24 results on '"N. Chaumard"'
Search Results
2. Chondrules in CK carbonaceous chondrites and thermal history of the CV-CK parent body
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Bertrand Devouard, N. Chaumard, Laboratoire Magmas et Volcans (LMV), Institut national des sciences de l'Univers (INSU - CNRS)-Université Jean Monnet [Saint-Étienne] (UJM)-Université Blaise Pascal - Clermont-Ferrand 2 (UBP)-Observatoire de Physique du Globe de Clermont-Ferrand (OPGC), Université Blaise Pascal - Clermont-Ferrand 2 (UBP)-Institut national des sciences de l'Univers (INSU - CNRS)-Centre National de la Recherche Scientifique (CNRS)-Centre National de la Recherche Scientifique (CNRS)-Centre National de la Recherche Scientifique (CNRS), Institut de minéralogie, de physique des matériaux et de cosmochimie (IMPMC), Muséum national d'Histoire naturelle (MNHN)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut de recherche pour le développement [IRD] : UR206-Centre National de la Recherche Scientifique (CNRS), Aix Marseille Université (AMU), Observatoire de Physique du Globe de Clermont-Ferrand (OPGC), and Université Blaise Pascal - Clermont-Ferrand 2 (UBP)-Institut national des sciences de l'Univers (INSU - CNRS)-Centre National de la Recherche Scientifique (CNRS)-Université Blaise Pascal - Clermont-Ferrand 2 (UBP)-Institut national des sciences de l'Univers (INSU - CNRS)-Centre National de la Recherche Scientifique (CNRS)-Université Jean Monnet - Saint-Étienne (UJM)-Centre National de la Recherche Scientifique (CNRS)
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Olivine ,010504 meteorology & atmospheric sciences ,Metamorphic rock ,Mineralogy ,Metamorphism ,Chondrule ,engineering.material ,010502 geochemistry & geophysics ,01 natural sciences ,Parent body ,Shock metamorphism ,Igneous rock ,[SDU.STU.PL]Sciences of the Universe [physics]/Earth Sciences/Planetology ,Geophysics ,[SDU.STU.GC]Sciences of the Universe [physics]/Earth Sciences/Geochemistry ,Space and Planetary Science ,Chondrite ,engineering ,Geology ,0105 earth and related environmental sciences - Abstract
International audience; CK chondrites are the only group of carbonaceous chondrites with petrologic types ranging from 3 to 6. It is commonly reported than ~15 vol% of CK4–6 samples are composed of chondrules. The modal abundance of chondrules estimated here for 18 CK3–6 (including 5 CK3s) ranges from zero (totally recrystallized) to 50.5%. Although almost all chemically re-equilibrated with the host matrix, we recognized in CK3s and Tanezrouft (Tnz) 057 (CK4) up to 85% of chondrules as former Type I chondrules. Mean diameters of chondrules range from 0.22 to 1.05 mm for Karoonda (CK4) and Tnz 057 (CK4), respectively. Up to ~60% of chondrules in CK3–4 are surrounded by igneous rims (from ∼20 µm to 2 mm width). Zoned olivines were found in unequilibrated chondrules from DaG 431 (CK3-an), NWA 4724 (CK3.8), NWA 4423 (CK3.9), and Tnz 057 (CK4). We modeled Fe/Mg interdiffusion profiles measured in zoned olivines to evaluate the peak metamorphic temperatures and time scales of the CK parent body metamorphism, and proposed a two-stage diffusion process in order to account for the position of inflection points situated within chondrules. Time scales inferred from Fe/Mg interdiffusion in olivine from unequilibrated chondrules are on the order of tens to a hundred of thousand years (from 50 to 70 000 years for peak metamorphic temperatures of 1140 and 920 K, respectively). These durations are longer than what is commonly accepted for shock metamorphism and shorter than what is required for nuclide decay. Using the concept of a continuous CV–CK metamorphic series, which is reinforced by this study, we estimated peak metamorphic temperatures
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- 2016
3. Oxygen isotope systematics of chondrules in the Murchison CM2 chondrite and implications for the CO-CM relationship
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C. Defouilloy, Noriko T. Kita, and N. Chaumard
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Murchison meteorite ,Olivine ,010504 meteorology & atmospheric sciences ,Chemistry ,Analytical chemistry ,Chondrule ,Pyroxene ,engineering.material ,010502 geochemistry & geophysics ,01 natural sciences ,Isotopes of oxygen ,Parent body ,Article ,Geochemistry and Petrology ,Chondrite ,engineering ,Phenocryst ,0105 earth and related environmental sciences - Abstract
High-precision oxygen three-isotope measurements of olivine and pyroxene were performed on 29 chondrules in the Murchison CM2 chondrite by secondary ion mass spectrometry (SIMS). The oxygen isotope ratios of analyzed chondrules all plot very close to the primitive chondrule minerals (PCM) line. In each of 24 chondrules, the olivine and/or pyroxene grains analyzed show indistinguishable oxygen isotope ratios. Exceptions are minor occurrences of isotopically distinguished relict olivine grains, which were found in nine chondrules. The isotope homogeneity of these phenocrysts is consistent with a co-magmatic crystallization of olivine and pyroxene from the final chondrule melts and a significant oxygen isotope exchange between the ambient gas and the melts. Homogeneous type I chondrules with Mg#’s of 98.9–99.5 have host chondrule Δ(17)O values ranging from −6.0‰ to −4.1‰, with one exception (Δ(17)O: −1.2‰; Mg#: 99.6). Homogeneous chondrules with Mg#’s 0%) and at dust enrichments of ~300–2000×. Regarding the Mg# and oxygen isotope ratios, the chondrule populations sampled by CM and CO chondrites are similar and indistinguishable. The similarity of these (16)O-rich components in CO and CM chondrites is also supported by the common Fe/Mn ratio of olivine in type II chondrules. Although they accreted similar high-temperature silicates, CO chondrites are anhydrous compared to CM chondrites, suggesting they derived from different parent bodies formed inside and outside the snow line, respectively. If chondrules in CO and CM chondrites formed at the same disk locations but the CM parent body accreted later than the CO parent body, the snow line might have crossed the the common chondrule-forming region towards the Sun between the time of the CO and CM parent bodies accretion.
