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Grigoriadis T, Valla A, Zacharakis D, Protopapas A, Athanasiou S. Vaginal hysterectomy for uterovaginal prolapse: what is the incidence of concurrent gynecological malignancy? Int Urogynecol J 2014; 26:421-5. [PMID: 25293812 DOI: 10.1007/s00192-014-2516-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2014] [Accepted: 09/13/2014] [Indexed: 02/02/2023]
Abstract
INTRODUCTION AND HYPOTHESIS Vaginal hysterectomy (VH) is a commonly performed procedure for the operative treatment of uterovaginal prolapse (UVP). The reported incidence of unexpected gynecological cancer in cases of VH for UVP ranges between 0.3 and 0.8 %. Aim of the study is to assess the incidence of malignant and premalignant gynecological histopathological findings among women who underwent a VH for UVP and had a normal preoperative workup. METHODS The histopathology reports of women who underwent VH for the treatment of UVP were retrospectively assessed. All women had a history of normal cervical smear tests and a normal preoperative transvaginal scan. Patients with a history of a premalignant or malignant gynecological pathological condition and women with abnormal uterine bleeding were excluded. RESULTS Overall, 14 out of 333 women who underwent VH (4.2 %) were found to have abnormal histopathological findings of the uterus. Among them, there were 9 cases of endometrial hyperplasia of any type (2.7 %), 1 case of cervical cancer (0.3 %), 1 case of cervical intraepithelial neoplasia (CIN) III (0.3 %), and 3 cases of CINI (0.9 %). No cases of endometrial cancer were detected. Among women who underwent salpingo-oophorectomy (n = 86) three simple serous cysts (3.5 %) were found, with no cases of ovarian cancer. CONCLUSIONS The incidence of unexpected premalignant or malignant gynecological pathological conditions among asymptomatic women who underwent VH, with a history of normal cervical smear tests and normal preoperative TVS, was low but not negligible. This information should be included in the preoperative counseling of women planning to undergo surgery for UVP.
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Affiliation(s)
- Themos Grigoriadis
- First Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, "Alexandra" Hospital, 80 Vas.Sofias Avenue, 11528, Athens, Greece,
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Bo S, Rosato R, Ciccone G, Canil S, Gambino R, Poala CB, Leone F, Valla A, Grassi G, Ghigo E, Cassader M, Menato G. Simple lifestyle recommendations and the outcomes of gestational diabetes. A 2 × 2 factorial randomized trial. Diabetes Obes Metab 2014; 16:1032-5. [PMID: 24646172 DOI: 10.1111/dom.12289] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2013] [Revised: 02/27/2014] [Accepted: 03/11/2014] [Indexed: 11/29/2022]
Abstract
The benefits of exercise and behavioural recommendations in gestational diabetes mellitus (GDM) are controversial. In a randomized trial with a 2 × 2 factorial design, we examined the effect of exercise and behavioural recommendations on metabolic variables, and maternal/neonatal outcomes in 200 GDM patients. All women were given the same diet: group D received dietary recommendations only; group E was advised to briskly walk 20-min/day; group B received behavioural dietary recommendations; group BE was prescribed the same as B + E. Dietary habits improved in all groups. In a multivariable regression model, fasting glucose did not change. Exercise, but not behavioural recommendations, was associated with the reduction of postprandial glucose (p < 0001), glycated haemoglobin (HbA1c; p < 0.001), triglycerides (p = 0.02) and C-reactive protein (CRP; p < 0.001) and reduced any maternal/neonatal complications (OR = 0.50; 95%CI=0.28-0.89;p = 0.02). In GDM patients a simple exercise programme reduced maternal postprandial glucose, HbA1c, CRP, triglycerides and any maternal/neonatal complications, but not fasting glucose values.
