67 results match your criteria: "centre hospitalier de Mulhouse.[Affiliation]"

Refining Incidence and Characteristics of Inflammatory Myopathies: A Quadruple-Source Capture-Recapture Survey Using the 2017 European League Against Rheumatism/American College of Rheumatology Classification Criteria.

Arthritis Rheumatol

October 2023

UR3072 Centre de Recherche en Biomédecine, Université de Strasbourg, Explorations fonctionnelles musculaires, Service de physiologie, Hôpitaux Universitaires de Strasbourg, and Service de rhumatologie, RESO, Hôpitaux Universitaire de Strasbourg, Strasbourg, France.

Article Synopsis
  • The study investigated the incidence rate of inflammatory myopathies (IM) using refined methods, estimating a rate of 8.22 cases per million annually in Alsace, France.
  • The research included data from multiple sources over a 6-year period and corrected for missed cases through capture-recapture analysis.
  • Findings showed no variations in incidence over time or space, with other systemic manifestations frequently observed in patients alongside muscle symptoms.
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Genetic landscape of a large cohort of Primary Ovarian Insufficiency: New genes and pathways and implications for personalized medicine.

EBioMedicine

October 2022

Université Paris Saclay, Faculté de Médecine. Unité de Génétique Moléculaire des Maladies Métaboliques et de la Reproduction, Hôpital Bicêtre, Assistance Publique-Hôpitaux de Paris, AP-HP, Hôpitaux Universitaires Paris-Saclay, Le Kremlin-Bicêtre, France; UMR-S 1193, INSERM, Université Paris Saclay, Faculté de Médecine, Hôpital Paul Brousse, Villejuif, France. Electronic address:

Article Synopsis
  • Primary Ovarian Insufficiency (POI) affects 1-3.7% of women under 40, leading to issues like infertility and reduced lifespan, with many causes remaining unidentified; recent studies are exploring genetic links to POI through a large cohort of patients.* -
  • The research included 375 patients and uncovered a 29.3% success rate for clinical genetic diagnosis of POI, discovering new pathogenic genes and pathways previously unlinked to POI, while confirming the role of several known genes associated with cancer susceptibility and other genetic disorders.* -
  • This genetic understanding enables personalized medicine approaches, which aim to prevent or treat related health issues, predict ovarian reserve, and identify candidates for innovative therapies like in vitro
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De novo variants in genes regulating stress granule assembly associate with neurodevelopmental disorders.

Sci Adv

August 2022

Center for Medical Genetics and Hunan Key Laboratory of Medical Genetics, School of Life Sciences, Central South University; Changsha, Hunan 410078, China.

Stress granules (SGs) are cytoplasmic assemblies in response to a variety of stressors. We report a new neurodevelopmental disorder (NDD) with common features of language problems, intellectual disability, and behavioral issues caused by de novo likely gene-disruptive variants in , which encodes an essential regulator of SG assembly. haploinsufficiency in mouse led to social and cognitive impairments accompanied by disrupted neurogenesis and reduced SG formation during early brain development.

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Article Synopsis
  • The study aims to evaluate how native joint septic arthritis (NJSA) is managed and the outcomes for patients in various rheumatology departments across France, covering cases from 2016 to 2017.
  • A total of 362 NJSA patients were analyzed, revealing that knee involvement is common and that Staphylococcus aureus is the leading pathogen; treatment varied and included prolonged antibiotic use, surgeries, and challenges related to complications and mortality.
  • The findings underscore a grim prognosis for NJSA, with significant morbidity and mortality rates, emphasizing the necessity for standardized management practices as outlined in new French guidelines released post-study.
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Fractional Flow Reserve to Guide Treatment of Patients With Multivessel Coronary Artery Disease.

J Am Coll Cardiol

November 2021

Hôpital Cardiologique et Pneumologique Louis Pradel, Hospices Civils de Lyon, Bron, France.

Article Synopsis
  • The FUTURE trial investigated whether using fractional flow reserve (FFR) to guide treatment in multivessel coronary artery disease (CAD) is more effective than traditional approaches.
  • The study was a randomized trial involving 927 patients, comparing outcomes of an FFR-guided strategy with a standard strategy without FFR, focusing on major adverse cardiac events over one year.
  • Results showed no significant differences in major adverse events or mortality between the two groups, indicating that FFR guidance did not provide a clear benefit in managing multivessel CAD.
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Introduction: Fluid overload is associated with a poor prognosis in the critically ill patients, especially at the time of weaning from mechanical ventilation as it may promote weaning failure from cardiac origin. Some data suggest that early administration of diuretics would shorten the duration of mechanical ventilation. However, this strategy may expose patients to a higher risk of haemodynamic and metabolic complications.