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- 2018
4. Physical, Chemical, and Petrological Characteristics of Chondritic Materials and Their Relationships to Small Solar System Bodies
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Tatsuhiro Michikami, Takaaki Noguchi, N. Chaumard, Alan E. Rubin, N. M. Abreu, Michael A. Velbel, and Michael E. Zolensky
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Solar System ,engineering.material ,010502 geochemistry & geophysics ,01 natural sciences ,Regolith ,Astrobiology ,Shock metamorphism ,Meteorite ,Asteroid ,Chondrite ,Carbonaceous chondrite ,0103 physical sciences ,Enstatite ,engineering ,010303 astronomy & astrophysics ,Geology ,0105 earth and related environmental sciences - Abstract
Chondrite materials with varying abundances of volatile-bearing phases are expected at the destinations for the asteroid sample-return missions Hayabusa2 and OSIRIS-REx. The targets of the missions are 162173 (1999 JU3) Ryugu and 101955 (1999 RQ36) Bennu. Spectroscopic analyses of these asteroids suggest that their surface materials are related to types 1 and 2 carbonaceous chondrites. Some studies suggest that the parent bodies of these chondrites may have also experienced some thermal and/or shock metamorphism. The physical properties of boulders at asteroid surfaces and fine particles in asteroid regoliths are consequences of the diverse processes that fragmented them, mobilized them, and redeposited them in unique accumulations. Sample-return missions are likely to encounter a broad range of carbonaceous chondrite (CC)-like materials, to which aqueous alteration, thermal, and shock metamorphism imparted changes affecting their sub-micron- to meter-scale physical properties. Consequently, implementation of scale-dependent analytical techniques to the study of the chemical, physical, and geotechnical characteristics of these CC-like materials is fundamental to safe mission operations, sample selection, and return. However, most of the available knowledge for informing and formulating expectations about regolith processes, products, and properties on carbonaceous small bodies comes from missions that studied anhydrous (e.g., Itokawa studied by Hayabusa) and/or much larger asteroids (e.g., Vesta studied by Dawn). No previous mission is likely directly relevant to small ice-free carbonaceous NEOs 162173 Ryugu or 101955 Bennu, although the Rosetta Spaceraft performed a flyby of the large asteroid Lutetia which has variously been classified as M and C type (Patzold et al., 2011). Carbonaceous chondrites carry the best record of the history, distribution, and activity of water in the early solar system. Ordinary and Enstatite chondrites carry only partial records, but these are still critical to understanding the full story. We will describe the records of water-rock interactions on asteroids, as recorded in these meteorites, with particular emphasis on the timing, nature, settings, and fluid compositions. An integral part of this story is the rare, but fortunate, preservation of actual early solar system water as aqueous fluid inclusions.
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- 2018
5. The PhaSeal® system: Impact of its use on workplace contamination and duration of chemotherapy preparation
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N Chaumard, L Gilles-Afchain, C Cropet, H Labrosse, D Perol, J F Latour, P Hild, and Bertrand Favier
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medicine.medical_specialty ,Time Factors ,Drug transfer ,Drug Compounding ,medicine.medical_treatment ,Pharmacy Technicians ,MEDLINE ,Antineoplastic Agents ,Occupational Exposure ,medicine ,Humans ,Pharmacology (medical) ,Duration (project management) ,Workplace ,Fluorescent Dyes ,Chemotherapy ,business.industry ,Contamination ,Surgery ,Oncology ,System impact ,Emergency medicine ,Equipment Contamination ,Fluorescein ,France ,Pharmacy Service, Hospital ,business ,Environmental Monitoring - Abstract
Purpose. The primary objective of this study was to compare the levels of environmental contamination before and after the introduction of PhaSeal® (closed-system drug transfer device) in two hospital pharmacies. Our secondary objective was to assess the impact of the device on the duration of drug preparation compared to procedures involving the use of needles and syringes. Methods. The study involved two French hospitals, which prepared antineoplastic chemotherapy using a biological safety cabinet and an isolator. Five skilled pharmacy technicians at each hospital prepared a total of 100 chemotherapy preparations using the standard procedure and 100 using the PhaSeal® system. To control for possible contamination occurring in the course of the procedure, we used fluorescein which becomes fluorescent when exposed to UV light. To reply the second objective, we timed the duration of the different steps of the manipulation. Results. Our findings showed a major reduction in the contamination of the work environment when using the PhaSeal® system for drug preparation. Reduction rates higher than 93% were obtained, whatever the type of protection used. On the duration of preparation, our results indicate that this duration would be approximately 1 h longer for the preparation of 100 samples. Conclusion. In conclusion, this study clearly establishes the benefit of using PhaSeal® for protecting the staff members who work with hazardous agents. It also indicates that the duration of drug preparation is not impacted by the use of the system.
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- 2011
6. Hospital Costs of Renal Transplant Management
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Hugues Bittard, A. Dussaucy, Jean-Marc Chalopin, N. Chaumard, Philippe Fagnoni, Marie-Christine Woronoff-Lemsi, Samuel Limat, Virginie Nerich, Chim Analyt Lab, Equipe Sci Separat Biol & Pharmaceut, Université de Franche-Comté ( UFC ), Interactions hôte-greffon-tumeur, ingénierie cellulaire et génique - UFC ( HOTE GREFFON ), Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Etablissement français du sang [Bourgogne-France-Comté] ( EFS [Bourgogne-France-Comté] ) -Université de Franche-Comté ( UFC ), Service de Néphrologie et Urologie, Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Hôpital Saint-Jacques, Centre d'Investigation Clinique de Besançon ( CICB ), Etablissement Français du Sang Bourgogne Franche-Comté-Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Université de Franche-Comté ( UFC ), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC ( CEF2P / CARCINO ), Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ), Pathologies et épithéliums : prévention, innovation, traitements, évaluation (EA 4267) (PEPITE), Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Interactions hôte-greffon-tumeur, ingénierie cellulaire et génique - UFC (UMR INSERM 1098) (RIGHT), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Etablissement français du sang [Bourgogne-Franche-Comté] (EFS [Bourgogne-Franche-Comté]), Service d'urologie, andrologie et transplantation rénale, Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Hôpital Saint-Jacques, Centre d'Investigation Clinique de Besançon (Inserm CIC 1431), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Etablissement français du sang [Bourgogne-Franche-Comté] (EFS [Bourgogne-Franche-Comté]), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (EA 3181) (CEF2P / CARCINO), and Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)
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MESH : Retrospective Studies ,MESH : Hospital Units ,030232 urology & nephrology ,MESH: Hospitalization ,MESH: Length of Stay ,MESH: Kidney Transplantation ,Hospitals, University ,0302 clinical medicine ,MESH : Costs and Cost Analysis ,030212 general & internal medicine ,MESH: Diagnosis-Related Groups ,health care economics and organizations ,[SDV.SP]Life Sciences [q-bio]/Pharmaceutical sciences ,University hospital ,3. Good health ,Hospitalization ,MESH : Diagnosis-Related Groups ,MESH : Length of Stay ,Renal transplant ,Costs and Cost Analysis ,MESH : Hospitalization ,MESH: Hospital Units ,France ,Hospital Units ,Medical costs ,medicine.medical_specialty ,MESH: Costs and Cost Analysis ,03 medical and health sciences ,Case mix index ,medicine ,Humans ,MESH : France ,Intensive care medicine ,Diagnosis-Related Groups ,MESH : Hospitals, University ,Retrospective Studies ,MESH: Hospitals, University ,Transplantation ,MESH: Humans ,business.industry ,MESH : Humans ,MESH: Retrospective Studies ,Retrospective cohort study ,Length of Stay ,Kidney Transplantation ,MESH: France ,Actual cost ,[ SDV.SP ] Life Sciences [q-bio]/Pharmaceutical sciences ,MESH : Kidney Transplantation ,Surgery ,business ,Hospital stay - Abstract
International audience; Renal transplantation is considered to be a cost-effective therapy, but hospital medical costs are not accurately known. The aim of this work was to evaluate the costs of hospital stay for renal transplantation. This retrospective study included all patients who underwent renal transplantation between January 1, 2004, and December 31, 2005, in our University hospital. The incurred costs were determined using our center's analytical accounting (AA). The mean local cost was then compared with the median national cost of hospitalization for renal transplantation, based on a sample of participating centers contributing to the National Cost Scale (NCS) per homogenous diagnosis-related group (DRG). These mean costs were weighed against the financing obtained by national rates of the case-mix based payment system (termed T2A). Data were collected from 77 patients. Their mean length of stay was 19.4 days. AA determined the cost of management to be euro14,100 per patient. National economic approaches were significantly higher: euro16,389 for NCS and euro17,369 for national rates. Thus, the specific DRG rate (case mix index) of renal transplantation covers the expenses incurred by our center. These results are rather interesting; however, it is unlike those obtained for the management of other diseases such as acute myeloid leukemia, where T2A underestimates the actual cost by 2-4 times. Last, the hospital budget and T2A must be considered as a whole. The fact that DRGs with favorable and unfavorable pricing balance out should be taken into account.