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Affiliation(s)
- S Bo
- Department of Medical Sciences, University of Turin, Turin, Italy
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3
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Renard A, Valla A, Sedat J, Ichai C, Quintard H. [Serious pulmonary embolism and thromboaspiration]. Ann Fr Anesth Reanim 2010; 29:391-394. [PMID: 20409673 DOI: 10.1016/j.annfar.2010.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2009] [Accepted: 03/03/2010] [Indexed: 05/29/2023]
Abstract
Pulmonary embolism is a common disease with a mortality rate of approximately 3%. Polytraumatised patients are particularly susceptible to thromboembolism because of prolonged immobilisation and inflammatory syndrome, thrombembolic risk also increases significantly during the peripartum period. Rapid diagnosis and intervention are essential for survival. Conventional treatment consists of systemic intravascular thrombolysis, but this procedure is often contraindicated in intensive care patients because of the high risk of haemorrhage. We report two cases of successful treatment using radiological endovascular thrombectomy.
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Affiliation(s)
- A Renard
- Réanimation médicochirurgicale, hôpital St-Roch, CHU de Nice, université Nice Sophia-Antipolis, 4, rue Pierre-Dévoluy, 06006 Nice, France
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Zentz F, Labia R, Sirot D, Faure O, Grillot R, Valla A. Syntheses, in vitro antibacterial and antifungal activities of a series of N-alkyl, 1,4-dithiines. ACTA ACUST UNITED AC 2005; 60:944-7. [PMID: 16239002 DOI: 10.1016/j.farmac.2005.06.015] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2004] [Revised: 06/08/2005] [Accepted: 06/23/2005] [Indexed: 11/22/2022]
Abstract
A series of dithiines were synthesized by cyclization of 4-(alkylamino)-4-oxobutanoic acids under the action of SOCl2. Their in vitro antibacterial and antifungal activities have been evaluated against reference strains and versus reference compounds. The so-called 'isoimides' 2a, 2b were totally inactive whereas some imides had low MICs for few bacteria and for few fungal microorganisms.
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Affiliation(s)
- F Zentz
- Chimie et biologie des substances naturelles, FRE 2125 CNRS, 6, rue de l'Université, 29000 Quimper, France.
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Dufossé L, Galaup P, Carlet E, Flamin C, Valla A. Spectrocolorimetry in the CIE L*a*b* color space as useful tool for monitoring the ripening process and the quality of PDO red-smear soft cheeses. Food Res Int 2005. [DOI: 10.1016/j.foodres.2005.02.013] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Abstract
In a retrospective study of women aged 18-30 years, aimed at assessing factors associated with peak bone mass (PBM), 13 of 239 study cases reported having had anorexia nervosa. The mean total femoral and lumbar bone mineral density (BMD) values were not significantly lower in women who had had anorexia than in the pooled group (mean Z-scores of -0.60 and -0.48). Cases with less than 6 years since the anorexia had on average a present weight 5.7 kg less than their premorbid weights, while cases with more than 6 years since the eating disorder had an average weight 22.5 kg above their pre-morbid weights. The cases who had not regained their weight had BMD values significantly lower than the pooled material (mean Z-scores -1.15 and -0.9 in the lumbar spine and total femur respectively). Those who had regained their weight had BMD values as predicted from their present anthropometric data, while those who had not regained their weight had BMD values that were substantially below that predicted from their present weight. Anorexia nervosa seems to be associated with a low BMD which is even lower than that which can be predicted from the weight loss alone. This suggests that weight loss and other factors, such as menstrual dysfunction and estrogen deficiency, are independent and thus additive causes of bone loss in anorexia nervosa. Recovery of BMD seems slow, but the BMD may become as predicted from the anthropometric data after restoration of body weight and menses. The potential for recovery of BMD seems intact for several years after menarche.
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Affiliation(s)
- A Valla
- Medical Faculty, University of Trondheim, Norway
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7
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Gaullier JM, Valla A, Bazin M, Giraud M, Dubertret L, Santus R. N-conjugates of 2,5-disubstituted pyrrole and glutathione. Evaluation of their potency as antioxidants against photosensitization of NCTC 2544 keratinocytes by excess endogenous protoporphyrin IX. J Photochem Photobiol B 1997; 39:24-9. [PMID: 9210319 DOI: 10.1016/s1011-1344(96)07466-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
A novel glutathione compound in which the amino group has been derivatized by a 2,5-dimethyl pyrrole is shown to be very effective against cell photosensitization in vitro. Protoporphyrin IX either added to the medium or produced endogenously by incubation of NCTC 2544 keratinocytes with 5-aminolevulinic acid has been chosen as the photosensitizer. The antioxidant effectiveness of glutathione-pyrrole derivatives against protoporphyrin photosensitization depends critically on the type of 2,5 substitution on the pyrrole ring. This structure-function relationship may be attributed to the difference in compartmentation and/or uptake of the various glutathione-pyrrole derivatives under study. The 2,5-dimethyl pyrrole derivative is much more effective than glutathione as a protective agent against phototoxic reactions induced by protoporphyrin IX.
