1,114 results match your criteria: "University Hospital of Besancon[Affiliation]"

Drivers of extended spectrum β-lactamase (ESBL)-producing Enterobacterales colonization among residents of long-term health care facilities: a European multicentric prospective cohort study.

J Hosp Infect

January 2025

Infectious Diseases, Department of Internal Medicine I, University Hospital Tübingen, Tübingen, Germany; Infectious Diseases, Dept of Diagnostic and Public Health, University Hospital Verona, Verona, Italy; DZIF-Clinical Research Unit, Infectious Diseases, Department of Internal Medicine I, University Hospital Tübingen, Tübingen, Germany.

Article Synopsis
  • ESBL-producing Enterobacterales (ESBL-PE) are common in long-term care facilities (LTCFs), prompting a study across six sites in Europe to assess how residents acquire these bacteria and the associated risk factors.
  • Over 32 weeks, researchers screened 299 residents and found that 16.4% were colonized at the start, with a new acquisition rate of 0.79 per 1000 resident-days, influenced by factors like age, vascular disease, and antibiotic use.
  • Key findings highlight the importance of infection control measures, such as ensuring hand sanitizers and adequate nurse staffing, as well as using genomic surveillance to inform strategies for managing ESBL-PE in LTCFs.
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Prognosis Associated with Complete Pathological Response Following Neoadjuvant Treatment for PancreaTic AdenOcarciNOma in the FOFLIRINOX Era: the Multicenter TONO Study.

Ann Surg Oncol

January 2025

Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Pôle des Pathologies Digestives et Hépatiques, Hôpital de Hautepierre-Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.

Background: The use of multiagent FOLFIRINOX chemotherapy for pancreatic adenocarcinoma in a neoadjuvant setting has been associated with an increased rate of complete pathological response (CPR) after surgery. This study investigated the long-term outcomes of patients with CPR in a multicenter setting to identify prognostic factors for overall survival (OS) and recurrence-free survival (RFS).

Methods: This retrospective cohort study examined biopsy-proven pancreatic adenocarcinomas with CPR after neoadjuvant chemotherapy or chemoradiotherapy and surgery, between January 2006 and December 2023 across 22 French and  2 Belgian centers.

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Antioxidant Nutraceuticals: Their Adjunct Role in the Management of COVID-19 Infections and Post-COVID Syndrome.

Infect Disord Drug Targets

December 2024

Department of Pharmaceutics, Bharat Institute of Tech-nology, School of Pharmacy, Meerut, Uttar Pradesh, 250103, India.

The COVID-19 epidemic in recent years has been produced by various coronavirus strains that nearly destroyed world health policies and economics. Emerging viral strains exac-erbated the pandemic. Huge investments have been made in preventative vaccines to combat the disease, but the genetic instability of these viruses has hampered their usefulness.

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Breast implant silicone exposure induces immunogenic response and autoimmune markers in human periprosthetic tissue.

Biomaterials

December 2024

Institut de Science des Matériaux de Mulhouse (IS2M), UMR 7361 CNRS/, Université de Haute Alsace (UHA), 15 rue Jean Starcky, 68057, Mulhouse Cedex, France. Electronic address:

Silicone-based breast implants are commonly used, but there are concerns about their long-term safety. While implantation results in the formation of a periprosthetic tissue that isolates the implant from the rest of the host body, silicone can leak and reach surrounding tissues. We combined histological analysis and gene expression profiling (RNA sequencing) of samples from human patients with silicone breast implants with different fillers (silicone or serum), surface topographies and/or shell rupture, and performed systematic cross-comparisons.

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Background: Bereavement support is considered a core standard of care for paediatric palliative care (PPC) teams. Support for grieving siblings can present unique challenges. Developmentally appropriate care can help children navigate their grief experience.

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The enhanced national pharmacovigilance system implemented for COVID-19 vaccines in France: A 2-year experience report.