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- 2008
7. Growth of calcium–aluminum-rich inclusions by coagulation and fragmentation in a turbulent protoplanetary disk: Observations and simulations
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Kévin Baillié, Sébastien Charnoz, Jérôme Aléon, E. Taillifet, N. Chaumard, Astrophysique Interprétation Modélisation (AIM (UMR7158 / UMR_E_9005 / UM_112)), Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Institut national des sciences de l'Univers (INSU - CNRS)-Université Paris Diderot - Paris 7 (UPD7)-Centre National de la Recherche Scientifique (CNRS), Centre de Recherches Pétrographiques et Géochimiques (CRPG), Institut national des sciences de l'Univers (INSU - CNRS)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Institut de minéralogie, de physique des matériaux et de cosmochimie (IMPMC), Muséum national d'Histoire naturelle (MNHN)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut de recherche pour le développement [IRD] : UR206-Centre National de la Recherche Scientifique (CNRS), Institut de Mécanique Céleste et de Calcul des Ephémérides (IMCCE), Institut national des sciences de l'Univers (INSU - CNRS)-Observatoire de Paris, Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Université de Lille-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Astrophysique Interprétation Modélisation (AIM (UMR_7158 / UMR_E_9005 / UM_112)), Centre National de la Recherche Scientifique (CNRS)-Institut national des sciences de l'Univers (INSU - CNRS)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Paris Diderot - Paris 7 (UPD7), Institut de Physique du Globe de Paris (IPGP), Institut national des sciences de l'Univers (INSU - CNRS)-IPG PARIS-Université Paris Diderot - Paris 7 (UPD7)-Université de La Réunion (UR)-Centre National de la Recherche Scientifique (CNRS), Institut de recherche pour le développement [IRD] : UR206-Centre National de la Recherche Scientifique (CNRS)-Muséum national d'Histoire naturelle (MNHN)-Université Pierre et Marie Curie - Paris 6 (UPMC), Centre National de la Recherche Scientifique (CNRS)-Université de La Réunion (UR)-Université Paris Diderot - Paris 7 (UPD7)-IPG PARIS-Institut national des sciences de l'Univers (INSU - CNRS), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut de recherche pour le développement [IRD] : UR206-Muséum national d'Histoire naturelle (MNHN)-Centre National de la Recherche Scientifique (CNRS), Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), and IMCCE, Observatoire de Paris, PSL Research University, CNRS, Sorbonne Universités, UPMC Univ Paris 06, Univ. Lille, 77 Av. Denfert-Rochereau, F-75014 Paris, France
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Planetesimal ,Materials science ,Collisional physics ,chemistry.chemical_element ,FOS: Physical sciences ,Astrophysics ,010502 geochemistry & geophysics ,Protoplanetary disk ,01 natural sciences ,Power law ,Fragmentation (mass spectrometry) ,Chondrite ,Aluminium ,0103 physical sciences ,Planetesimals ,010303 astronomy & astrophysics ,Planetary formation ,0105 earth and related environmental sciences ,Meteorites, Collisional physics, Planetary formation, Planetesimals ,Earth and Planetary Astrophysics (astro-ph.EP) ,[SDU.ASTR]Sciences of the Universe [physics]/Astrophysics [astro-ph] ,Turbulence ,Astronomy and Astrophysics ,Meteorite ,chemistry ,Space and Planetary Science ,[SDU]Sciences of the Universe [physics] ,Astrophysics - Earth and Planetary Astrophysics ,Meteorites - Abstract
Whereas it is generally accepted that calcium-aluminum-rich inclusions (CAIs) from chondritic meteorites formed in a hot environment in the solar protoplanetary disk, the conditions of their formation remain debated. Recent laboratory studies of CAIs have provided new kind of data: their size distributions. We show that size distributions of CAIs measured in laboratory from sections of carbonaceous chondrites have a power law size distribution with cumulative size exponent between -1.7 and -1.9, which translates into cumulative size exponent between -2.5 and -2.8 after correction for sectioning. To explain these observations, numerical simulations were run to explore the growth of CAIs from micrometer to centimeter sizes, in a hot and turbulent protoplanetary disk through the competition of coagulation and fragmentation. We show that the size distributions obtained in growth simulations are in agreement with CAIs size distributions in meteorites. We explain the CAI sharp cut-off of their size distribution at centimeter sizes as the direct result from the famous fragmentation barrier, provided that CAI fragment for impact velocities larger than 10 m/s. The growth/destruction timescales of millimeter- and centimeter-sized CAIs is inversely proportional to the local dust/gas ratio and is about 10 years at 1300 K and up to 104 years at 1670K. This implies that the most refractory CAIs are expected to be smaller in size owing to their long growth timescale compared to less refractory CAIs. Conversely, the least refractory CAIs could have been recycled many times during the CAI production era which may have profound consequences for their radiometric age., Comment: Accepted in Icarus
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- 2015
8. Metamorphosed calcium-aluminum-rich inclusions in CK carbonaceous chondrites
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N. Chaumard, Bertrand Devouard, Audrey Bouvier, Meenakshi Wadhwa, Laboratoire Magmas et Volcans (LMV), Observatoire de Physique du Globe de Clermont-Ferrand (OPGC), Université Blaise Pascal - Clermont-Ferrand 2 (UBP)-Institut national des sciences de l'Univers (INSU - CNRS)-Centre National de la Recherche Scientifique (CNRS)-Université Blaise Pascal - Clermont-Ferrand 2 (UBP)-Institut national des sciences de l'Univers (INSU - CNRS)-Centre National de la Recherche Scientifique (CNRS)-Université Jean Monnet - Saint-Étienne (UJM)-Centre National de la Recherche Scientifique (CNRS), Institut de minéralogie, de physique des matériaux et de cosmochimie (IMPMC), Muséum national d'Histoire naturelle (MNHN)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut de recherche pour le développement [IRD] : UR206-Centre National de la Recherche Scientifique (CNRS), Centre européen de recherche et d'enseignement des géosciences de l'environnement (CEREGE), Institut de Recherche pour le Développement (IRD)-Institut National de la Recherche Agronomique (INRA)-Aix