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Affiliation(s)
- J M Gaullier
- Laboratoire de Photobiologie (INSERM U312), Muséum National d'Histoire Naturelle, Paris, France
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Launoy G, Herbert C, Vallée JP, Desoubeaux N, Réaud JM, Ollivier V, Bouvier V, Flachs A, Arsène D, Valla A, Gignoux M. [Mass screening for colorectal cancer in France. Experience in 165,000 people in the department of Calvados]. Gastroenterol Clin Biol 1996; 20:228-236. [PMID: 8763059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
OBJECTIVES Screening for colorectal cancer is a major public health problem in France as in most developed countries. Several controlled trials are on-going in Europe. The aim of the study was to determine requirements for success of mass-screening for colorectal cancer in France. METHODS A mass-screening program has been conducted between April 1991 and June 1994 in the department of Calvados for 164,364 people aged 45-74 years. The screening test was first proposed by general practitioners and occupational doctors during appointments. Secondly, a postal invitation to obtain the test, free of charge, by doctor or chemist, was sent. RESULTS Global participation rate was 43.4%; 40.2% of tests were distributed during the first phase, 47.1% during the second phase and 12.7% were distributed by a private health institute. Participation was higher for females (47.1%) than males (39.2%) and for urban districts (46.5%) than rural districts (24.4%). In case of positive test, colonoscopy has been more frequently achieved in urban districts and when test has been distributed by a physician. Positivity rate was 2.8%. Positive predictive value was 8.0% for a cancer and 13.5% for an adenoma larger than 1 cm. Because both positivity rate and positive predictive value were higher for males than females and increased with age, rate of cancer or large adenoma screened was almost three times higher for males than females and markedly increased with age. CONCLUSIONS In France, different recruitment methods have to be used to reach a satisfactory participation to a mass-screening campaign. Such a program requires involvement of general practitioners and close coordination between practitioners and health care insurance agencies.
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Affiliation(s)
- G Launoy
- Registre des Cancers Digestifs du Calvados
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Launoy G, Herbert C, Reaud JM, Thezee Y, Tichet J, Maurel J, Ollivier V, Pegulu L, Caces E, Valla A. Haemoccult test properties according to type and number of positive slides in mass screening for colorectal cancer. Br J Cancer 1995; 72:1043-6. [PMID: 7547220 PMCID: PMC2034039 DOI: 10.1038/bjc.1995.459] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
Despite encouraging results from recent studies, there is still no consensus to undertake mass screening using the Haemoccult test in the general population. The success of mass screening for colorectal cancer depends among other things on Haemoccult test properties. In on-going screening programmes, the Haemoccult test consists of six slides and a test is considered positive if at least one slide is coloured. The aim of this work was to study the influence of the type and number of positive slides on the Haemoccult test's positive predictive value and characteristics of screened lesions. This work focuses on 63,958 first tests in a mass screening programme in Calvados (France) among people aged 45-74 years. There was a linear relation between the positive predictive value for cancer or an adenoma larger than 1 cm and the number of positive slides (P < 10(-4)). The positive predictive value for cancer or large adenoma was significantly higher when 4-6 slides were positive (44.3%) than when only 1-3 were positive (19.1%) (P < 10(-4)). In this latter group, the subjects in whom tumours were detected were younger and had significantly less extensive cancers. Borderline tests (no slides positive and at least one slide with a blue coloration confined to the edges) had a positive predictive value for cancer or an adenoma larger than 1 cm no different to that of tests with 1-3 positive slides. Subjects with borderline results were markedly younger than the others and had less extensive cancers and rectal localisation more often than the others. Our results suggest that (1) increasing the number of positive slides required to declare a test positive leads to an increase in the positive predictive value but is not to be recommended because of the sensitivity of the test and (2) considering borderline Haemoccult tests as positive in on-going and future mass screening campaigns would allow an increase in the sensitivity of the test, especially for rectal cancer and low extensive tumours without any decrease in its positive predictive value.
