531 results match your criteria: "University hospital of Grenoble[Affiliation]"

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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Article Synopsis
  • The Avalanche Victim Resuscitation Checklist (AVRC) was created to enhance the management of avalanche victims experiencing cardiac arrest, as prior compliance with international guidelines was poor.
  • A study over ten years examined the effectiveness of the AVRC, revealing significant improvements in guideline compliance (from 59% to 95%) and complete documentation after its implementation.
  • The findings suggest that while the AVRC enhances patient management for critically buried victims, further quality improvements are needed for those buried for extended periods.
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An Extended Phenotype of PPP1R13L Cardiocutaneous Syndrome.

Am J Med Genet A

November 2024

Genetic, Genomic and Procreation Department, CHU Grenoble Alpes, Grenoble, France.

Dilated cardiomyopathy (DCM) is a rare disease in children and a leading cause of heart failure. There are numerous causes of DCM including genetic causes leading to isolated or syndromic presentations, with a wide variety of implicated genes. Among them, PPP1R13L is associated with a recessive syndrome leading to cardiac anomalies with skin, teeth, and hair abnormalities.

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Objectives: To analyse peripapillary and papillary superficial microvascularization using OCT-angiography (OCT-A) in patients with non-arteritic ischaemic optic neuropathy (NAION) at the acute and resolutive stages.

Methods: This retrospective case-control study conducted between October 2018 and November 2019 included 23 NAION subjects at the acute stage (onset <1 month) and 20 patients at the resolutive stage (onset >3 months). NAION and contralateral eyes were compared to control eyes of patients (n = 50) matched 1:1 for refractive error, sex, age, systemic hypertension, diabetes, and sleep apnoea syndrome.

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Deep brain stimulation is a well-established treatment for improving motor symptoms in Parkinson's disease. However, persistent non-motor symptoms, such as excessive daytime sleepiness, remain a significant challenge and necessitate further investigation. In this study, we conducted repeated measurements of daytime sleepiness using a modified multiple sleep latency test in a healthy monkey (macaca fascicularis), which was later rendered parkinsonian through MPTP administration.

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Article Synopsis
  • - This study explores how machine learning can predict whether individuals with traumatic brain injury (TBI) will return to work one year after their injury, using data collected from 586 hospitalized patients across Europe.
  • - By analyzing hospital stay and follow-up data, the researchers found that including follow-up information significantly improved prediction accuracy, going from around 81% to 88%.
  • - The final model, which included five key predictors, achieved 90% accuracy and can help clinicians set realistic goals and tailor interventions for TBI patients, enhancing their chances of returning to work.
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Chemoradiation therapy is on the forefront of pancreatic cancer care, and there is a continued effort to improve its safety and efficacy. Liposomes are widely used to improve chemotherapy safety, and may accurately deliver high-Z element- radiocatalytic nanomaterials to cancer tissues. In this study, the interaction between X-rays and long-circulating nanoliposome formulations loaded with gold nanoclusters is explored in the context of oxaliplatin chemotherapy for desmoplastic pancreatic cancer.

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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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Visual dysfunction of superior colliculus and lateral geniculate nucleus in idiopathic blepharospasm.

J Neurol Sci

November 2024

Grenoble-Alpes University, INSERM, U1216, University Hospital of Grenoble-Alpes, Grenoble Institut Neurosciences, Grenoble, France; Movement Disorders Unit, Department of Neurology, University Hospital of Grenoble-Alpes, Grenoble, France.

Article Synopsis
  • The study explores the role of the superior colliculus (SC) in idiopathic blepharospasm (BP), a condition with an unknown cause that may involve brain structures like the SC, basal ganglia, and others.
  • Using fMRI and visual stimuli, the research compared responses between 10 women with BP and 10 matched controls, revealing that the BP group showed no visual response modulation in the SC and lateral geniculate nucleus (LGN) across various brightness levels.
  • The results suggest dysfunction in the SC and LGN for those with BP, indicating that such brain imaging could be crucial for identifying biomarkers and understanding the condition's underlying mechanisms in adult-onset
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Objectives: The management of the facial nerve (FN) is a major issue in parotid cancer, especially when there is no preoperative facial palsy and FN invasion is discovered intraoperatively. The aim of this study was to assess the impact of FN resection in patients with parotid cancer abutting the FN, without pretreatment facial palsy, using a propensity score matching.

