63 research outputs found

    European Lung Cancer Working Party Clinical Practice Guidelines. Non-Small Cell Lung Cancer: III. Metastatic disease

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    The present guidelines on the management of advanced non-small cell lung cancer (NS CLC) were formulated by the ELCWP in October 2006. They are designed to answer the following twelve questions: 1) What benefits can be expected from chemotherapy and what are the treatment objectives? 2) What are the active chemotherapeutic drugs for which efficacy has been shown? 3) Which are the most effective platinum-based regimens? 4) Which is the indicated dosage of cisplatin? 5) Can carboplatin be substituted for cisplatin? 6) Which is the optimal number of cycles to be administered? 7) Can non-platinum based regimens be substituted for platinum based chemotherapy as first-line treatment? 8) Is there an indication for sequential chemotherapy? 9) What is the efficacy of salvage chemotherapy and which drugs should be used in that indication? 10) What is the place of targeted therapies? 11) What is the place of chemotherapy in the management of a patient with brain metastases? 12) Which specific drugs can be used for the patient with bone metastases

    Robust estimation of bacterial cell count from optical density

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    Optical density (OD) is widely used to estimate the density of cells in liquid culture, but cannot be compared between instruments without a standardized calibration protocol and is challenging to relate to actual cell count. We address this with an interlaboratory study comparing three simple, low-cost, and highly accessible OD calibration protocols across 244 laboratories, applied to eight strains of constitutive GFP-expressing E. coli. Based on our results, we recommend calibrating OD to estimated cell count using serial dilution of silica microspheres, which produces highly precise calibration (95.5% of residuals <1.2-fold), is easily assessed for quality control, also assesses instrument effective linear range, and can be combined with fluorescence calibration to obtain units of Molecules of Equivalent Fluorescein (MEFL) per cell, allowing direct comparison and data fusion with flow cytometry measurements: in our study, fluorescence per cell measurements showed only a 1.07-fold mean difference between plate reader and flow cytometry data

    Anchoring of a large set of markers onto a BAC library for the development of a draft physical map of the grapevine genome

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    International audienceFive hundred and six EST-derived markers, 313 SSR markers and 26 BAC end-derived or SCAR markers were anchored by PCR on a subset of a Cabernet Sauvignon BAC library representing six genome equivalents pooled in three dimensions. In parallel, the 12,351 EST clusters of the grapevine UniGene set (build #11) from NCBI were used to design 12,125 primers pairs and perform electronic PCR on 67,543 nonredundant BAC-end sequences. This in silico experiment yielded 1,140 positive results concerning 638 different markers, among which 602 had not been already anchored by PCR. The data obtained will provide an easier access to the regulatory sequences surrounding important genes (represented by ESTs). In total, 1,731 islands of BAC clones (set of overlapping BAC clones containing at least one common marker) were obtained and 226 of them contained at least one genetically mapped anchor. These assigned islands are very useful because they will link the genetic map and the future fingerprint-based physical map and because they allowed us to indirectly place 93 ESTs on the genetic map. The islands containing two or more mapped SSR markers were also used to assess the quality of the integrated genetic map of the grapevine genome

    Long term outcome after 48 Gy stereotactic ablative body radiotherapy for peripheral stage I non-small cell lung cancer.