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Affiliation(s)
- G Launoy
- Registre des Tumeurs Digestives du Calvados, Caen, France
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10
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Gaullier J, Bazin M, Valla A, Giraud M, Santus R. Amino acid-pyrrole N-conjugates; a new class of antioxidants II. Effectiveness of singlet oxygen quenching by luminescence measurements. Journal of Photochemistry and Photobiology B: Biology 1995. [DOI: 10.1016/1011-1344(95)07175-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Herbert C, Launoy G, Thezee Y, Maurel J, Richir B, Reaud JM, Ollivier V, Pegulu L, Valla A, Gignoux M. Participants' characteristics in a French colorectal cancer mass screening campaign. Prev Med 1995; 24:498-502. [PMID: 8524725 DOI: 10.1006/pmed.1995.1079] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
BACKGROUND Participation by the target population is clearly a key element in the success of mass screening programs for colorectal cancer. In France, involvement of general practitioners in test distribution is essential to reach a satisfactory participation rate, but other forms of recruitment also have to be organized. The aim of this study was to determine the influence of demographic characteristics such as sex, age, and place of residence on the participation rate in a French mass screening according to different recruitment methods. METHODS The Hemoccult IIR test was proposed in three consecutive ways: spontaneously by general practitioners and occupational doctors during appointments (phase 1), by postal invitation (phase 2), and finally by direct mailing of the test (phase 3). The target population consisted of 11,947 people between 45 and 74 years of age, living in a district of the French county of Calvados, between March 1991 and April 1993. RESULTS The overall participation rate was 51.3%. Forty-nine percent of all the tests were done during phase 1, 31% during phase 2, and 20% during phase 3. The overall participation rate varied essentially according to the place of residence, from 65.5% in urban areas and 48.9% in intermediate areas to 27.7% in rural areas. The overall participation rate was also higher for females (57%) than for males (45%) and for those 60 years and older (53.9%) than for those below this age (49.2%). The proportion of tests done during phase 1 was lowest among the youngest and the oldest age groups (37.5% in the 45- to 49-year class and 45.2% in the 70- to 74-year class) and among people living in the rural environment (respectively 55.3%, 45.5%, and 35.9% in urban, intermediate, and rural areas). CONCLUSIONS This study shows that place of residence strongly influences the global participation rate in mass screening for colorectal cancer in France, whereas sex and age have little influence. Recruitment methods complementary to distribution by general practitioners must be organized, especially for the youngest and oldest age groups (45-49 years and 70-74 years) and above all for people living in rural areas. The social, cultural, and psychological reasons for these differences remain to be investigated, with the aim of adapting mass screening strategies to the different population groups.
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Affiliation(s)
- C Herbert
- Registre des Tumeurs Digestives du Calvados, Equipe associée INSERM-DGS, Faculté de Médecine CHU Côte de Nacre, Caen, France
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Gignoux M, Valla A, Launoy G, Herbert C. [Objectives and means of screening of colorectal cancer]. Rev Prat 1994; 44:2700-5. [PMID: 7878359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Despite numerous publications on the subject, the debate over the merits of the various methods available for screening for colorectal cancer is continuing. Choice of the method depends on the patient being treated. In the present state of our knowledge, mass screening by Hemoccult, which is of low cost but of poor sensitivity and only fairly well accepted, cannot be used routinely but must be further evaluated and developed. In persons willing to undergo regular examinations, an annual or biannual Hemoccult examination associated with rectosigmoidoscopy every 5 years appears appropriate. In subjects having a familial history in first-degree relatives, colonoscopic examination every 5 years is adequate. Lastly, in patients with a personal history of cancer or adenoma, screening consists of colonoscopic follow-up adapted to the individual case.