Marseille Université (AMU)-Collège de France (CdF (institution))-Institut national des sciences de l'Univers (INSU - CNRS)-Centre National de la Recherche Scientifique (CNRS), University of Western Ontario (UWO), Center for Meteorite Studies [Tempe], Arizona State University [Tempe] (ASU), Institut national des sciences de l'Univers (INSU - CNRS)-Université Jean Monnet [Saint-Étienne] (UJM)-Université Blaise Pascal - Clermont-Ferrand 2 (UBP)-Observatoire de Physique du Globe de Clermont-Ferrand (OPGC), Université Blaise Pascal - Clermont-Ferrand 2 (UBP)-Institut national des sciences de l'Univers (INSU - CNRS)-Centre National de la Recherche Scientifique (CNRS)-Centre National de la Recherche Scientifique (CNRS)-Centre National de la Recherche Scientifique (CNRS), Aix Marseille Université (AMU)-Institut national des sciences de l'Univers (INSU - CNRS)-Collège de France (CdF (institution))-Institut de Recherche pour le Développement (IRD)-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Recherche Agronomique (INRA), Centre National de la Recherche Scientifique (CNRS)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut national des sciences de l'Univers (INSU - CNRS)-Université Blaise Pascal - Clermont-Ferrand 2 (UBP)-Observatoire de Physique du Globe de Clermont-Ferrand (OPGC), Centre National de la Recherche Scientifique (CNRS)-Institut national des sciences de l'Univers (INSU - CNRS)-Université Blaise Pascal - Clermont-Ferrand 2 (UBP)-Centre National de la Recherche Scientifique (CNRS), Institut de recherche pour le développement [IRD] : UR206-Centre National de la Recherche Scientifique (CNRS)-Muséum national d'Histoire naturelle (MNHN)-Université Pierre et Marie Curie - Paris 6 (UPMC), and Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Collège de France (CdF)-Institut national des sciences de l'Univers (INSU - CNRS)-Aix Marseille Université (AMU)-Institut National de la Recherche Agronomique (INRA)
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Olivine ,Grossular ,Spinel ,Geochemistry ,Melilite ,Pyroxene ,engineering.material ,Anorthite ,[PHYS.ASTR.CO]Physics [physics]/Astrophysics [astro-ph]/Cosmology and Extra-Galactic Astrophysics [astro-ph.CO] ,Geophysics ,Space and Planetary Science ,Chondrite ,visual_art ,engineering ,visual_art.visual_art_medium ,Plagioclase ,Geology - Abstract
CK chondrites are the only group of carbonaceous chondrites with petrologic types ranging from 3 to 6. Although CKs are described as calcium-aluminum-rich inclusion (CAI)-poor objects, the abundance of CAIs in the 18 CK3–6 we analyzed ranges from zero to approximately 16.4%. During thermal metamorphism, some of the fine-grained CAIs recrystallized as irregular assemblages of plagioclase + Ca-rich pyroxene ! olivine ! Ca-poor pyroxene ! magnetite. Coarse-grained CAIs display zoned spinel, fassaite destabilization, and secondary grossular and spinel. Secondary anorthite, grossular, Ca-rich pyroxene, and spinel derive from the destabilization of melilite, which is lacking in all CAIs investigated. The Al-Mg isotopic systematics measured in fine- and coarsegrained CAIs from Tanezrouft (Tnz) 057 was affected by Mg redistribution. The partial equilibration of Al-Mg isotopic signatures obtained in the core of a coarse-grained CAI (CG1-CAI) in Tnz 057 may indicate a lower peak temperature for Mg diffusion of approximately 540–580 °C, while grossular present in the core of this CAI indicates a higher temperature of around 800 °C for the metamorphic event on the parent body of Tnz 057. Excluding metamorphic features, the similarity in nature and abundance of CAIs in CK and CV chondrites confirms that CVs and CKs form a continuous metamorphic series from type 3 to 6.
- Published
- 2014
9. Radiative heating of carbonaceous near-Earth objects as a cause of thermal metamorphism for CK chondrites
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Brigitte Zanda, Bertrand Devouard, Ariel Provost, Marco Delbo, N. Chaumard, Joseph Louis LAGRANGE (LAGRANGE), Université Côte d'Azur (UCA)-Université Nice Sophia Antipolis (... - 2019) (UNS), COMUE Université Côte d'Azur (2015-2019) (COMUE UCA)-COMUE Université Côte d'Azur (2015-2019) (COMUE UCA)-Observatoire de la Côte d'Azur, and Université Côte d'Azur (UCA)-COMUE Université Côte d'Azur (2015-2019) (COMUE UCA)-Institut national des sciences de l'Univers (INSU - CNRS)-Centre National de la Recherche Scientifique (CNRS)
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Near-Earth object ,Materials science ,Meteoroid ,Astronomy ,Astronomy and Astrophysics ,010502 geochemistry & geophysics ,Thermal diffusivity ,01 natural sciences ,Parent body ,Meteorite ,13. Climate action ,Space and Planetary Science ,Asteroid ,Chondrite ,0103 physical sciences ,Thermal ,010303 astronomy & astrophysics ,ComputingMilieux_MISCELLANEOUS ,0105 earth and related environmental sciences - Abstract
Metamorphic CK carbonaceous chondrites display matrix textures that are best explained by a transient thermal event with temperatures in the 550–950 K range and durations in the order of days to years, longer than what is commonly admitted for shock events but shorter than what is required for nuclide decay. We propose that radiative heating of small carbonaceous meteoroids with perihelia close to the Sun could account for the petrological features observed in CK chondrites. Numerical thermal modeling, using favorable known NEOs orbital parameters (perihelion distances between 0.07 and 0.15 AU) and physical properties of CV and CK chondrites (albedo in the range 0.01–0.1, 25% porosity, thermal diffusivity of 0.5–1.5 W m −1 K −1 ), shows that radiative heating can heat carbonaceous meteoroids in the meter size range to core temperatures up to 1050 K, consistent with the metamorphic temperatures estimated for CK chondrites. Sizes of known CV and CK chondrites indicate that all these objects were small meteoroids (radii from a few cm to 2.5 m) prior to their atmospheric entry. Simulations of dynamic orbits for NEO objects suggest that there are numerous such bodies with suitable orbits and properties, even if they are only a small percentage of all NEOs. Radiative heating would be a secondary process (superimposed on parent-body processes) affecting meteoroids formed by the disruption of an initially homogeneous CV3-type parent body. Different petrologic types can be accounted for depending on the sizes and heliocentric distances of the objects in such a swarm.
