66 results match your criteria: "hospital Bretonneau[Affiliation]"

We present the 6-year update of a phase 2 study evaluating the combination of obinutuzumab and idelalisib in relapse/refractory Waldenstrom macroglobulinemia. The results of the REMODEL trial demonstrated interesting efficacy in a high-risk genotype profile population. The primary endpoint was achieved with a median PFS of 25.

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Introduction: Training novice ophthalmology residents on the EyeSi simulator increases cataract surgery safety. However, there is no consensus regarding how much training residents should perform before their first time on patients. We evaluated the French national training program through the analysis of the learning curves of novice residents.

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Background And Purpose: Epilepsy is associated with higher morbidity and mortality compared to people without epilepsy. We performed a retrospective cross-sectional and longitudinal cohort study to evaluate cardiovascular comorbidity and incident vascular events in people with epilepsy (PWE).

Methods: Data were extracted from the French Hospital National Database.

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Introduction: Cataract surgery is the most common surgical procedure performed in France. While the incidence of intraoperative complications affecting visual prognosis is extremely low, given the large number of patients operated on, the absolute number of patients affected by complications is quite high. Complication rates are significantly higher when ophthalmology residents (ORs) perform the surgery.

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Article Synopsis
  • Multiple myeloma (MM) is often misdiagnosed as spinal metastasis (SpM), but they differ significantly in diagnosis timing, survival rates, and treatment responses.
  • A study compared 361 MM patients to 660 SpM patients, revealing MM patients typically showed spine lesions much earlier and had a median overall survival much longer than those with SpM.
  • The findings suggest that MM should be classified as a primary bone tumor due to its distinct characteristics and patterns of spread compared to systemic metastases like SpM.
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Individual perception of environmental factors that influence lower limbs spasticity in inherited spastic paraparesis.

Ann Phys Rehabil Med

September 2023

Sorbonne Université, Paris Brain Institute (ICM Institut du Cerveau), INSERM, CNRS, Assistance Publique-Hôpitaux de Paris (APHP), University Hospital Pitié-Salpêtrière, Paris, France; Sorbonne Université, Genetic Department, University Hospital Pitié-Salpêtrière, Paris, France.

Article Synopsis
  • The study focused on the clinical variability of hereditary spastic paraparesis, exploring how genetic and extrinsic factors influence muscle tone disorders.
  • Participants primarily reported that physiotherapy and superficial warming were the most effective interventions for managing spasticity.
  • The findings emphasized the importance of regular physical activity, with a recommendation for individuals to engage in physiotherapy sessions at least three times a week for better management of symptoms.
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Study Design: This study used a French prospective national multi-center database of patients with spine metastasis (SpM).

Objective: The main challenge was to clarify if SpM patients presenting poor ECOG-PS could benefit from a surgical intervention.

Background: Spine metastases (SpM) are debilitating lesions commonly found in the evolution of cancer.

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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.

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A comparative study of cognitive and socio-emotional development in children with Rubinstein-Taybi syndrome and children with Autism Spectrum Disorder associated with a severe intellectual disability, and in young typically developing children with matched developmental ages.

Res Dev Disabil

September 2021

Department of Medical Genetics, CHU Bordeaux, Place Amélie Raba Léon, 33076 Bordeaux Cedex, France; INSERM Unit 1211, Laboratory "Rare Diseases: Genetics and Metabolism", University of Bordeaux, Place Amélie Raba Léon, 33076 Bordeaux Cedex, France.

Background: Cognitive and socio-emotional profiles of children with CREBBP-related Rubinstein-Taybi syndrome (RSTS 1), children with Autism Spectrum Disorder (ASD) with severe intellectual disability and developmental ages (DA) under 24 months, and typically developing (TD) children with similar DA were compared.

Participants: Thirty-one children with RSTS 1 (mean chronological age, CA = 59,8 months; 33-87) and thirty children with ASD, matched on CA and DA and developmental quotients (DQ), were compared to thirty TD children (CA ranged from 12 to 24 months).

Methods: Cognitive and socio-emotional developmental levels, DA and DQ were assessed with appropriated tests.

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Article Synopsis
  • A phase 2 study assessed the combination of obinutuzumab and idelalisib for treating patients with relapsed/refractory Waldenström macroglobulinemia, focusing on safety and efficacy without traditional chemotherapy.
  • The treatment involved an initial 6-cycle induction phase, resulting in a high overall response rate of 71.4%, with many patients showing significant improvements in their condition.
  • Although the combination was effective, some patients experienced serious side effects, leading to 26 withdrawals, and TP53 mutations were found to negatively impact survival, while CXCR4 genotypes did not affect treatment outcomes.
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Chronic kidney disease (CKD) is a major issue of public health. Hypertension control and use of renin--angiotensin system (RAS) blockers are the cornerstones of treatment for CKD of any cause. However, even under optimal RAS blockade, many individuals will progress towards more advanced CKD.

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Disturbances of Continuous Sleep and Circadian Rhythms Account for Behavioral Difficulties in Children with Autism Spectrum Disorder.

J Clin Med

June 2020

Centre National de la Recherche Scientifique CNRS UPR 3212, Université de Strasbourg, Institut des Neurosciences Cellulaires et Intégratives, 8 allée du Général Rouvillois, 67000 Strasbourg, France.

Sleep disorders are among the most common comorbidities in children with Autism Spectrum Disorder (ASD), and subjectively defined sleep disturbances have been related to ASD symptom severity. However, no study has investigated the differential impact of objectively measured sleep and circadian rhythm disturbances on behavioral difficulties in this population. Fifty-two children with ASD aged 3-10 years underwent assessments of sleep and circadian rest-activity rhythms objectively with actigraphy and subjectively with the Children's Sleep Habits Questionnaire.

