1,247 results match your criteria: "university of Angers[Affiliation]"

Nurses' moral judgements during emergency department triage - A prospective mixed multicenter study.

Int Emerg Nurs

August 2024

Research Department, Angers University Hospital, Angers, France; Biostatistics and Methodology Department, Angers University Hospital, Angers, France; Équipe d'épidémiologie en santé au travail et ergonomie (ESTER) - Irset UMR_S 1085, University of Angers, France.

Introduction: In EDs, triage ensures that patients whose condition requires immediate care are prioritized while reducing overcrowding. Previous studies have described the manifestation of caregivers' moral judgements of patients in EDs. The equal treatment of patients in clinical practice presents a major issue.

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Article Synopsis
  • * Out of 50 patients, the incidence of postoperative ileus was found to be 16%, significantly lower than the theoretical 40%, suggesting enhanced recovery protocols may be effective.
  • * The median compliance with enhanced recovery programs was 75%, indicating they are both feasible and safe, potentially aiding gastrointestinal recovery after surgery.
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Cervical cancer (CC) was diagnosed in 3159 women in France in 2023, and 1117 died from it. Organized screening for cervical cancer is potentially very effective for participating women. However, reaching under-screened populations remains a major challenge.

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Robotic-assisted thoracic surgery training in France: a nation-wide survey from young surgeons.

Interdiscip Cardiovasc Thorac Surg

July 2024

Association of Thoracic and Cardiovascular Surgeon in Training, Association des Jeunes Chirurgiens Thoracique et Cardio-Vasculaire, Paris, France.

Article Synopsis
  • A study was conducted to assess the training of thoracic surgeons-in-training in robotic-assisted thoracic surgery (RATS) across France, gathering responses from 101 participants.
  • Over half of the trainees had access to robotic systems, with a significant number considering robotic training essential, though only a small percentage had performed a complete procedure independently.
  • The findings suggest that training opportunities vary by institution, with higher exposure and performance among fellows at high-volume centers, highlighting the need for increased access and simulation training to improve skills in RATS.
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Aim: The aim of this work was to investigate the association between early postoperative anastomotic leakage or pelvic abscess (AL/PA) and symptomatic anastomotic stenosis (SAS) in patients after surgery for left colonic diverticulitis.

Method: This is a retrospective study based on a national cohort of diverticulitis surgery patients carried out by the Association Française de Chirurgie. The assessment was performed using path analyses.

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Association Between Healthy Behaviors and Health Care Resource Use With Subsequent Positive Airway Pressure Therapy Adherence in OSA.

Chest

October 2024

Department of Respiratory and Sleep Medicine, Angers University Hospital, Angers, France; INSERM, CNRS, MITOVASC, Equipe CarME, SFR ICAT, University of Angers, Angers, France.

Background: The healthy adherer effect has gained increasing attention as a potential source of bias in observational studies examining the association of positive airway pressure (PAP) adherence with health outcomes in OSA.

Research Question: Is adherence to PAP associated with healthy behaviors and health care resource use prior to device prescription?

Study Design And Methods: Data from the Institut de Recherche en Santé Respiratoire (IRSR) des Pays de la Loire Sleep Cohort were linked to health administrative data to identify proxies of heathy behaviors, including adherence to cardiovascular (CV) drugs (medical possession ratio), cancer screening tests, influenza vaccination, alcohol and smoking consumption, and drowsiness-related road accidents during the 2 years preceding PAP onset in patients with OSA. Multivariable regression analyses were conducted to evaluate the association of heathy behaviors with subsequent PAP adherence.

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The pattern of cortical thickness associated with executive dysfunction in MCI and SCC: The MEMENTO cohort.

Rev Neurol (Paris)

December 2024

Department of Neurology and Functional Neuroscience and Pathology Laboratory, Jules-Verne University of Picardy, Amiens University Hospital, CHU de Amiens-Picardie, 80054 Amiens, France.

Background: The association between the pattern of cortical thickness (CT) and executive dysfunction (ED) in mild cognitive impairment (MCI) and subjective cognitive complaints (SCC) is still poorly understood. We aimed to investigate the association between CT and ED in a large French cohort (MEMENTO) of 2323 participants with MCI or SCC.

