43 results match your criteria: "University of Reims Champagne Ardenne (URCA)[Affiliation]"

Background: Knowledge about environmental pancreatic adenocarcinoma (PA) risk factors, including pesticide exposure, remains limited. Organochlorine (OC) accumulates in adipose tissue and can help reflect long-term exposure.

Patients And Methods: Age and body mass index (BMI) of patients with PA were matched with those undergoing a surgery for a benign disease on age and BMI (1:1).

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Obesity Impact on Dyspnea in COPD Patients.

Int J Chron Obstruct Pulmon Dis

July 2024

Department of Respiratory Diseases, University Hospital of Reims, Reims, France.

Background: The role of obesity on dyspnea in chronic obstructive pulmonary disease (COPD) patients remains unclear. We aimed to provide an assessment of dyspnea in COPD patients according to their Body Mass Index (BMI) and to investigate the impact of obesity on dyspnea according to COPD severity.

Methods: One hundred and twenty seven COPD patients with BMI ≥ 18.

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Background: Severe asthma is characterized by frequent exacerbations, altered lung function, and impaired quality of life. Tailored patient education allows for the improvement of both asthma management and quality of life. Our study aimed to assess the needs of severe asthma patient in therapeutic education, according to previous therapeutic patient education background and asthma phenotype.

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Article Synopsis
  • * The study focused on inhibiting the cleavage of the protein ATF6, which is linked to the p.Phe508del mutation, by targeting the protease MBTP1 in human bronchial cells.
  • * Results indicated that inhibiting MBTP1 enhances the expression of the defective p.Phe508del-CFTR and increases chloride efflux, likely due to the modulation of several related genes.
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Article Synopsis
  • Totally IntraVenous Acess Devices (TIVAD) are used for long-term access to the bloodstream in cancer patients, with two types being valved (TIVAD-V) and open-ended (TIVAD-O).
  • A study involving 636 patients found that 8.7% of TIVADs were removed due to complications, mainly infections and occlusions, over a 54-month period.
  • The results indicated no significant differences in complication rates or time-to-removal between TIVAD-V and TIVAD-O, with average removal times of 17.0 and 18.4 months respectively.
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A new pharmacokinetic model of urinary methotrexate to assess adherence in rheumatoid arthritis.

Biomed Pharmacother

December 2023

Reims University Hospital, Department of Pharmacology and Toxicology, 51100 Reims, France; University of Reims Champagne-Ardenne (URCA), Department of Medical Pharmacology, EA3801, 51097 Reims, France. Electronic address:

Background And Objectives: Methotrexate (MTX) is the first-line therapy for rheumatoid arthritis (RA). While therapeutic adherence is essential to successful management, no objective MTX assay is currently available. Using population pharmacokinetic modelling (PopPK), our objective was to describe the urinary MTX (MTXu) kinetics in treated patients and to evaluate its abilities to assess the MTX-adherence.

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Background: Small bowel adenocarcinoma is a rare cancer, and the role of adjuvant chemotherapy for localized disease is still debated.

Methods: This retrospective multicenter study included all consecutive patients who underwent curative surgical resection for localized small bowel adenocarcinoma between 1996 and 2019 from 3 French cohort studies. Prognostic and predictive factors of adjuvant chemotherapy efficacy were analyzed for disease-free survival and overall survival.

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Background: Binge drinking (BD) among students is a frequent alcohol consumption pattern that produces adverse consequences. A widely discussed difficulty in the scientific community is defining and characterizing BD patterns. This study aimed to find homogenous drinking groups and then provide a new tool, based on a model that includes several key factors of BD, to assess the severity of BD regardless of the individual's gender.

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Background: Patients with rheumatoid arthritis (RA) and other chronic inflammatory rheumatic disorders have increased risk of cardiovascular disease (CVD) and venous thromboembolism (VTE) compared with the general population. Moreover, recent data have raised concerns around a possible increased risk of major CV events (MACE) and VTE in patients treated with JAK inhibitors (JAKi). In October 2022, the PRAC has recommended measures to minimize the risk of serious side effects, including CV conditions and VTE, associated with all approved in chronic inflammatory diseases.

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Background: Ticagrelor is widely used in patients with stable and acute coronary artery disease. Understanding the factors that influence its pharmacokinetics (PK) and pharmacodynamics (PD) could improve therapeutic outcomes. We therefore performed a pooled population PK/PD analysis using individual patient data from two studies.