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We aim to assess physicians' level of resilience and define factors that improve or decrease the resilience level during the COVID-19 pandemic. Physicians from hospitals located in areas with different COVID-19 caseload levels, were invited to participate in a national e-survey between April and May 2020. Study participants were mainly emergency physicians, and anaesthesiologists, infectious disease consultants, and intensive care.

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CERA conversion to darbepoetin alfa in 154 hemodialysis patients.

Int Urol Nephrol

October 2020

Dialysis Unit, AURAL, 5 Rue Henri Bergson, 67200, Strasbourg, France.

Purpose: Anemia is a common complication in dialysis patients, usually treated with erythropoietin (EPO). Among available EPOs and analogs, continuous erythropoietin receptor activator (CERA) and darbepoetin alfa (DA) are the only two agents with a long duration of action, although they have almost never been formally compared in terms of efficacy. We took advantage of an accidental disruption in CERA supply to study the effect of its replacement with DA in the same patients.

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Systemic lupus erythematosus and neutropaenia: a hallmark of haematological manifestations.

Lupus Sci Med

July 2020

Department of Clinical Immunology and Internal Medicine, National Reference Center for autoimmune diseases (RESO), Strasbourg University Hospital, Strasbourg, France.

Objective: Systemic lupus is a chronic autoimmune disease characterised by its phenotypic heterogeneity. Neutropaenia is a frequent event in SLE occurring in 20%-40% of patients depending on the threshold value of neutrophil count. On a daily basis, the management of neutropaenia in SLE is difficult with several possible causes.

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Lenalidomide maintenance therapy prolonged progression-free survival (PFS) versus placebo in elderly patients with diffuse large B-cell lymphoma (DLBCL) responding to induction chemotherapy in the phase 3 REMARC study. This subpopulation analysis assessed the impact of lenalidomide maintenance and treatment-emergent adverse events (TEAEs) on health-related quality of life (HRQOL). Global health status (GHS), and physical functioning and fatigue subscales were evaluated in patients who completed the European Organisation for Research and Treatment of Cancer quality-of-life questionnaire-C30 v3.

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Human babesiosis in Alsace.

Med Mal Infect

September 2020

Unité d'infectiologie, centre hospitalier de Colmar, 39, avenue de la Liberté, 68024 Colmar, France. Electronic address:

Objectives: Human babesiosis is a rare parasitic anthropozoonosis transmitted to humans by tick bites. Fifty-six cases of human babesiosis have been recorded in Europe. Two cases of babesiosis were reported in Alsace, France, in 2009.

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Occupational exposure to wood dust and risk of lung cancer: the ICARE study.

Occup Environ Med

December 2019

Université Paris-Saclay, Université Paris-Sud, UVSQ, CESP, U1018, Equipe Epidemiologie des Cancers, Gènes et Environnement, INSERM, Villejuif, France.

Objectives: In a previous analysis of data from a French population-based case-control study (the Investigation of occupational and environmental CAuses of REspiratory cancers (ICARE) study), 'having ever worked' in wood-related occupations was associated with excess lung cancer risk after adjusting for smoking but not for occupational factors. The present study aimed to investigate the relationship between lung cancer risk and wood dust exposure after adjusting for occupational exposures.

Methods: Data were obtained from 2276 cases and 2780 controls on smoking habits and lifelong occupational history, using a standardised questionnaire with a job-specific questionnaire for wood dust exposure.

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Objective: Fatigue is reported in up to 90% of patients with SLE. This study was conducted to identify the determinants associated with fatigue in a large cohort of patients with SLE, as well as to provide a systematic review of the literature.

Methods: Patients from the Lupus BioBank of the upper Rhein, a large German-French cohort of SLE patients, were included in the FATILUP study if they fulfilled the 1997 ACR criteria for SLE and had Fatigue Scale for Motor and Cognitive Functions scores collected.

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[Should surgeons keep performing drainage after breast reduction?].

Ann Chir Plast Esthet

February 2019

Service de chirurgie plastique, reconstructrice et esthétique, centre hospitalier de Belfort, 14, rue de Mulhouse, 90000 Belfort, France.