Therapie

November 2024

French National Agency for Medicines and Health Products Safety, ANSM, Direction for Surveillance, 93200 Saint-Denis, France.

In March 2020, World Health Organization recognized severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emergence as a public health emergency of international concern. One of the major preventative measures developed against coronavirus disease 2019 (COVID-19) was vaccines. To monitor their use and safety of vaccines from the first utilization in humans during clinical development phases to implementation for the general population, an enhanced national pharmacovigilance system was enabled by the French National Agency for Medicines and Health Products Safety in collaboration with the 30 Regional Pharmacovigilance Centres.

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High-risk non-muscle invasive bladder cancer: Outcomes of patients who cannot benefit from standard of care.

Fr J Urol

December 2024

Department of Urology, Andrology and Renal Transplantation, University Hospital of Besançon, 25000 Besançon, France; University of Franche-Comté, 25000 Besançon, France; Nanomedicine Lab, Imagery and Therapeutics, EA 4662, France. Electronic address:

Introduction: High-grade non-muscle invasive bladder cancer (HG-NMIBC) exposes to a high risk of recurrence and progression. Standard of care includes repeated trans-urethral resection of bladder tumor (reTURBT) and bacillus Calmette-Guérin (BCG) therapy. Not following Standard of care (SOC) may be associated with a worse prognosis.

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Trapezium reconstruction with pisiform autograft in trapeziometacarpal revision arthroplasty: a case report.

Hand Surg Rehabil

December 2024

Chirurgie de la Main, du Poignet et du Coude, Hôpital Privé Saint Roch, Toulon, France.

Article Synopsis
  • * After 18 months post-surgery, the patient achieved a significant recovery, regaining comfort and returning to her daily activities.
  • * The study's level of evidence is categorized as IV, indicating lower quality evidence based on case reports or expert opinions.
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ERBB2 Comprehensive Profiling and Prognostication in Stage III Colon Cancer: Findings From PETACC8 and IDEA-France Cohorts.

Gastroenterology

November 2024

Centre de Recherche des Cordeliers, Sorbonne Université, Institut National de la Santé et de la Recherche Médicale, Université Paris Cité, Personalized Medicine, Phamacogenomics and Therapeutic Optimization, Paris, France; Institut du Cancer Paris, Cancer Research for Personalized Medicine, Assistance Publique-Hôpitaux de Paris Centre, Hôpital Européen Georges Pompidou, Paris, France.

Background & Aims: ERBB2 pathway activation, through amplification or activating mutations, represents a new target for colon cancer (CC) treatment. Molecular methods were compared with the gold standard for assessing ERBB2 status, and the prognostic value of ERBB2 amplification, mutations, and expression was determined using data from 2 phase 3 trials involving nearly 3000 patients with stage III CC.

Methods: In the PETACC8 trial, immunohistochemistry and fluorescence in situ hybridization, DNA, and RNA analysis were performed on 1813, 1719, and 1733 samples, respectively.

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Purpose: Patients with oligometastasis may have prolonged survival with multisite stereotactic ablative radiation therapy (SABR). Evidence to support this paradigm is scarce in squamous cell carcinoma of the head and neck (HNSCC). The multicenter open-label randomized GORTEC 2014-04 (NCT03070366) phase 2 study assesses survival without definitive quality of life (QoL) deterioration of omitting upfront chemotherapy in oligometastatic patients with HNSCC using SABR alone, in the French Head and Neck Intergroup.

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Background: Sunitinib, a multitarget tyrosine kinase inhibitor, showed encouraging antitumor activity and manageable toxicity in patients with advanced midgut neuroendocrine tumors (NETs) in earlier results from phase I and II trials.

Patients And Methods: In this phase II trial, patients with a nonresectable grade 1 or 2 midgut progressive NET and Eastern Cooperative Oncology Group performance status 0-1 were randomly assigned 1:1 to receive 37.5 mg sunitinib or a placebo, combined with 120 mg lanreotide autogel every 28 days.