Materials And Methods: Data from all patients treated between 2009 and 2020 for a primary parotid cancer abutting or invading the FN but without pretreatment facial palsy were extracted from the national multicentric REFCOR database.

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Sexual Function and Discomfort in Women After Midurethral Sling Surgery.

Int Urogynecol J

November 2024

Department of Gynecology, Urogynecology Unit, University Hospital of Nîmes, CHU Caremeau, Place du Professeur-Robert-Debré, 30029, Nîmes, France.

Article Synopsis
  • The study aimed to assess the impact of midurethral sling (MUS) surgery on sexual function over the medium term, comparing results pre- and post-op using a specific questionnaire.
  • Conducted at a tertiary urogynecology center, it involved 118 patients who had MUS surgery and 128 volunteers without prior surgery, with a matched case-control approach based on age and menopausal status.
  • Results indicated no significant differences in sexual discomfort or function between patients and controls; however, a higher percentage of patients reported a sensation of vaginal obstruction, but overall, the surgery did not appear to negatively affect sexual quality of life.
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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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Comparison of end tidal CO levels between automated head up and conventional cardiopulmonary resuscitation: A pre-post intervention trial.

Resuscitation

November 2024

Univ. Grenoble Alpes, CNRS, UMR 5525, VetAgro Sup, Grenoble INP, TIMC, 38000, Grenoble, France; Clinical Epidemiology Unit, University Hospital of Grenoble Alpes, Grenoble, France.

Article Synopsis
  • The study investigated the effects of a new CPR technique called AHUP-CPR, which combines head/thorax elevation, active compression-decompression, and an impedance threshold device, compared to traditional CPR in out-of-hospital cardiac arrest patients.
  • It was conducted in France from October 2019 to October 2022, involving 122 patients, and aimed to measure the peak end tidal carbon dioxide (ETCO) values as a marker for cardiac output and organ perfusion during CPR.
  • Results showed that AHUP-CPR significantly increased the mean peak ETCO values (from 30.3 mmHg to 40.7 mmHg), indicating better circulation, but there was no significant difference in the rates of
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The "Groupe Onco-hématologie Adolescents Jeunes Adultes" (GO-AJA) born in 2012 is a French collaborative group. It focuses on heterogeneity and unmet needs for AYA with cancer. This article highlights GO-AJA's achievements and future prospects, emphasizing its role in structuring a professional national network, improving AYAs' comprehensive care and strengthening the roles of coordinating nurses.

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Background: The percentage of women <50 years of age hospitalized with myocardial infarction is increasing. We describe the clinical, morphological, and biological characteristics, as well as the clinical outcomes of this population.

Methods And Results: This prospective, observational study included consecutive women <50 years of age admitted for myocardial infarction at 30 centers in France (May 2017-June 2019).

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Malignant salivary gland tumors of the tongue: A multicenter REFCOR study.

Int J Cancer

January 2025

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

Article Synopsis
  • Salivary carcinomas of minor salivary glands, particularly in the tongue, are rare tumors that may require surgery and/or (chemo-)radiotherapy for treatment.
  • A study involving 103 patients diagnosed between 2009 and 2018 found that the most common types were adenoid cystic and mucoepidermoid carcinomas, with surgery being the primary treatment for most cases.
  • Results indicated that 5-year overall survival was 84.7%, while event-free survival was lower at 38.6%; nonsurgical treatment, alcohol use, and tumor location negatively impacted event-free survival, while nodal positivity was a key factor affecting overall survival.
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Clinico-biological factors predicting the benefit of the LV5FU2 maintenance strategy as a first-line therapy in patients with metastatic pancreatic cancer.