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Affiliation(s)
- M Gignoux
- Centre Hospitalier Universitaire Côte de Nacre, Caen
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13
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Gaullier JM, Lafontant P, Valla A, Bazin M, Giraud M, Santus R. Glutathione peroxidase and glutathione reductase activities towards glutathione-derived antioxidants. Biochem Biophys Res Commun 1994; 203:1668-74. [PMID: 7945316 DOI: 10.1006/bbrc.1994.2378] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
A new class of glutathione derivatives with antioxidant properties has been prepared by transformation of the NH2 group into a pyrrole ring with various substitutions at the 2 and 5 positions. Due to steric hindrance and/or hydrophobicity of the 2-5-disubstituted pyrrole ring, the reduced glutathione derivatives are poor substrates of the glutathione peroxidase and do not effectively compete with GSH. The oxidized glutathione derivatives are, in turn, relatively good substrates (Km = 1.5 mM) of the glutathione reductase as compared to natural oxidized glutathione (Km = 0.51 mM) but are not effective competitors of the enzyme. It can be considered that the new glutathione derivatives do not strongly interfere with the natural enzymatic defence against fatty acid hydroperoxides formed during an oxidative stress.
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Affiliation(s)
- J M Gaullier
- Museum National d'Histoire Naturelle, Laboratoire de Physico-Chimie de l'Adaptation Biologique (INSERM U312), Paris, France
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Valla A, Giraud M, Ginderow D. Synthèses et structures de deux acides 5,6-dihydro-6-[aryl]-4-{2-[aryl]-éthényl}-2-oxo-2H-pyrane-3-carboxylique. Acta Crystallogr C 1994. [DOI: 10.1107/s0108270194001423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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15
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Santus R, Patterson LK, Giraud M, Valla A, Lafontant P, Bazin M. A pulse radiolysis study of one-electron oxidation and .OH radical reaction of a new class of antioxidants: 2,5 dimethylpyrrole--amino acid N-conjugates. Free Radic Biol Med 1994; 16:801-9. [PMID: 8070684 DOI: 10.1016/0891-5849(94)90196-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
A new class of 2,5 dimethylpyrrole functionalized amino acid and peptide antioxidants has been synthesized. Pulse radiolysis studies have been carried out on these compounds to determine their reactivity in one-electron oxidation reactions with Br2- and (SCN)2-, as well as their reactivity toward the water radicals .OH and eaq-. When compared to similar reactions with parent amino acids and peptides, both rate constants and transient spectra indicate considerable interaction between the electronic states of the pyrrole moiety and amino acid or peptide. Where comparison data is available, radical reactions are significantly more rapid with these derivatives than with the parent compounds. Exceptions occur in some cases of .OH attack where steric hindrance may be evoked to explain a lower rate constant in the derivative compounds. Electron attachment rates are also found to be enhanced by the presence of the pyrrole ring.
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Affiliation(s)
- R Santus
- Museum National d'Histoire Naturelle, Laboratoire de Physico-chimie de l'Adaptation Biologique (INSERM U312), Paris, France
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Dao T, Lecointe I, Piquet MA, Jardin-Grimaux I, Bouvard N, Verwaerde JC, Valla A. Transient hepatofugal portal blood flow in alcoholic cirrhosis with acute alcoholic hepatitis. J Hepatol 1994; 20:306-7. [PMID: 8006412 DOI: 10.1016/s0168-8278(05)80075-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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Zarif L, Postel M, Trevino L, Riess JG, Valla A, Follana R. Biodistribution and excretion of a mixed fluorocarbon-hydrocarbon "dowel" emulsion as determined by 19F NMR. Artif Cells Blood Substit Immobil Biotechnol 1994; 22:1193-8. [PMID: 7849922 DOI: 10.3109/10731199409138815] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
To investigate the biodistribution, possible metabolism and excretion of mixed fluorocarbon-hydrocarbon "dowel" molecules used as stabilizers of fluorocarbon emulsions, we have prepared a 25% w/v emulsion of such a molecule, and quantitatively evaluated, by means of 19F NMR, its behavior in the blood and reticuloendothelial system (RES) of rats. C6F13CH = CHC10H21 (F6H10E) was emulsified using egg yolk phospholipids (EYP). The emulsion (F6H10E/EYP: 25/6% w/v) was injected intravenously into 33 Sprague Dawley female rats at a 3.6 g/kg body weight dose of F6H10E. The animals were sacrificed at regular intervals of time. 24 hours after the injection, 70% of the injected dose was located in the liver, 17% in the spleen, 4% in the lungs, 2% in the kidneys and 2% in the blood. The half-time retention of the dowel molecule in the liver was estimated to be 25 +/- 5 days. None of the 33 treated animals died prior to the planned sacrifice date. The dowel molecule F6H10E proved to be well tolerated, and excreted reasonably fast, without metabolism. This appears to warrant the use of such molecules as stabilizers in injectable fluorocarbon emulsions destined to serve as oxygen carriers, contrast agents or drug delivery systems.