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    BACKGROUND: To evaluate the outcome of patients treated with stereotactic ablative body radiotherapy (SABR) with curative intent for stage I non-small cell lung cancer (NSCLC) with regard to local, regional and distant tumor control, disease-free survival (DFS), overall survival (OS) and toxicity. METHODS: Data of 300 patients treated with SABR for NSCLC cancer for the period of November 2007 to June 2016 were retrospectively analyzed. Of which, 189 patients had single primary lung lesion and were included in the study. The prescribed dose for the tumor was 48 Gy, given in 12 Gy × 4 fractions for all patients. In 2010, an improved protocol was established in advanced technology for the planning CT, dose calculation and imaging. Cumulative incidence function (CIF) of local, regional, distant or any recurrences were computed using competing risk analysis with death as a competing event. Survivals (DFS and OS) were estimated using the Kaplan-Meier method and Cox proportional regression was used for comparisons. Toxicities were graded according to the common terminology criteria for adverse events version 4.0 (CTCAE v.4). RESULTS: Diagnosis was histologically confirmed in 42% of the patients (N = 80). At 1, 2 and 4 years, the cumulative incidence function (CIF) of local relapses were 8% [4-13%], 15% [10-21%] and 18% [12-25%], the CIF of regional relapses were 4% [2-8%], 10% [6-16%] and 12% [8-19%], the CIF of distant relapses were 9% [5-14%], 15% [11-22%] and 20% [15-28%] and the CIF of any relapses were 14% [10-20%], 28% [22-36%], 34% [27-43%], respectively. After 1, 2 and 4 years, the OS rates were 83% [95% CI: 78-89%] (N = 128), 65% [95% CI: 57-73%] (N = 78) and 37% [95% CI: 29-47%] (N = 53), respectively. The median survival time was 37 months. The DFS after 1, 2 and 4 years reached 75% [95% CI: 68-81%] (N = 114), 49% [95% CI: 42-58%] (N = 60) and 31% [95% CI: 24-41%] (N = 41), respectively. No grade 4 or 5 toxicity was observed. CONCLUSIONS: We observed a long-term local control and survival after SABR for peripheral stage I NSCLC in this large series of patients with the expected low toxicity

    Dispersion des métaux de la mine au lagon : rÎle du compartiment atmosphérique et dispersion au sein du compartiment biotique dulçaquicole et estuarien. Rapport scientifique final

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    - Ce rapport du programme DMML « Dispersion des mĂ©taux de la mine au lagon » constitue le volume 1 (sur 4) du programme intĂ©grĂ© « Dispersion et exposition humaine aux mĂ©taux en Nouvelle-CalĂ©donie » composĂ© de 3 projets (DMML, Dynamine, MĂ©texpo) Ă©tudiant les mĂ©taux et leur toxicitĂ© sur des sites pilotes similaires.- Le programme DMML a proposĂ© de caractĂ©riser le potentiel de dispersion des Ă©lĂ©ments mĂ©talliques traces (ETM) Ni, Cr, Co et Mn au sein des compartiments abiotiques (atmosphĂšre et pĂ©dosphĂšre) et d’évaluer la contamination mĂ©tallique dans le compartiment biotique de l’hydrosphĂšre ainsi que de dĂ©terminer les mĂ©canismes de transferts trophiques. - La caractĂ©risation des flux d’ETM au sein de l’hydrosphĂšre est rĂ©alisĂ©e dans le programme « Dynamine »

    Avis de l'Anses relatif à l’actualisation des repùres alimentaires du PNNS pour les enfants de 0 à 3 ans

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    Les bases scientifiques nĂ©cessaires Ă  l’établissement des repĂšres alimentaires du Programme National Nutrition SantĂ© (PNNS) ont Ă©tĂ© actualisĂ©es par l’Anses en 2016 pour les hommes et femmes adultes sur la base des nouvelles rĂ©fĂ©rences nutritionnelles et des donnĂ©es actuelles de consommation et de composition des aliments (Anses 2016b).Ces repĂšres concernant la population gĂ©nĂ©rale, hommes et femmes adultes hors populations particuliĂšres, le Directeur gĂ©nĂ©ral de la santĂ© a saisi l’Anses le 12 juillet 2016 afin que des repĂšres soient Ă©galement Ă©noncĂ©s pour les populations spĂ©cifiques que constituent les femmes enceintes et allaitantes, les enfants et adolescents et les personnes ĂągĂ©es et les femmes mĂ©nopausĂ©es. Le prĂ©sent avis porte sur les enfants ĂągĂ©s de 0 Ă  3 ans

    Avis de l'Anses relatif à l’actualisation des repùres alimentaires du PNNS pour les enfants de 0 à 3 ans