- Published
- 2012
10. Incidence and risk factors of anemia in patients with early breast cancer treated by adjuvant chemotherapy
- Author
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Samuel Limat, N. Chaumard, Loic Chaigneau, Fernando Bazan, P. Fagnoni, Xavier Pivot, Virginie Nerich, L. Cals, C. Villanueva, Erion Dobi, Centre Léon Bérard [Lyon], Pathologies et épithéliums : prévention, innovation, traitements, évaluation (EA 4267) (PEPITE), Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Service d'Oncologie Médicale [CHRU Besançon], Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Université de Franche-Comté (UFC), CHU Dijon, Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), Interactions hôte-greffon-tumeur, ingénierie cellulaire et génique - UFC (UMR INSERM 1098) (RIGHT), Institut National de la Santé et de la Recherche Médicale (INSERM)-Etablissement français du sang [Bourgogne-Franche-Comté] (EFS [Bourgogne-Franche-Comté])-Université de Franche-Comté (UFC), Saas, Philippe, and Pathologies et épithéliums : prévention, innovation, traitements, évaluation (UR 4267) (PEPITE)
- Subjects
medicine.medical_treatment ,Docetaxel ,Gastroenterology ,Body Mass Index ,Hemoglobins ,0302 clinical medicine ,Risk Factors ,Antineoplastic Combined Chemotherapy Protocols ,Mastectomy ,2. Zero hunger ,0303 health sciences ,Incidence (epidemiology) ,Incidence ,Age Factors ,Anemia ,General Medicine ,Middle Aged ,3. Good health ,Chemotherapy, Adjuvant ,030220 oncology & carcinogenesis ,[SDV.IMM]Life Sciences [q-bio]/Immunology ,Female ,Taxoids ,medicine.drug ,Epirubicin ,Adult ,medicine.medical_specialty ,Cyclophosphamide ,[SDV.IMM] Life Sciences [q-bio]/Immunology ,Antineoplastic Agents ,Breast Neoplasms ,Drug Administration Schedule ,03 medical and health sciences ,Breast cancer ,Internal medicine ,medicine ,Humans ,030304 developmental biology ,Retrospective Studies ,Gynecology ,Chemotherapy ,business.industry ,medicine.disease ,Logistic Models ,Doxorubicin ,Multivariate Analysis ,Surgery ,business ,Body mass index ,Biomarkers - Abstract
International audience; BACKGROUND: The study's objective was to assess the predictive factors of anemia induced by chemotherapy in early breast cancer patients. PATIENTS AND METHODS: Patients treated by adjuvant or neo-adjuvant anthracyclin-based regimens with or without taxanes between 1998 and 2006 in a French university hospital were studied. Chemotherapy included. Anemia was defined as a hemoglobin (Hb) concentration lower than 12 g/dL. Multivariate analysis by logistic regression was used to search for baseline risk factors linked to the occurrence of anemia. RESULTS: Among 378 patients, anemia was observed in 64% of cases. The occurrence of anemia was significantly related to 6 risk factors: exposure to taxanes (HR 11.5, 95% CI, 2.5-52.6), high dose of anthracyclin (epirubicin 100 mg/m²)(HR 4.3; 95% CI, 2.8-8), Hb at baseline 60 (HR 2.5; 95% CI, 1.4-5) years old (HR 2.5; 95% CI, 1.4-5) and Body Mass Index (BMI) ≤ 25 kg/m² (HR 1.7; 95% CI, 1.0-2.8). CONCLUSION: Taking into account the following factors: type of chemotherapy, BMI, age, Hb at baseline should allow a better identification of patients at risk of anemia.
- Published
- 2011
11. Pharmacie clinique en oncogériatrie : démarche et évaluation au sein de consultations interdisciplinaires
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Catherine Terret, S. Perrin, M. Aitichou, N. Chaumard-Billotey, Gilles Albrand, and V. Colloud
- Subjects
Pharmacology (medical) - Published
- 2014
12. Expérience hospitalière de formation de formateurs et d’étudiants en 5AHU à la conduite des entretiens pharmaceutiques
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E. Pont, P. Misslin, O. Catala, J.-F. Latour, S. Skalli, V. Chamouard, C. Goubier Vial, S. Coursier, T. Girollet, B. Charpiat, C. Laurent, A. Janoly-Dumesnil, G. Grelaud, Christelle Mouchoux, Catherine Rioufol, V. Schwiertz, M. Cleve, N. Chaumard, and E. Huet
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Pharmacology (medical) - Published
- 2014
13. Mise en œuvre d’échanges pharmaceutiques bidirectionnels ville hôpital : à propos d’une expérience portant sur les anticoagulants oraux
- Author
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O. Catala, G. Grelaud, E. Pont, M. Cleve, V. Chamouard, J.-F. Latour, S. Coursier, C. Laurent, S. Skalli, E. Huet, C. Goubier Vial, N. Chaumard, T. Girollet, P. Misslin, Catherine Rioufol, A. Janoly-Dumesnil, Christelle Mouchoux, V. Schwiertz, and B. Charpiat
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Pharmacology (medical) - Published
- 2014
14. Refractory Hemorrhagic Cystitis after Hematopoeitic Stem Cell Transplantation: Clinical Benefit of Factor XIII
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N. Chaumard, Faezeh Legrand, Fabrice Larosa, and Eric Deconinck
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medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Urinary system ,Immunology ,Cell Biology ,Hematology ,Hematopoietic stem cell transplantation ,medicine.disease ,Factor XIII ,Biochemistry ,Gastroenterology ,Surgery ,Transplantation ,Platelet transfusion ,Graft-versus-host disease ,hemic and lymphatic diseases ,Internal medicine ,medicine ,Complication ,business ,Hemorrhagic cystitis ,medicine.drug - Abstract