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Affiliation(s)
- L Zarif
- Unité de Chimie Moléculaire, associée au CNRS, Université de Nice-Sophia Antipolis, Parc Valros, France
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Ginderow D, Valla A, Giraud M, Michaïlidis A, Labia R, Morand A. Structure du 4-chloro-N-(2,5-dihydro-5-oxo-2-furyl)benzamide, C11H8CINO3. Acta Crystallogr C 1993. [DOI: 10.1107/s0108270193005955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Abstract
Among the techniques available for the detection of protein structure variants such as single point mutations, RP-HPLC peptide mapping plays a key role owing to the high reproducibility of peptide retention times, determined as identity indexes. Because of the possible co-elution of some proteolytic fragments, an improvement of the array of information given by the technique can be achieved by setting up a series of experiments under hydrolytic conditions with different enzymes, followed by appropriate RP-HPLC gradient elutions. Such an experimental approach appears to be particularly useful in the examination of proteins with a high molecular weight, where the resulting RP-HPLC maps are complex. Therefore different RP-HPLC peptide mapping methods have been studied for recombinant human pro-urokinase (r-h-proUK), a thrombolytic agent of apparent molecular weight of 46 kD. The RP-HPLC maps indicate that the methods developed are not only suitable for the qualitative control of the amino acid sequence and arrangement of disulphide bonds but also represent the first demonstration of the identity of the primary structure of the recombinant and of the native species, within the limits of the technique.
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Affiliation(s)
- I Facchetti
- Farmitalia Carlo Erba, R & D, Analytical Chemistry, Erbamont Group, Nerviano, Italy
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Abstract
HLA alloimmunization and subsequent refractoriness to platelet transfusions are frequent complications of transfusion therapy in patients with hematologic malignancies. Contaminating leukocytes in red cell and platelet concentrates are responsible for primary HLA alloimmunization. In many clinical trials, it has been demonstrated that the use of leukocyte-poor blood products prepared by filtration could reduce HLA-alloimmunization from 40% to 15%. The immunogenic level cannot be determined accurately, but the previous studies show that a residual contamination below 1.10(6) leukocytes was efficient to prevent primary alloimmunization. Leukocyte depletion does not avoid secondary responses in patients having an history of pregnancies or transfusions. The UV-B irradiation of platelet concentrates, in combination with filtration, should further reduce alloimmunization in these presensitized patients.
