I'm a Breton language teacher. I have a PhD in Breton lexicology (Étude sémantique et lexico-combinatoire de lexèmes du champ sémantique de la santé en breton vannetais dans le cadre de la théorie linguistique Sens-Texte). I am interested, mainly, in semantics and combinatorics.
The prognosis of advanced-stage bladder cancer is poor. Chemotherapy, particularly regimens inclu... more The prognosis of advanced-stage bladder cancer is poor. Chemotherapy, particularly regimens including platinum salts, appears to increase survival moderately but at the cost of severe, mainly renal toxicity. Platinum is a major factor in this toxicity, and new platinum salts (chiefly carboplatin) have therefore been developed. Carboplatin has no renal toxicity at usual doses, and its use does not require concomitant hyperhydration. Its gastrointestinal, otologic, and general tolerability is excellent. In contrast, most patients develop thrombocytopenia, which can be important, but which is always transitory. The platelet count reaches its nadir (grade 2 or 3) at around day 20, and the leukocyte nadir (grade 2 or 3) occurs about day 19. Anemia is rare. The literature on the use of carboplatin for the treatment of advanced-stage urothelial tumors is reviewed. Carboplatin is used at doses varying between 200 and 400 mg/m2, administered in 28-day courses. Dose adjustment is based on serum creatinine level, creatinine clearance, nadir blood cell levels, or previous treatment, reflecting the wide disparity between different studies. Used alone, carboplatin achieved objective responses (ORs) in 14% of patients (3% complete responses, CRs, and 11% partial responses, PRs) in a total group of 327 patients included in 13 trials. In polychemotherapy various combinations of carboplatin with other agents have been reported, most frequently carboplatin/methotrexate/vinblastine; the OR rate was 63% (CR rate 19% and PR rate 44%) among 88 patients in four studies. These results confirm the relative efficacy of carboplatin in the treatment of advanced-stage urothelial tumors, particularly when it is combined with other agents. Its efficacy is similar to that of cisplatin, but it is far less toxic. A prospective, comparative trial will be necessary to confirm these data. The pharmacokinetic behaviors of the two platinum salts are markedly different, as carboplatin does not undergo tubular metabolism. The efficacy of carboplatin could be optimized by adapting the dosage to the glomerular filtration rate, which is a more accurate method than extrapolation from the serum creatinine or creatinine clearance values. This has been shown in the case of nonseminomatous germ cell tumors. Calculation of the optimum carboplatin dose should now be applied to urothelial tumors. The general and renal tolerability of a platinum salt is an important element of choice when the efficacies are equivalent. These considerations fully warrant further clinical trials of carboplatin.
A scheme for the representation of the vertical eddy fluxes of heat, momentum and water vapour in... more A scheme for the representation of the vertical eddy fluxes of heat, momentum and water vapour in a forecast model is presented. An important feature of the scheme is the dependence of the diffusion coefficients on the static stability of the atmosphere. Two tests are presented, using the scheme in a one-dimensional model: the simulation of the diurnal cycle, and the transformation of a polar air mass moving over the warm sea.
Cleaning of inorganic membranes after ultrafiltration (UF) of skim milk has been assessed using h... more Cleaning of inorganic membranes after ultrafiltration (UF) of skim milk has been assessed using hydraulic, physicochemical and spectroscopic (i.r. and X-ray photoelectron spectroscopy) measurements. A cleaning sequence using hypochlorite alone or hypochlorite followed by HNO3 restored the membrane hydraulic resistance, in contrast to cleaning with HNO3 alone. When using NaOH, addition of Ca complexants (EDTA, gluconate, tripolyphosphate) and surfactants was required to obtain similar results. Three types of criteria (hydraulic, kinetic, chemical) are available to assess the effect of the sequestrant and surfactant types. In all the cases studied, traces of protein and Ca were detected on and within the membrane after cleaning. Nevertheless, it was concluded that it is possible to develop a single-step alkaline product to clean inorganic milk UF membranes if suitable surfactants and Ca sequestrants are included in its formula.
Forecast error is decomposed into three components, termed displacement error, amplitude error, a... more Forecast error is decomposed into three components, termed displacement error, amplitude error, and residual error, respectively. Displacement error measures how much of the forecast error can be accounted for by moving the forecast to best fit the analysis. Amplitude error ...
The net ecosystem exchange (NEE) of CO 2 between temperate forests and the atmosphere governs bot... more The net ecosystem exchange (NEE) of CO 2 between temperate forests and the atmosphere governs both carbon removal from the atmosphere and forest growth. In recent years, many experiments have been conducted to determine temperate forest NEE. These data have been used by ...