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Article Synopsis
  • Lichen planus (LP) is a chronic inflammatory skin and mucosal disease linked to specific T-lymphocyte activity, particularly involving CD8 cytotoxic T-lymphocytes (CTL), and may have an association with HPV16.
  • In patients with LP, researchers found activated CTL specific to HPV16 in lesions, indicating a potential role of this virus across various forms of LP, not just in erosive oral LP.
  • Contrarily, lichen sclerosus et atrophicus (LSA) patients show a different immune response, with distinct CTL populations and antibody profiles, suggesting a different pathogenic mechanism compared to LP.
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Population Pharmacokinetics of Isavuconazole in Critical Care Patients with COVID-19-Associated Pulmonary Aspergillosis and Monte Carlo Simulations of High Off-Label Doses.

J Fungi (Basel)

February 2023

Institute Desbrest of Epidemiology and Public Health, INSERM, Montpellier University, Department of Pharmacology and Toxicology, Montpellier University Hospital, 34090 Montpellier, France.

Isavuconazole is a triazole antifungal agent recently recommended as first-line therapy for invasive pulmonary aspergillosis. With the COVID-19 pandemic, cases of COVID-19-associated pulmonary aspergillosis (CAPA) have been described with a prevalence ranging from 5 to 30%. We developed and validated a population pharmacokinetic (PKpop) model of isavuconazole plasma concentrations in intensive care unit patients with CAPA.

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Many studies have shown the effectiveness of platelet-rich plasma (PRP) in the treatment of knee osteoarthritis. We aimed to determine the factors associated with good or poor response to PRP injections in knee osteoarthritis. This was a prospective observational study.

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Background: Dihydropyrimidine dehydrogenase (DPD) deficiency screening is a pre-therapeutic standard to prevent severe fluoropyrimidine-related toxicity. Although several screening methods exist, the accuracy of their results remains debatable. In France, the uracilemia measurement is considered the standard in DPD deficiency screening.

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Dihydropyrimidine dehydrogenase (DPD) deficiency is associated with severe fluoropyrimidines-induced toxicity. As of September 2018, French recommendations call for screening for DPD deficiency by plasma uracil quantification prior to all fluoropyrimidine-based chemotherapy. A dose reduction of fluoropyrimidine is recommended when uracil concentration is equal to or greater than 16 ng/mL.

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Hyaluronic acid (HA) is a major component of the extracellular matrix. It is synthesized by hyaluronan synthases (HAS) into high-molecular-weight chains (HMW-HA) that exhibit anti-inflammatory and immunomodulatory functions. In damaged, infected, and/or inflamed tissues, HMW-HA are degraded by hyaluronidases (HYAL) or reactive oxygen species (ROS) to give rise to low-molecular-weight HAs (LMW-HAs) that are potent pro-inflammatory molecules.

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Adapted physical activity (APA) improves quality of life and cancer outcomes. The aim of this study was to assess the feasibility of an APA program in outpatients beginning medical anticancer treatment. The secondary objective was to assess the impact of APA on fatigue, anxiety, depression, and handgrip strength (HGS).

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Article Synopsis
  • The CAPANCOVID study investigated the effects of the COVID-19 pandemic on the treatment and diagnosis of pancreatic adenocarcinoma in 833 patients across France during the first lockdown.
  • Key findings showed a decrease in new cases and a shift towards more advanced disease stages, with an increase in borderline tumors and a decrease in metastatic cases.
  • The study concluded that the pandemic caused delays in diagnoses and changes in treatment approaches, with potential long-term impacts on patient outcomes yet to be determined.
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Impact of vulvar reconstruction on the accuracy of a nomogram for predicting local recurrence after surgery for vulvar cancer.

Gynecol Oncol

April 2022

Department of Gynaecology and Obstetrics, Bichat University Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP), France; Paris University, Paris, France.

Background Data: Vulvar carcinoma is a rare disease accounting for 3%-5% of all gynaecological cancers. Although surgery is the standard treatment at an early stage, the outcomes are highly correlated with clear resection margins. Therefore, surgical defects can be important and require reconstruction.

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Background: Patients living with HIV (PLHIV) are prone to invasive pneumococcal disease. The 13-valent conjugated pneumococcal vaccine (PCV13) is currently recommended for all PLHIV, followed in most guidelines by a 23-valent polysaccharide pneumococcal vaccine. Data are scarce concerning the immunological efficacy of PCV13 among PLHIV.

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Background: Patients with primary humoral immunodeficiency are more prone to invasive as well as recurrent pneumococcal infections. Therefore, anti-pneumococcal vaccination including the 13-valent conjugate vaccine is recommended. Nevertheless, to date, no data is available on immunogenicity of this vaccine in this population.

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