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Validity of Actigraphy Compared to Polysomnography for Sleep Assessment in Children With Autism Spectrum Disorder.

Front Psychiatry

August 2019

Centre National de la Recherche Scientifique, Université de Strasbourg, Institut des Neurosciences Cellulaires et Intégratives, Strasbourg, France.

Actigraphy (ACT) is a non-invasive objective assessment tool for the study of sleep-wake rhythms. It is of particular interest in children with autism spectrum disorder (ASD), as sleep disorders are highly prevalent and have a significant impact on both cognitive and behavioral functions. As polysomnography (PSG), the gold standard for the assessment of sleep, is difficult to perform in children with ASD, ACT has become a tool of choice but has not yet been validated against PSG using state-of-the-art methodology.

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Severe infections due to Francisella tularensis ssp. holarctica in solid organ transplant recipient: report of two cases and review of literature.

BMC Infect Dis

March 2019

Department of Internal Medicine and Infectious Diseases, University Hospital of Tours, Hospital Bretonneau, 2, boulevard Tonnellé, 37044, Tours Cedex 9, France.

Background: Tularemia is a rare zoonotic infection caused by bacterium Francisella tularensis. It has been well described in immunocompetent patients but poorly described in immunocompromised patients notably in solid organ transplant recipients.

Case Presentations: We report here two cases of tularemia in solid organ transplant recipients including first case after heart transplant.

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Article Synopsis
  • * A case is presented involving a male patient who developed massive acute tibial osteomyelitis three months after receiving an IO catheter for emergency treatment.
  • * It's important for emergency personnel and radiologists to be aware of this rare complication to ensure early diagnosis and the start of proper antibiotic treatment.
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Objective: To evaluate the effectiveness and tolerance of the AdVance Male Sling System for the treatment of male stress urinary incontinence in patients after prostatic surgery.

Methods: An international, observational, prospective, multicenter study was conducted on male patients with urinary incontinence after prostatic surgery. Patients underwent a 24-hour pad test with a threshold at 250 g.

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Purpose: To describe additional cases of subacute encephalopathy with seizures in alcoholics (SESA) syndrome, and to question the clinical and radiological course.

Methods: We retrospectively analyzed the clinical characteristics, electroencephalography (EEG), MRI studies at the admission and over the following 6 months of 5 cases of SESA syndrome visited our neurology department between 2010 and 2016.

Results: Five middle-aged males with history of chronic alcohol abuse were admitted for confusion, neurological deficit and seizures.

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Objectives: Cone-beam CT (CBCT), a radiographic tool for diagnosis, treatment, and follow-up in dental practice, was introduced also in pediatric radiology, especially orthodontics. Such patients subjected to repetitive X-rays examinations may receive substantial levels of radiation doses. Ionizing radiation (IR), a recognized carcinogenic factor causing DNA double-strand breaks (DSBs) could be harmful to undifferentiated cells such as dental pulp stem cells (DPSCs) since inaccurately repaired or unrepaired DSBs may lead to malignant transformation.

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Background: Transoral robotic surgery (TORS) is an option to treat supraglottic squamous cell carcinomas (SCCs). We studied the oncologic outcomes after TORS for supraglottic laryngectomy (SGL).

Methods: We conducted a multicenter observational study of SGL using TORS for patients with supraglottic SCC with at least 2 years of follow-up.

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Perampanel in routine clinical use across Europe: Pooled, multicenter, observational data.

Epilepsia

September 2018

Department of Neurology, Christian Doppler Medical Center and Center for Cognitive Neuroscience, Paracelsus Medical University, Salzburg, Austria.

Article Synopsis
  • The study collected real-world data on perampanel use in epilepsy patients from 45 European centers to understand its effectiveness and safety in underrepresented populations.
  • Among 2396 individuals, the one-year retention rate of the treatment was 48%, while only 9.2% achieved seizure freedom for at least six months, indicating challenges in treatment efficacy.
  • Adverse events were reported in 68% of participants, consistent with earlier findings, suggesting that while perampanel is used in real-world scenarios, its side effects and effectiveness differ from controlled clinical trial environments.
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Cone beam computed tomography in implant dentistry: recommendations for clinical use.

BMC Oral Health

May 2018

OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, Kapucijnenvoer 33, 3000, Leuven, Belgium.

Background: In implant dentistry, three-dimensional (3D) imaging can be realised by dental cone beam computed tomography (CBCT), offering volumetric data on jaw bones and teeth with relatively low radiation doses and costs. The latter may explain why the market has been steadily growing since the first dental CBCT system appeared two decades ago. More than 85 different CBCT devices are currently available and this exponential growth has created a gap between scientific evidence and existing CBCT machines.

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Objectives: To assess the reduction of transfusions rate in transfusion-dependent patients with low-risk myelodysplastic syndrome (MDS) with iron overload treated with deferasirox.

Methods: Prospective observational study. Primary endpoint was reduction in transfusion requirements (RTR) at 3 months, (assessed on 8-week period).

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In bone remodeling, osteoclasts are recruited via increased production of RANKL (receptor activator of nuclear factor-κB ligand) and migrate to the bone surface, aided by matrix metalloproteinases (MMPs). NAMPT (nicotinamide phosphoribosyl transferase), which catalyzes the rate-limiting step in the NAD salvage pathway, increases during in vitro osteogenic differentiation and inhibits RANKL-induced osteoclast differentiation. Alveolar bone loss, due to disturbance of the remodeling process, is a major feature of periodontitis.

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