

J Am Soc Nephrol

February 2022

Department of Physiology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.

Background: Gitelman syndrome is the most frequent hereditary salt-losing tubulopathy characterized by hypokalemic alkalosis and hypomagnesemia. Gitelman syndrome is caused by biallelic pathogenic variants in encoding the Na-Cl cotransporter (NCC) expressed in the distal convoluted tubule. Pathogenic variants of , , , or may result in the same renal phenotype of Gitelman syndrome, as they can lead to reduced NCC activity.

View Article and Find Full Text PDF

Background: Atopic dermatitis (AD) is a chronic, inflammatory skin disease that affects as many as 12.5% of children aged 0-17 years and 3% of the adult population. In the United States, 31.

View Article and Find Full Text PDF

Predictive factors of effective tibial nerve release in tarsal tunnel syndrome.

Foot Ankle Surg

July 2022

Department of Rheumatology, Hospices Civils de Lyon, University Hospital Lyon Sud, Pierre-Bénite, France; University of Lyon 1, Lyon, France. Electronic address:

Background: Factors that may affect surgical decompression results in tarsal tunnel syndrome are not known.

Methods: A retrospective single-center study included patients who had undergone surgical tibial nerve release. The effectiveness of decompression was evaluated according to whether the patient would or would not be willing to undergo another surgical procedure in similar preoperative circumstances.

View Article and Find Full Text PDF
Article Synopsis
  • * Researchers employed clinical analysis of placentas and sera, in vitro studies on tumor growth, and in vivo mouse models to study NLRP7's impact on CC.
  • * Findings revealed that NLRP7 promotes tumor cell proliferation and organization, while its absence in pregnant mice led to stronger maternal immune responses and reduced tumor growth and metastasis, highlighting its role in creating an immunosuppressive environment that aids CC progression.
View Article and Find Full Text PDF

Gestational trophoblastic neoplasia after human chorionic gonadotropin normalization in a retrospective cohort of 7761 patients in France.

Am J Obstet Gynecol

October 2021

Department of Gynecological Surgery and Oncology, Obstetrics, University of Lyon 1, University Hospital Lyon Sud, Pierre-Bénite, France; French Center for Trophoblastic Diseases, University Hospital Lyon Sud, Pierre-Bénite, France.

Background: The risk of malignant transformation of molar pregnancies after human chorionic gonadotropin levels return to normal is low, roughly 0.4%, but may justify an adaptation of monitoring strategies for certain patients.

Objective: This study aimed to determine the risk of gestational trophoblastic neoplasia after human chorionic gonadotropin normalization in women with molar pregnancy and identify risk factors for this type of malignant transformation to optimize follow-up protocols after human chorionic gonadotropin normalization.

View Article and Find Full Text PDF

Background: During endoscopic retrograde cholangiopancreatography (ERCP), access to the common bile duct (CBD) can be problematic after unintentional insertion of the guidewire into the pancreatic duct. We conducted a prospective, randomized study in order to compare biliary cannulation success rates of early double-guidewire (EDG) and repeated single-guidewire (RSG) techniques in patients with inadvertent passage of the guidewire into the pancreatic duct.

Methods: Patients with a native papilla were randomly assigned to either the EDG or RSG groups after unintentional insertion of the guidewire into the pancreatic duct.

View Article and Find Full Text PDF

Background: Quality Indicators for ovarian cancer (OC) have been developed by the European Society of Gynaecological Oncology (ESGO) and by the French National Cancer Institute (Institut National du Cancer, INCa). The aim of the study was to characterize OC care distribution in France by case-volume and to prospectively evaluate the adherence of high-volume institutions to INCa/ESGO quality indicators.

Methods: The cost-utility of radical surgery in ovarian cancer (CURSOC) trial is a prospective, multicenter, comparative and non-randomized study that includes patients with stage IIIC-IV epithelial OC treated in nine French health care tertiary institutions.

View Article and Find Full Text PDF

Objectives: A recent randomized controlled trial has reconsidered the use of laparoscopy for treating patients with early-stage cervical cancer with radical hysterectomy (RH). We aimed to evaluate if surgical approach had an impact on surgical and oncological outcomes in these patients in a French setting.

Methods: Data of 1706 patients with cervical cancer treated between 1996 and 2017 were extracted from maintained databases of 9 French University hospitals.

View Article and Find Full Text PDF