Hemorrhagic cystitis (HC) is a life threatening complication after haematopoietic stem cell transplantation (SCT). The aim of this study was to value clinical benefit of FXIII in severaly affected patients remaining symptomatic after conventional conservative treatments. Patients and methods Data from patients treated with factor XIII for severe HC after allogeneic SCT were reviewed. Severity of hematuria was evaluated according to National Cancer Institute common toxicity criteria. Clinical improvement was defined as complete or partial resolution of macroscopic hematuria, changes in the irritative urinary symptoms, and decrease of platelet transfusions. Results Nine patients (4 women, 5 men) were treated with one or two infusions of 50 UI/kg body weight of factor XIII between 1998 to 2007. Patients characteristics are summarized in the table. Patients characteristics Age Diagnosis Conditioning regimen Source of SC Status at time of HC Grade HC Urethral catherization Time of resolution* ALL: acute lymphoblastic leukemia, AML: acute myeloblastic leukemia, CML: chronic myeloid leukemia, MM: myeloid metaplasia, BU: busulfan, CY: cyclophosphamide, Mel: melphalan, Fluda: fludarabine, TBI : total body irradiation, BM: bone marrow, PB: peripheral blood, UCB: unit cord blood, aGVHD: acute graft versus host disease 17 Lymphoma 4 BU/CY BM aGVHD III IV Yes 10 days 45 B-ALL BU/CY BM aGVHD III IV Yes No resolution 38 AML 2 BU/Mel PB aGVHD II III Yes 10 days 29 T-ALL BU/CY BM no GVH III Yes 10 days 32 AML 1 TBI/CY BM aGVHD III IV Yes No resolution 47 CML BU/CY BM no GVH II No 4 days 58 MM BU/Mel PB aGVHD II II No 4 days 42 AML 1 Fluda/Mel BM aGVHD I II No 2 days 39 ALL TBI/Fluda/CY UCB aGVHD I II No 2 days FXIII concentrate were administred between 8 and 15 days after the beginning of urinary symptoms except for two patients [Day 30 ; Day 46]. Only one patient showed a low FXIII level before injection. In four cases, several infusions were necessary. All patients were in thombocytopenia (platelets
- Published
- 2007
15. Atezolizumab and paclitaxel as first line therapy in advanced triple-negative breast cancer patients included in the French early access program.
- Author
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de Moura A, Vuagnat P, Renouf B, Pierga JY, Loirat D, Vaflard P, Lafayolle de la Bruyère C, Chaumard-Billotey N, Hajjaji N, Ladoire S, Dabakuyo S, Patsouris A, Frenel JS, Nicolai V, Alexandre M, Dohollou N, Grenier J, Bourien H, and Bidard FC
- Subjects
- Humans, B7-H1 Antigen, Retrospective Studies, Paclitaxel therapeutic use, Triple Negative Breast Neoplasms drug therapy
- Abstract
Following the results of the IMpassion130 trial, an early access program (EAP) was opened in France, allowing patients with PD-L1-positive advanced triple negative breast cancer (aTNBC) to receive a combination of paclitaxel and atezolizumab as first line therapy. This EAP was later discontinued when the IMpassion131 trial read out with negative results. We performed a retrospective multicentric analysis in patients who were prospectively enrolled in the French EAP. Efficacy and toxicity data were obtained on 64 patients treated from August 2019 to August 2020 in 10 French cancer centers. Median progression-free survival (PFS) and overall survival (OS) were 4.1 months (95% CI [3.0-5.8]) and 17.9 months (95% CI [12.4-NR]), respectively. The 6-months PFS rate was 28% (95% CI [16-40%]) (N = 18/64), while N = 33/64 patients (52%, 95% CI [38-63%]) experienced a tumor response. Exploratory subgroup analyses retrieved that corticosteroid use at inclusion in the EAP, before treatment initiation, was the only independent unfavorable prognostic factor for PFS (HR 2.7, 95% CI [1.3-5.6]). No new safety signal was observed. This real-life study, unique by its setting (EAP granted by anticipation and later withdrawn), suggests atezolizumab and paclitaxel has a limited efficacy in PD-L1-positive aTNBC, especially in patients receiving corticosteroids as comedication before treatment start., (© 2023. Springer Nature Limited.)
- Published
- 2023
- Full Text
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16. Survival and risk of COVID-19 after SARS-COV-2 vaccination in a series of 2391 cancer patients.
- Author
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Heudel P, Favier B, Solodky ML, Assaad S, Chaumard N, Tredan O, Bachelot T, Ray-Coquard I, Russias B, Fournier ML, Mastroianni B, Avrillon V, Michallet AS, Zrounba P, Chabaud S, Perol D, and Blay JY
- Subjects
- COVID-19 Vaccines adverse effects, Health Personnel, Humans, Infant, SARS-CoV-2, Vaccination, COVID-19 epidemiology, COVID-19 prevention & control, Neoplasms
- Abstract
Background: Patients with cancer are at high risk of severe or lethal COVID-19. The impact of SARS-COV-2 vaccination on the risk of developing COVID-19 was investigated in an exhaustive series of patients from a comprehensive cancer center., Methods: This is a study of the exhaustive population of 2391 cancer patients who were prescribed SARS-COV-2 vaccination until 09/21. Patient characteristics, documented SARS-COV-2 infection with RT-PCR, and survival were collected. The primary endpoint was the rate of COVID-19 after vaccination. Secondary endpoints included risk factors to develop COVID-19 after vaccination, with a comparison with the cohort of vaccinated health care workers (HCW), and risk factors for death., Results: From January to September 2021, among 2391 patients with cancer under active treatment in whom a SARS-COV-2 vaccine was prescribed, 659 (28%), 1498 (63%) and 139 (6%) received 1, 2, and 3 doses, respectively. Ninety five patients received a single dose of vaccine after a previous COVID-19. Two thousand two hundred eighty five health care workers (HCW) received one (N = 17, 0.7%), 2-3 (N = 2026, 88.7%) vaccine doses and one dose after COVID-19 (N = 242, 10.6%). With a median follow-up of 142 and 199 days for patients and HCW, respectively. Thirty nine (1.6%) patients and 35 (1.5%) HCW developed COVID-19 after vaccination. Six of 39 cancer patients and no HCW died because ofCOVID-19 within 50 days after diagnosis. Independent risk factors for COVID-19 in vaccinated patients were age, single dose of vaccine without previous COVID-19 and anti-CD20 treatment in the last three months. Independent risk factors for death included metastatic disease, gender, cancer type, but also documented COVID-19 before vaccination., Conclusions: Patients receiving two or more doses of COVID-19 vaccine have reduced risk of COVID-19. The risk of death of vaccinated cancer patients presenting COVID-19 remains high. COVID-19 before vaccination is associated with an increased overall risk of death., Competing Interests: Conflict of interest statement The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: All authors: research support from Astra-Zeneca and Innate Pharma for a research program not directly related to the present work., (Copyright © 2022 Elsevier Ltd. All rights reserved.)