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Trifluridine/tipiracil-bevacizumab is a standard of care in metastatic colorectal cancer (mCRC) after chemotherapy failure. We aim to assess the addition of XB2001 (anti-IL-1 alpha monoclonal antibody) plus trifluridine/tipiracil-bevacizumab in mCRC refractory to standard chemotherapy. This multicenter, randomized, double blind, non-comparative Phase I-II study (ClinicalTrials.

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Oncocytic adenocarcinoma (OC) of the salivary glands is a rare and controversial entity. It was recently reclassified as "salivary carcinoma NOS and emerging entities" in the 2022 WHO classification of head and neck tumors. The lack of specific molecular alterations and its potential affiliation with other salivary gland carcinomas, such as the oncocytic mucoepidermoid carcinomas (OMEC) or the oncocytic subtype of salivary duct carcinomas (OSDC) justified this reclassification.

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Comparison of surgical management and outcomes of acute right colic and sigmoid diverticulitis: a French national retrospective cohort study.

Tech Coloproctol

November 2024

Department of Digestive, Oncological, Endocrine, Hepato-Biliary and Pancreatic Surgery, and Liver Transplantation, Colorectal Surgery Unit, Trousseau Hospital, University Hospital of Tours, Avenue de la République, 37044, Tours, France.

Background: Acute right colic diverticulitis (ARD) is less frequent in Western countries than acute sigmoid diverticulitis (ASD). We aimed to compare the management of ARD and ASD operated on in emergency.

Methods: All consecutive patients who had emergency surgery for ASD and ARD (2010-2021) were included in a retrospective, multicenter, cohort study.

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Article Synopsis
  • The peQasus study evaluates the safety and effectiveness of a new temperature-controlled high-power short-duration (HPSD) radiofrequency catheter (QDOT Micro) for pulmonary vein isolation (PVI) in patients with atrial fibrillation (AF).
  • Conducted across 15 centers in Europe, the study involved 1,023 patients and compared outcomes between a very HPSD technique and a hybrid approach.
  • Results indicated complete PVI success, a mean procedure time of about 98 minutes, and a similar safety profile for both techniques, with 12-month arrhythmia-free survival rates around 77%.
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Article Synopsis
  • The study aims to assess how socioeconomic deprivation affects postoperative outcomes in patients who have undergone surgery for sigmoid diverticulitis (SD).
  • Conducted across 41 French hospitals from 2010 to 2021, researchers found that 20% of the 6,415 patients experienced severe complications within 90 days post-surgery.
  • Results indicated that higher levels of socioeconomic deprivation are linked to an increased risk of severe complications, even after adjusting for factors like age, sex, and surgery type.
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Resection of colorectal liver metastases with second-line aflibercept plus FOLFIRI: Results from the RESECTION prospective French cohort.

Eur J Cancer

December 2024

Department of Hepato-Biliary Surgery and Transplantation, AP-HP Paul Brousse Hospital, Paris-Saclay University, Villejuif, France. Electronic address:

Aim: To evaluate R0/R1 resection rate in patients with colorectal liver metastases (CLM) treated with aflibercept plus FOLFIRI after failure of a prior oxaliplatin-based regimen in daily clinical practice.

Methods: This French, multicentre, prospective, observational cohort (NCT05178745) included patients with CLM (alone or predominant; up to 5 lung nodules <2 cm allowed) initiating aflibercept plus FOLFIRI every 2 weeks per physician choice. Primary endpoint was R0/R1 resection rate.