Oncologist

September 2024

Department of Gastroenterology, University Hospital Pontchaillou, Rennes 1 University, INSERM U1242 "Chemistry Oncogenesis Stress Signalling," Rennes, France.

Article Synopsis
  • The study investigates predictive markers for the benefits of LV5FU2 maintenance therapy after first-line FOLFIRINOX treatment in patients with metastatic pancreatic cancer.
  • It compares two patient groups from the PRODIGE-35 trial: one receiving 12 cycles of FOLFIRINOX, and another receiving 8 cycles followed by LV5FU2 maintenance.
  • Results indicate that certain factors, like age and metastatic sites, affect patient outcomes, suggesting that LV5FU2 maintenance is generally beneficial except for some specific cases.
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Effectiveness of ultraportable automated external defibrillators: A scoping review.

Resusc Plus

September 2024

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Background: Ultraportable automated external defibrillators (AEDs) are a new generation of defibrillators that are small, lightweight, easy to carry on one's person, and affordable for personal and home use. They offer the opportunity to increase AED availability in case of out-of-hospital cardiac arrest (OHCA) and therefore improve outcomes.We aimed to review evidence supporting the potential effect on outcomes and the performance of these ultraportable AEDs.

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Neural activity within the ventromedial prefrontal cortex (vmPFC) and anterior insula (aIns) is often associated with economic choices and confidence. However, it remains unclear whether these brain regions are causally related to these processes. To address this issue, we leveraged intracranial electrical stimulation (iES) data obtained from patients with epilepsy performing an economic choice task.

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Characterization and Clinical Significance of Hemolysis After Pulsed Field Ablation for Atrial Fibrillation: Results of a Multicenter Analysis.

Circ Arrhythm Electrophysiol

October 2024

Department of Cardiac Pacing and Electrophysiology, Hôpital Cardiologique du Haut-Lévêque, CHU de Bordeaux (M.A.P., F. Sacher, N.D., M.H., P.J.).

Article Synopsis
  • Pulsed field ablation (PFA) is gaining popularity as a treatment for atrial fibrillation, but its impact on hemolysis (destruction of red blood cells) has not been thoroughly studied.
  • In this study involving 145 patients receiving PFA and 70 patients undergoing radiofrequency ablation, significant hemolysis was found predominantly in the PFA group, with 94.3% affected compared to just 6.8% in the radiofrequency group.
  • Higher numbers of PFA deliveries correlated with increased hemolysis severity, with notable increases in biomarkers indicating red blood cell damage and renal function impacts, especially in patients with lower baseline kidney function.
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Interventions to optimize dispatcher-assisted CPR instructions: A scoping review.

Resusc Plus

September 2024

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Aim: To review and summarize existing literature and knowledge gaps regarding interventions that have been tested to optimize dispatcher-assisted CPR (DA-CPR) instruction protocols for out-of-hospital cardiac arrest (OHCA).

Methods: This scoping review was undertaken by an International Liaison Committee on Resuscitation (ILCOR) Basic Life Support scoping review team and guided by the ILCOR methodological framework and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). Studies were eligible for inclusion if they were published in peer-reviewed journals and evaluated interventions used to improve DA-CPR.

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Background: Difficulties in distinguishing fibrosis from tumor in borderline and locally advanced pancreatic adenocarcinoma (PDAC) justify surgical exploration to assess resectability. This issue is especially relevant after neoadjuvant treatments (NAT) prior to pancreaticoduodenectomy (PD) although outcomes of aborted PD are unknown.

Objectives: This study aimed to evaluate early outcomes after aborted PD in patients with PDAC.

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Inadequate intensive care physician supply in France: a point-prevalence prospective study.

Ann Intensive Care

June 2024

Service de Réanimation Médico-Chirurgicale, CH Le Mans, Le Mans, France.

Background: The COVID-19 pandemic has highlighted the importance of intensive care units (ICUs) and their organization in healthcare systems. However, ICU capacity and availability are ongoing concerns beyond the pandemic, particularly due to an aging population and increasing complexity of care. This study aimed to assess the current and future shortage of ICU physicians in France, ten years after a previous evaluation.

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