- Published
- 2022
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17. [Reducing the exposure of patients and healthcare teams to cytotoxins].
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Labidi A, Favier B, and Chaumard N
- Subjects
- Delivery of Health Care, Health Facilities, Health Personnel, Humans, Occupational Exposure, Cytotoxins poisoning, Patient Care Team
- Abstract
In order to prevent human and environmental risks related to the handling of cytotoxins and cytostatics, health care institutions are implementing precautionary measures. Information and training actions for health professionals, nurses, orderlies and pharmacy assistants are also part of the system. Example with a team in Lyon., (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
18. Oxygen isotope systematics of chondrules in the Paris CM2 chondrite: indication for a single large formation region across snow line.
- Author
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Chaumard N, Defouilloy C, Hertwig AT, and Kita NT
- Abstract
In-situ oxygen three-isotope analyses of chondrules and isolated olivine grains in the Paris (CM) chondrite were conducted by secondary ion mass spectrometry (SIMS). Multiple analyses of olivine and/or pyroxene in each chondrule show indistinguishable Δ
17 O values, except for minor occurrences of relict olivine grains (and one low-Ca pyroxene). A mean Δ17 O value of these homogeneous multiple analyses was obtained for each chondrule, which represent oxygen isotope ratios of the chondrule melt. The Δ17 O values of individual chondrules range from -7‰ to -2‰ and generally increase with decreasing Mg# of olivine and pyroxene in individual chondrules. Most type I (FeO-poor) chondrules have high Mg# (~99) and variable Δ17 O values from -7.0‰ to -3.3‰. Other type I chondrules (Mg# ≤97), type II (FeO-rich) chondrules, and two isolated FeO-rich olivine grains have host Δ17 O values from -3‰ to -2‰. Eight chondrules contain relict grains that are either16 O-rich or16 O-poor relative to their host chondrule and show a wide range of Δ17 O values from -13‰ to 0‰. The results from chondrules in the Paris meteorite are similar to those in Murchison (CM). Collectively, the Δ17 O values of chondrules in CM chondrites continuously increase from -7‰ to -2‰ with decreasing Mg# from 99 to 37. The majority of type I chondrules (Mg# >98) show Δ17 O values from -6‰ to -4‰, while the majority of and type II chondrules (Mg# 60-70) show Δ17 O values of -2.5‰. The covariation of Δ17 O versus Mg# observed among chondrules in CM chondrites may suggest that most chondrules in carbonaceous chondrites formed in a single large region across the snow line where the contribution of16 O-poor ice to chondrule precursors and dust enrichment factors varied significantly.- Published
- 2021
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- View/download PDF
19. Oxygen isotope systematics of chondrules in the Murchison CM2 chondrite and implications for the CO-CM relationship.
- Author
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Chaumard N, Defouilloy C, and Kita NT
- Abstract
High-precision oxygen three-isotope measurements of olivine and pyroxene were performed on 29 chondrules in the Murchison CM2 chondrite by secondary ion mass spectrometry (SIMS). The oxygen isotope ratios of analyzed chondrules all plot very close to the primitive chondrule minerals (PCM) line. In each of 24 chondrules, the olivine and/or pyroxene grains analyzed show indistinguishable oxygen isotope ratios. Exceptions are minor occurrences of isotopically distinguished relict olivine grains, which were found in nine chondrules. The isotope homogeneity of these phenocrysts is consistent with a co-magmatic crystallization of olivine and pyroxene from the final chondrule melts and a significant oxygen isotope exchange between the ambient gas and the melts. Homogeneous type I chondrules with Mg#'s of 98.9-99.5 have host chondrule Δ
17 O values ranging from -6.0‰ to -4.1‰, with one exception (Δ17 O: -1.2‰; Mg#: 99.6). Homogeneous chondrules with Mg#'s <96, including four type II chondrules (Mg# ~65-70), have Δ17 O values of around -2.5%. Five type I chondrules (Mg# ≥99) have internally heterogeneous oxygen isotope ratios with Δ17 O values ranging from -6.5% to -4.0%, similar to those of host chondrule values. These heterogeneous chondrules have granular or porphyritic textures, convoluted outlines, and contain numerous metal grains dispersed within fine-grained silicates. This is consistent with a low degree of melting of the chondrule precursors, possibly because of a low temperature of the melting event and/or a shorter duration of melting. The Δ17 O values of relict olivine grains in nine chondrules range from -17.9% to -3.4%, while most of them overlap the range of the host chondrule values. Similar to those reported from multiple carbonaceous chondrites (Acfer 094, Y-82094, CO, CR, and CV), the Δ17 O ~-5% and high Mg# (≥99) chondrules, which might derive from a reduced reservoir with limited dust enrichments (~50× Solar System), dominate the population of chondrules in Murchison. Other chondrules in Murchison formed in more oxidizing environment (Mg#<96) with higher Δ17 O values of -2.5%, in agreement with the low Mg# chondrules in Acfer 094 and CO chondrites and some chondrules in CV and CR chondrites. They might form in environments containing the same anhydrous precursors as for the Δ17 O ~-5% and Mg# ~99 chondrules, but enriched in16 O-poor H2O ice (~0.3-0.4× the CI dust; Δ17 0>0%) and at dust enrichments of ~300-2000×. Regarding the Mg# and oxygen isotope ratios, the chondrule populations sampled by CM and CO chondrites are similar and indistinguishable. The similarity of these16 O-rich components in CO and CM chondrites is also supported by the common Fe/Mn ratio of olivine in type II chondrules. Although they accreted similar high-temperature silicates, CO chondrites are anhydrous compared to CM chondrites, suggesting they derived from different parent bodies formed inside and outside the snow line, respectively. If chondrules in CO and CM chondrites formed at the same disk locations but the CM parent body accreted later than the CO parent body, the snow line might have crossed the the common chondrule-forming region towards the Sun between the time of the CO and CM parent bodies accretion.- Published
- 2018
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20. [Patient education in the prevention of febrile aplasia in oncology].
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Hureau M, Chaumard-Billotey N, Emard M, Loriot P, and Perennec ME
- Subjects
- Fever immunology, Humans, Neutropenia immunology, Fever prevention & control, Neoplasms complications, Neutropenia prevention & control, Patient Education as Topic methods
- Abstract
Therapeutic education helps patients develop new skills to understand and manage their disease, their treatments and thereby improve their quality of life. This article presents the example of a therapeutic education workshop aimed at recognising the warning signs of febrile aplasia, to optimise its treatment and to reduce morbidity and mortality in this major complication in oncology.