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Article Synopsis
  • Colorectal cancer is a major health concern, ranking as the third leading cause of cancer deaths globally in 2022, and early detection through screening is crucial for improving outcomes.
  • Using bioinformatics, researchers identified new DNA methylation biomarkers (COL25A1 and METAP1D) for colorectal cancer by analyzing extensive genetic data, which was then validated through specific testing on samples from patients and healthy individuals.
  • The biomarkers showed high specificity (100%) and moderate sensitivity (49%) for detecting colorectal cancer in blood samples, suggesting their potential for noninvasive screening, though further studies are needed to confirm their practical use in clinical settings.
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Enzyme-linked ImmunoSpot (ELISpot) assay to quantify peptide-specific IFN-γ production by splenocytes in a mouse tumor model after radiation therapy.

Methods Cell Biol

October 2024

INSERM, EFS BFC, UMR 1098, RIGHT, Greffon-Hôte-Tumeur Interactions/Ingénierie Cellulaire et Génique, Université de Franche-Comté, Besançon, France; Department of Radiation Oncology, University Hospital of Besançon, Besançon, France. Electronic address:

Article Synopsis
  • Developing new cancer therapies requires a deep understanding of how the immune system responds to treatments.
  • The ELISpot assay is a quick method that detects individual T cells producing cytokines, specifically focusing on measuring activated CD8 T cells that produce interferon gamma (IFN-γ).
  • The protocol uses splenocytes from tumor-afflicted mice after radiation therapy, allowing researchers to study the behavior and characteristics of these specific immune cells in response to tumor-derived peptides.
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Article Synopsis
  • K-mer indexing is an effective technique for searching RNA sequences in RNA-seq libraries but hasn't allowed for direct quantification of RNA until now.
  • The study demonstrates that arbitrary RNA sequences can be quantified quickly and accurately by breaking them down into k-mers, achieving precision similar to traditional methods.
  • Using an extensive RNA-seq sample collection from the Cancer Cell Line Encyclopedia, the researchers showcase how k-mer indexing can uncover non-reference sequences and variant RNAs related to specific genetic changes.
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In vitro activity of cefepime-enmetazobactam on carbapenem-resistant gram negatives.

Clin Microbiol Infect

October 2024

Team "Resist" UMR1184 "Immunology of Viral, Auto-Immune, Hematological and Bacterial Diseases (IMVA-HB)", INSERM, Université Paris-Saclay, CEA, LabEx LERMIT, Le Kremlin-Bicêtre, France; Bacteriology-Hygiene Unit, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Le Kremlin-Bicêtre, France; Associated French National Reference Center for Antibiotic Resistance: Carbapenemase-Producing Enterobacteriaceae, Le Kremlin-Bicêtre, France. Electronic address:

Article Synopsis
  • Cefepime-enmetazobactam is a new antibiotic combination that effectively targets multidrug-resistant Enterobacterales, including ESBL producers, and was tested against various resistant bacteria.
  • The study evaluated the minimum inhibitory concentration (MIC) of cefepime-enmetazobactam compared to other antibiotic combinations on over 2,200 strains of carbapenem-resistant Enterobacterales and other pathogens.
  • Results showed that while cefepime-enmetazobactam had good activity against OXA-48 producers, it offered no significant advantage over cefepime alone in treating Pseudomonas aeruginosa and Acinetobacter baumannii, highlighting the need for further in vivo testing.
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Predominantly antibody deficiencies have an estimated prevalence of >1 in 25 000. Their classical phenotype entails the association of autoimmune manifestations with increased susceptibility to infections. Up to 8% of these patients ultimately develop immune thrombocytopenic purpura (ITP).

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Article Synopsis
  • - The study investigates how early-life risk factors from both host and environment interact with an infant's respiratory system to influence the development of wheezing and asthma over time.
  • - Researchers analyzed data from two large cohorts of healthy infants (BILD and PASTURE) to identify the effects of various factors on wheezing and asthma outcomes, specifically tracking symptom severity scores over the first year of life.
  • - Findings showed a complex dynamic interplay between different risk factors and breathing symptoms, ultimately highlighting the importance of these interactions in predicting respiratory health outcomes in young children.
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