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    Les bases scientifiques nĂ©cessaires Ă  l’établissement des repĂšres alimentaires du Programme National Nutrition SantĂ© (PNNS) ont Ă©tĂ© actualisĂ©es par l’Anses en 2016 pour les hommes et femmes adultes sur la base des nouvelles rĂ©fĂ©rences nutritionnelles et des donnĂ©es actuelles de consommation et de composition des aliments (Anses 2016b).Ces repĂšres concernant la population gĂ©nĂ©rale, hommes et femmes adultes hors populations particuliĂšres, le Directeur gĂ©nĂ©ral de la santĂ© a saisi l’Anses le 12 juillet 2016 afin que des repĂšres soient Ă©galement Ă©noncĂ©s pour les populations spĂ©cifiques que constituent les femmes enceintes et allaitantes, les enfants et adolescents et les personnes ĂągĂ©es et les femmes mĂ©nopausĂ©es. Le prĂ©sent avis porte sur les enfants ĂągĂ©s de 0 Ă  3 ans

    Avis de l'Anses relatif à l’actualisation des repùres alimentaires du PNNS pour les enfants de 0 à 3 ans

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    Les bases scientifiques nĂ©cessaires Ă  l’établissement des repĂšres alimentaires du Programme National Nutrition SantĂ© (PNNS) ont Ă©tĂ© actualisĂ©es par l’Anses en 2016 pour les hommes et femmes adultes sur la base des nouvelles rĂ©fĂ©rences nutritionnelles et des donnĂ©es actuelles de consommation et de composition des aliments (Anses 2016b).Ces repĂšres concernant la population gĂ©nĂ©rale, hommes et femmes adultes hors populations particuliĂšres, le Directeur gĂ©nĂ©ral de la santĂ© a saisi l’Anses le 12 juillet 2016 afin que des repĂšres soient Ă©galement Ă©noncĂ©s pour les populations spĂ©cifiques que constituent les femmes enceintes et allaitantes, les enfants et adolescents et les personnes ĂągĂ©es et les femmes mĂ©nopausĂ©es. Le prĂ©sent avis porte sur les enfants ĂągĂ©s de 0 Ă  3 ans

    Avis de l'Anses relatif à l’actualisation des repùres alimentaires du PNNS pour les enfants de 0 à 3 ans

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    Les bases scientifiques nĂ©cessaires Ă  l’établissement des repĂšres alimentaires du Programme National Nutrition SantĂ© (PNNS) ont Ă©tĂ© actualisĂ©es par l’Anses en 2016 pour les hommes et femmes adultes sur la base des nouvelles rĂ©fĂ©rences nutritionnelles et des donnĂ©es actuelles de consommation et de composition des aliments (Anses 2016b).Ces repĂšres concernant la population gĂ©nĂ©rale, hommes et femmes adultes hors populations particuliĂšres, le Directeur gĂ©nĂ©ral de la santĂ© a saisi l’Anses le 12 juillet 2016 afin que des repĂšres soient Ă©galement Ă©noncĂ©s pour les populations spĂ©cifiques que constituent les femmes enceintes et allaitantes, les enfants et adolescents et les personnes ĂągĂ©es et les femmes mĂ©nopausĂ©es. Le prĂ©sent avis porte sur les enfants ĂągĂ©s de 0 Ă  3 ans

    Avis de l'Anses relatif à l’actualisation des repùres alimentaires du PNNS pour les enfants de 0 à 3 ans

    No full text
    Les bases scientifiques nĂ©cessaires Ă  l’établissement des repĂšres alimentaires du Programme National Nutrition SantĂ© (PNNS) ont Ă©tĂ© actualisĂ©es par l’Anses en 2016 pour les hommes et femmes adultes sur la base des nouvelles rĂ©fĂ©rences nutritionnelles et des donnĂ©es actuelles de consommation et de composition des aliments (Anses 2016b).Ces repĂšres concernant la population gĂ©nĂ©rale, hommes et femmes adultes hors populations particuliĂšres, le Directeur gĂ©nĂ©ral de la santĂ© a saisi l’Anses le 12 juillet 2016 afin que des repĂšres soient Ă©galement Ă©noncĂ©s pour les populations spĂ©cifiques que constituent les femmes enceintes et allaitantes, les enfants et adolescents et les personnes ĂągĂ©es et les femmes mĂ©nopausĂ©es. Le prĂ©sent avis porte sur les enfants ĂągĂ©s de 0 Ă  3 ans
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