Objective: Despite the absence of "evidence-based medicine", the use of closed suction drainage in breast surgery is currently the standard practice. Its goal is to minimize the amount of fluid at the operation site, the dead space that can involve postoperative complications. The purpose of this study is to demonstrate that with or without drainage the complication rate is unchanged.

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Long-term efficacy and safety of antitumour necrosis factor alpha treatment in rhupus: an open-label study of 15 patients.

RMD Open

December 2017

Department of Rheumatology, Centre de référence des maladies rares et auto immunes, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.

Background: The efficacy of antitumour necrosis factor alpha (anti-TNF-α) treatment is well recognised in rheumatoid arthritis (RA) but remains controversial in systemic lupus erythematosus (SLE). Therefore, the role of anti-TNF-α treatment in 'Rhupus', a disease sharing features of RA and SLE, is still debated.

Objective: To evaluate the efficacy and tolerance of anti-TNF-α in patients with rhupus.

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The relationship between specialist physician and primary care physician (PCP) has been poorly evaluated in France. We have studied the application of a specialist's recommendation by the PCP. Vaccination against hepatitis B in patients with chronic renal failure was the follow-up marker.

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Background: Bohring-Opitz syndrome (BOS) is a rare genetic disorder characterised by a recognisable craniofacial appearance and a typical 'BOS' posture. BOS is caused by sporadic mutations of. However, several typical patients with BOS have no molecular diagnosis, suggesting clinical and genetic heterogeneity.

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Background: Up to 25% of patients with ST elevation myocardial infarction (STEMI) have ST segment re-elevation after initial regression post-reperfusion and there are few data regarding its prognostic significance.

Methods and results: A standard 12-lead electrocardiogram (ECG) was recorded in 662 patients with anterior STEMI referred for primary percutaneous coronary intervention (PPCI). ECGs were recorded 60-90 min after PPCI and at discharge.

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Primary human hepatocyte (PHH) sandwich cultures from five different donors were daily exposed to cyclosporine A (CsA), ibuprofen (IBU), chlorpromazine (CPZ), amiodarone (AMI) and paracetamol (APAP) at their respective C (total) for short-term (1-3 days) and long-term treatment (14 days). Whole genome mRNA profiles (34,693 genes in total) were conducted using an Illumina microarray platform. The impact of compound treatments on gene signatures involved in liver differentiation, cholestasis and in bile acid homeostasis was evaluated.

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Importance: One-third of patients with rheumatoid arthritis show inadequate response to tumor necrosis factor α (TNF-α) inhibitors; little guidance on choosing the next treatment exists.

Objective: To compare the efficacy of a non-TNF-targeted biologic (non-TNF) vs a second anti-TNF drug for patients with insufficient response to a TNF inhibitor.

Design, Setting, And Participants: A total of 300 patients (conducted between 2009-2012) with rheumatoid arthritis, with persistent disease activity (disease activity score in 28 joints-erythrocyte sedimentation rate [DAS28-ESR]  ≥ 3.

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Professional Cleaning Activities and Lung Cancer Risk Among Women: Results From the ICARE Study.

J Occup Environ Med

June 2016

Université Paris Saclay, Université Paris Sud, UVSQ, CESP, INSERM, Villejuif, France (Drs Atramont, Mattei, Matrat, Ms Cenée, Ms Sanchez, Dr Stücker); Imperial College of London, MRC-PHE Centre for Environment and Health, Department of Epidemiology and Biostatistics, School of Public Health, London, UK (Dr Guida); University Paris Est-Créteil, Faculty of Medicine IFR 10, Créteil (Dr Matrat); Université de Versailles St-Quentin, UMRS 1018 (Dr Carton); INSERM (Dr Menvielle), Sorbonne University, UPMC University of Paris 06, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health, Department of social epidemiology, Villejuif (Dr Menvielle); Haut-Rhin Cancer Registry, Centre hospitalier de Mulhouse, ARER 68, Mulhouse Cedex, France (Dr Marrer); Unit of Clinical and Molecular Epidemiology, IRCCS San Raffaele Pisana, Rome, Italy (Dr Neri); INSERM, U1085_IRSET, Pointe-à-Pitre (Dr Luce), and University of Rennes 1, Rennes, France (Dr Luce).

Objectives: Lung cancer risk associated with occupational cleaning activities has been investigated in the population-based case-control study ICARE.

Methods: Occupational history was collected by standardized interviews. Jobs were first defined according to the International Standard Classification of Occupations (ISCO) codes and then categorized according to activity sectors.

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