The prognosis of advanced-stage bladder cancer is poor. Chemotherapy, particularly regimens inclu... more The prognosis of advanced-stage bladder cancer is poor. Chemotherapy, particularly regimens including platinum salts, appears to increase survival moderately but at the cost of severe, mainly renal toxicity. Platinum is a major factor in this toxicity, and new platinum salts (chiefly carboplatin) have therefore been developed. Carboplatin has no renal toxicity at usual doses, and its use does not require concomitant hyperhydration. Its gastrointestinal, otologic, and general tolerability is excellent. In contrast, most patients develop thrombocytopenia, which can be important, but which is always transitory. The platelet count reaches its nadir (grade 2 or 3) at around day 20, and the leukocyte nadir (grade 2 or 3) occurs about day 19. Anemia is rare. The literature on the use of carboplatin for the treatment of advanced-stage urothelial tumors is reviewed. Carboplatin is used at doses varying between 200 and 400 mg/m2, administered in 28-day courses. Dose adjustment is based on serum creatinine level, creatinine clearance, nadir blood cell levels, or previous treatment, reflecting the wide disparity between different studies. Used alone, carboplatin achieved objective responses (ORs) in 14% of patients (3% complete responses, CRs, and 11% partial responses, PRs) in a total group of 327 patients included in 13 trials. In polychemotherapy various combinations of carboplatin with other agents have been reported, most frequently carboplatin/methotrexate/vinblastine; the OR rate was 63% (CR rate 19% and PR rate 44%) among 88 patients in four studies. These results confirm the relative efficacy of carboplatin in the treatment of advanced-stage urothelial tumors, particularly when it is combined with other agents. Its efficacy is similar to that of cisplatin, but it is far less toxic. A prospective, comparative trial will be necessary to confirm these data. The pharmacokinetic behaviors of the two platinum salts are markedly different, as carboplatin does not undergo tubular metabolism. The efficacy of carboplatin could be optimized by adapting the dosage to the glomerular filtration rate, which is a more accurate method than extrapolation from the serum creatinine or creatinine clearance values. This has been shown in the case of nonseminomatous germ cell tumors. Calculation of the optimum carboplatin dose should now be applied to urothelial tumors. The general and renal tolerability of a platinum salt is an important element of choice when the efficacies are equivalent. These considerations fully warrant further clinical trials of carboplatin.
A scheme for the representation of the vertical eddy fluxes of heat, momentum and water vapour in... more A scheme for the representation of the vertical eddy fluxes of heat, momentum and water vapour in a forecast model is presented. An important feature of the scheme is the dependence of the diffusion coefficients on the static stability of the atmosphere. Two tests are presented, using the scheme in a one-dimensional model: the simulation of the diurnal cycle, and the transformation of a polar air mass moving over the warm sea.
Cleaning of inorganic membranes after ultrafiltration (UF) of skim milk has been assessed using h... more Cleaning of inorganic membranes after ultrafiltration (UF) of skim milk has been assessed using hydraulic, physicochemical and spectroscopic (i.r. and X-ray photoelectron spectroscopy) measurements. A cleaning sequence using hypochlorite alone or hypochlorite followed by HNO3 restored the membrane hydraulic resistance, in contrast to cleaning with HNO3 alone. When using NaOH, addition of Ca complexants (EDTA, gluconate, tripolyphosphate) and surfactants was required to obtain similar results. Three types of criteria (hydraulic, kinetic, chemical) are available to assess the effect of the sequestrant and surfactant types. In all the cases studied, traces of protein and Ca were detected on and within the membrane after cleaning. Nevertheless, it was concluded that it is possible to develop a single-step alkaline product to clean inorganic milk UF membranes if suitable surfactants and Ca sequestrants are included in its formula.
Forecast error is decomposed into three components, termed displacement error, amplitude error, a... more Forecast error is decomposed into three components, termed displacement error, amplitude error, and residual error, respectively. Displacement error measures how much of the forecast error can be accounted for by moving the forecast to best fit the analysis. Amplitude error ...
The net ecosystem exchange (NEE) of CO 2 between temperate forests and the atmosphere governs bot... more The net ecosystem exchange (NEE) of CO 2 between temperate forests and the atmosphere governs both carbon removal from the atmosphere and forest growth. In recent years, many experiments have been conducted to determine temperate forest NEE. These data have been used by ...
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