Methods: All participants with available CT and executive function data (verbal fluency and Trail Making Test [TMT]) were selected (n=1924).

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Halide perovskite solar cells are characterized by a hysteresis between current-voltage (- curves recorded on the reverse and on the forward scan directions, and the suppression of this phenomenon has focused great attention. In the present work, it is shown that a special family of 3D perovskites, that are rendered lead -and iodide- deficient (d-HPs) by incorporating large organic cations, are characterized by a large hysteresis. The strategy of passivating defects by K, which has been successful in reducing the hysteresis of 3D perovskite perovskite solar cells, is inefficient with the d-HPs.

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Introduction: Functional popliteal artery entrapment syndrome is a subtype of popliteal artery entrapment syndrome (PAES) without vascular disease or musculotendinous anomaly behind the knee. Symptoms are induced by popliteal artery extrinsic compression, leading to calf pain during lower limbs exercise. Non-invasive tests are still required to improve the diagnostic management of functional PAES.

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Naked mole-rats: at the heart of it.

Trends Mol Med

October 2024

University of Angers, MitoLab, Unité MITOVASC, UMR CNRS 6015, INSERM U1083, SFR ICAT, Angers, France. Electronic address:

Faulkes et al. recently showed that naked mole-rats (NMRs) have a very distinctive cardiac gene expression profile among other African mole-rats, as well as metabolic variations that result from their chronic exposure to a hypoxic environment. These adaptations might underlie their resistance to cardiac ischemic injuries.

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Pharmacogenetic landscape of pain management variants among Mediterranean populations.

Front Pharmacol

May 2024

Laboratory of Biomedical Genomics and Oncogenetics, Institut Pasteur de Tunis, Tunis, Tunisia.

Background: Chronic pain is a major socioeconomic burden in the Mediterranean region. However, we noticed an under-representation of these populations in the pharmacogenetics of pain management studies. In this context, we aimed 1) to decipher the pharmacogenetic variant landscape among Mediterranean populations compared to worldwide populations in order to identify therapeutic biomarkers for personalized pain management and 2) to better understand the biological process of pain management through investigation of pharmacogenes pathways.

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Background: The Inventory of Personality Organization (IPO) is a self-assessment instrument designed to measure the level of personality organization. In the present study, we developed and validated a French version (IPO-fr) of this instrument in a population of young adults. Its validity was established on the basis of two studies examining (1) its internal structure, and (2) its convergent validity with the Personality Diagnostic Questionnaire-4+, the Positive and Negative Affect Schedule (PANAS), the Hospital Anxiety and Depression Scale (HADS), and the Aggression Questionnaire (AQ).

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The biophysics of water, has been debated over more than a century. Although its importance is still underestimated, significant breakthroughs occurred in recent years. The influence of protein condensation on water availability control was documented, new findings on water-transport proteins emerged, and the way water molecules rearrange to minimize free energy at interfaces was deciphered, influencing membrane thermodynamics.

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Genetic susceptibility to optic neuropathy in patients with alcohol use disorder.

J Transl Med

May 2024

Université d'Angers, Unité Mixte de Recherche (UMR) MITOVASC, Institut National de la Santé et de la Recherche Médicale (INSERM U-1083), Centre National de la Recherche Scientifique (CNRS 6015), 49000, Angers, France.

Background: The pathophysiology of toxico-nutritional optic neuropathies remains debated, with no clear understanding of the respective roles played by the direct alcohol toxicity, smoking and the often associated vitamin deficiencies, which are risk factors for optic neuropathy. Our aim was to investigate genetic susceptibility in patients with bilateral infraclinical optic neuropathy associated with chronic alcohol use disorder.

Methods: This retrospective cohort study included 102 visually asymptomatic patients with documented alcohol use disorder from a French reference center.

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Macrocephaly and Finger Changes: A Narrative Review.