- Published
- 2014
- Full Text
- View/download PDF
21. Incidence and risk factors of anemia in patients with early breast cancer treated by adjuvant chemotherapy.
- Author
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Chaumard N, Limat S, Villanueva C, Nerich V, Fagnoni P, Bazan F, Chaigneau L, Dobi E, Cals L, and Pivot X
- Subjects
- Adult, Age Factors, Anemia blood, Anemia epidemiology, Antineoplastic Agents administration & dosage, Antineoplastic Agents adverse effects, Antineoplastic Combined Chemotherapy Protocols therapeutic use, Biomarkers blood, Body Mass Index, Breast Neoplasms surgery, Chemotherapy, Adjuvant adverse effects, Cyclophosphamide adverse effects, Cyclophosphamide therapeutic use, Docetaxel, Doxorubicin adverse effects, Doxorubicin therapeutic use, Drug Administration Schedule, Epirubicin administration & dosage, Epirubicin adverse effects, Female, Hemoglobins metabolism, Humans, Incidence, Logistic Models, Mastectomy, Middle Aged, Multivariate Analysis, Retrospective Studies, Risk Factors, Taxoids administration & dosage, Taxoids adverse effects, Anemia chemically induced, Antineoplastic Combined Chemotherapy Protocols adverse effects, Breast Neoplasms drug therapy
- Abstract
Background: The study's objective was to assess the predictive factors of anemia induced by chemotherapy in early breast cancer patients., Patients and Methods: Patients treated by adjuvant or neo-adjuvant anthracyclin-based regimens with or without taxanes between 1998 and 2006 in a French university hospital were studied. Chemotherapy included. Anemia was defined as a hemoglobin (Hb) concentration lower than 12 g/dL. Multivariate analysis by logistic regression was used to search for baseline risk factors linked to the occurrence of anemia., Results: Among 378 patients, anemia was observed in 64% of cases. The occurrence of anemia was significantly related to 6 risk factors: exposure to taxanes (HR 11.5, 95% CI, 2.5-52.6), high dose of anthracyclin (epirubicin 100 mg/m²)(HR 4.3; 95% CI, 2.8-8), Hb at baseline < 13.5 g/d (HR 4.3; 95% CI, 2.6-7.1), mastectomy (HR 2.5; 95% CI, 1.4-3.3), age >60 (HR 2.5; 95% CI, 1.4-5) years old (HR 2.5; 95% CI, 1.4-5) and Body Mass Index (BMI) ≤ 25 kg/m² (HR 1.7; 95% CI, 1.0-2.8)., Conclusion: Taking into account the following factors: type of chemotherapy, BMI, age, Hb at baseline should allow a better identification of patients at risk of anemia., (Copyright © 2011 Elsevier Ltd. All rights reserved.)
- Published
- 2012
- Full Text
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22. The PhaSeal® system: impact of its use on workplace contamination and duration of chemotherapy preparation.
- Author
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Favier B, Labrosse H, Gilles-Afchain L, Cropet C, Perol D, Chaumard N, Latour JF, and Hild P
- Subjects
- Drug Compounding instrumentation, Environmental Monitoring, Equipment Contamination prevention & control, Fluorescein chemistry, Fluorescent Dyes chemistry, France, Humans, Pharmacy Technicians organization & administration, Time Factors, Workplace, Antineoplastic Agents chemistry, Drug Compounding methods, Occupational Exposure prevention & control, Pharmacy Service, Hospital methods
- Abstract
Purpose: The primary objective of this study was to compare the levels of environmental contamination before and after the introduction of PhaSeal® (closed-system drug transfer device) in two hospital pharmacies. Our secondary objective was to assess the impact of the device on the duration of drug preparation compared to procedures involving the use of needles and syringes., Methods: The study involved two French hospitals, which prepared antineoplastic chemotherapy using a biological safety cabinet and an isolator. Five skilled pharmacy technicians at each hospital prepared a total of 100 chemotherapy preparations using the standard procedure and 100 using the PhaSeal® system. To control for possible contamination occurring in the course of the procedure, we used fluorescein which becomes fluorescent when exposed to UV light. To reply the second objective, we timed the duration of the different steps of the manipulation., Results: Our findings showed a major reduction in the contamination of the work environment when using the PhaSeal® system for drug preparation. Reduction rates higher than 93% were obtained, whatever the type of protection used. On the duration of preparation, our results indicate that this duration would be approximately 1 h longer for the preparation of 100 samples., Conclusion: In conclusion, this study clearly establishes the benefit of using PhaSeal® for protecting the staff members who work with hazardous agents. It also indicates that the duration of drug preparation is not impacted by the use of the system.
- Published
- 2012
- Full Text
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23. Hospital costs of renal transplant management.
- Author
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Chaumard N, Fagnoni P, Nerich V, Limat S, Dussaucy A, Chalopin JM, Bittard H, and Woronoff-Lemsi MC
- Subjects
- Diagnosis-Related Groups economics, France, Hospital Units economics, Hospitals, University economics, Humans, Length of Stay economics, Retrospective Studies, Costs and Cost Analysis, Hospitalization economics, Kidney Transplantation economics
- Abstract
Renal transplantation is considered to be a cost-effective therapy, but hospital medical costs are not accurately known. The aim of this work was to evaluate the costs of hospital stay for renal transplantation. This retrospective study included all patients who underwent renal transplantation between January 1, 2004, and December 31, 2005, in our University hospital. The incurred costs were determined using our center's analytical accounting (AA). The mean local cost was then compared with the median national cost of hospitalization for renal transplantation, based on a sample of participating centers contributing to the National Cost Scale (NCS) per homogenous diagnosis-related group (DRG). These mean costs were weighed against the financing obtained by national rates of the case-mix based payment system (termed T2A). Data were collected from 77 patients. Their mean length of stay was 19.4 days. AA determined the cost of management to be euro14,100 per patient. National economic approaches were significantly higher: euro16,389 for NCS and euro17,369 for national rates. Thus, the specific DRG rate (case mix index) of renal transplantation covers the expenses incurred by our center. These results are rather interesting; however, it is unlike those obtained for the management of other diseases such as acute myeloid leukemia, where T2A underestimates the actual cost by 2-4 times. Last, the hospital budget and T2A must be considered as a whole. The fact that DRGs with favorable and unfavorable pricing balance out should be taken into account.
- Published
- 2008
- Full Text
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24. [3/3 Inhibitors of mTOR (sirolimus and everolimus)].
- Author
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Chaumard N, Limat S, and Woronoff-Lemsi MC
- Subjects
- Drug Interactions, Drug Monitoring, Everolimus, Humans, Immunosuppressive Agents adverse effects, Immunosuppressive Agents immunology, Patient Selection, Sirolimus adverse effects, Sirolimus immunology, T-Lymphocytes drug effects, T-Lymphocytes immunology, TOR Serine-Threonine Kinases, Transplantation Immunology, Immunosuppressive Agents therapeutic use, Protein Kinases drug effects, Sirolimus analogs & derivatives, Sirolimus therapeutic use
- Published
- 2007
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