Int J Mol Sci

May 2024

Association for Innovation in Rare Inflammatory, Metabolic, Genetic Diseases INNOROG, 30E, Făgetului St., 400497 Cluj-Napoca, Romania.

Article Synopsis
  • Macrocephaly is the condition of having an unusually large head, which can be linked to specific finger changes, making diagnosis tricky for clinicians.
  • This review highlights various genetic and acquired causes of macrocephaly and finger changes, including skeletal disorders, metabolic diseases, and autoimmune conditions.
  • Understanding the complex genetic and hormonal factors involved in human growth is essential for accurate diagnosis and effective treatment, ultimately leading to better outcomes for individuals with these conditions.
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Background: Reverse triggering (RT) was described in 2013 as a form of patient-ventilator asynchrony, where patient's respiratory effort follows mechanical insufflation. Diagnosis requires esophageal pressure (P) or diaphragmatic electrical activity (EA), but RT can also be diagnosed using standard ventilator waveforms.

Hypothesis: We wondered (1) how frequently RT would be present but undetected in the figures from literature, especially before 2013; (2) whether it would be more prevalent in the era of small tidal volumes after 2000.

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Pharmacist intervention is associated with fewer serious falls over 3 months among older fallers at a day hospital: A quasi-experimental study.

Maturitas

August 2024

UNIV ANGERS, EA4638, University of Angers, 49100 Angers, France; Department of Geriatric Medicine, Research Center on Autonomy and Longevity, University Hospital, 49933 Angers, France; UNIV ANGERS, School of Medicine, Health Faculty, University of Angers, 49045 Angers, France; Gerontopôle of Pays de la Loire, 44000 Nantes, France.

Objectives: Some drugs increase the risk of falls, including serious falls. The objective of this quasi-experimental study was to determine whether the intervention of a clinical pharmacist among older outpatients receiving a multifactorial fall prevention program at a geriatric day hospital dedicated to older patients with a recent history of falls was effective in preventing serious falls over a 3-month follow-up, compared with usual care.

Study Design: Quasi-experimental study in 296 consecutive older outpatients, including 85 with pharmacist intervention (the intervention group) and 148 without (the control group).

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Pneumocystis pneumonia in Cushing's syndrome.

Ann Endocrinol (Paris)

July 2024

Laboratory of Parasitology and Mycology, Brest University Hospital, Brest, France; Fungal Respiratory Infections (FRI) Research Unit, University of Angers, University of Brest, Brest, France.

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The present study investigated renal elimination after intravenous administration of four different formulations of lipid nanocapsules (LNCs) containing dyes adapted to Förster resonance energy transfer (FRET-LNCs). FRET-LNCs of 85 or 50 nm with or without a pegylated surface were injected and collected in the blood or urine of rats at different time points. Quantitative analysis was performed to measure intact FRET-LNCs.

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Article Synopsis
  • The study explores the use of a new natural dye from Moroccan red algae in dye-sensitized solar cells (DSSCs), marking the first investigation of this material for such an application.
  • Key pigments in the red algae, including phycoerythrin, carotenoid, and chlorophyll, were identified as crucial for enhancing the semiconductor's performance.
  • The DSSC achieved an efficiency of 0.93%, with further analysis on its absorbance, photoluminescence, and electronic properties conducted through density functional theory (DFT) calculations.
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  • * No significant survival advantage was found among most beta-lactam antibiotics, but the combination of meropenem and aerosolized colistin showed a reduction in mortality compared to intravenous colistin alone.
  • * Although ceftolozane/tazobactam showed potential superiority for microbiological cure, ceftazidime had a higher clinical failure rate compared to other treatments, and intravenous colistin was linked to more acute kidney failure in safety assessments.
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The genus Xanthomonas has been primarily studied for pathogenic interactions with plants. However, besides host and tissue-specific pathogenic strains, this genus also comprises nonpathogenic strains isolated from a broad range of hosts, sometimes in association with pathogenic strains, and other environments, including rainwater. Based on their incapacity or limited capacity to cause symptoms on the host of isolation, nonpathogenic xanthomonads can be further characterized as commensal and weakly pathogenic.

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