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Affiliation(s)
- A Valla
- CTS des Alpes-Maritimes, Saint-Laurent-du-Var
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Launoy G, Veret JL, Richir B, Reaud JM, Ollivier V, Valla A, Gignoux M. Involvement of general practitioners in mass screening. Experience of a colorectal cancer mass screening programme in the Calvados region (France). Eur J Cancer Prev 1993; 2:229-32. [PMID: 8490541 DOI: 10.1097/00008469-199305000-00006] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Good compliance with screening programmes is essential and experience from ongoing studies points to the importance of involving general practitioners (GPs). The aim of this study was to evaluate factors influencing the participation of GPs in a screening programme, as well as acceptance of the test by the population. Fifty GPs were randomly chosen among the 117 practices of three districts in Calvados (France) where haemoccult test-based mass screening for colorectal cancer was underway. Each GP was asked to fill in a personal questionnaire as well as a detailed record for each patient between 45 and 74 years seen in the practice during a 1-week period. The GPs offered the test to 95% of the patients. The overall refusal rate was 7.8%, and was higher in women than in men (9.9% vs 5.9%; P < 0.05). Manual workers had a lower refusal rate than other occupational groups (2.5% vs 8.5%; P < 0.05). The GP's motivation was an important factor in patient compliance: the refusal rate was 5.4% in the case of highly motivated GPs, against 20.0% when the GP was poorly motivated (P < 0.01). GP motivation was higher in urban than in rural areas (P < 0.05) but did not depend on sex, age or the duration or type of practice. According to the GPs, motivating factors were the perceived need for screening, involvement in planning the campaign, and regular feedback. Conversely, a lack of time and the possibility of false-negative results were the most important impediments. This study demonstrates that patient compliance is closely linked to practitioner motivation.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- G Launoy
- Registre des Tumeurs Digestives du Calvados, Faculté de Médecine-CHU (Niveau 03-Pièce 703), Côte de Nacre, Caen, France
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24
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Valla A, Giraud M, Doré JC. [Descriptive modeling of the chemical structure-biological activity relations of a group of malonic polyethylenic acids as shown by different pharmacotoxicologic tests]. Pharmazie 1993; 48:295-301. [PMID: 8321881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
48 new polyethylenic-malonic acids have been submitted to an antimicrobial and antifungal screening. After a suitable recording, the experimental results were analyzed according to two mathematical multivariate analysis using a computer process i.e. Correspondence Factorial Analysis and Cluster Analysis. These methods allowed an accurate study of the structure of the system and a thorough investigation of the structure-activity-specificity relationships. On the other side, magnitude and/or specificity of the observed biological effects were related to structural features. These results should be useful in order to elaborate synthetic strategies.
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Affiliation(s)
- A Valla
- Chimie et Biochimie des Interactions Fongiques et Microbiennes, URA 401 CNRS, Laboratoire de Chimie du Muséum National d'Histoire Naturelle, Paris, France
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25
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Dao T, Elfadel S, Bouvard G, Bouvard N, Lecointe I, Jardin-Grimaux I, Verwaerde JC, Valla A. Assessment of portal contribution to liver perfusion by quantitative sequential scintigraphy and Doppler ultrasound in alcoholic cirrhosis. Diagnostic value in the detection of portal hypertension. J Clin Gastroenterol 1993; 16:160-7. [PMID: 8463621 DOI: 10.1097/00004836-199303000-00017] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
To assess the portal contribution to liver perfusion, we carried out quantitative sequential scintigraphy in 110 patients with alcoholic cirrhosis (22 Child-Pugh class A, 39 class B, 49 class C) and 15 normal subjects. Duplex Doppler ultrasound found a type of intrahepatic circulation that made the standard scintigraphic procedure inaccurate in four cases of cirrhosis, which were reevaluated. Portal contribution to liver perfusion was lower in cirrhotics than in normal subjects (48.7 +/- 29% versus 78.4 +/- 6%; p < 0.001). The sensitivity of scintigraphy in detecting portal hypertension, based on portal contribution < or = 66%, was 61.8% (with a 100% specificity) compared with 66.7% for endoscopy (diagnosis based on existence of varices). The overall sensitivity of the two tests together was 86.1%. Portal contribution to liver perfusion was inversely correlated to Child-Pugh score (r = 0.53; p < 0.001), to prothrombin time (r = 0.52; p < 0.001), and to hepatic venous pressure gradient (r = 0.43; p < 0.001) and positively correlated to albuminemia (r = 0.42; p < 0.001). Concurrent alcoholic hepatitis and the existence of large portosystemic collaterals were related to a decrease in portal contribution to liver perfusion. We conclude that quantitative sequential scintigraphy, which shows a direct relationship between portal contribution to liver perfusion, on the one hand, and the amount of portosystemic shunting, the progression of liver disease, and/or acute liver injury, on the other, could serve as a diagnostic test for portal hypertension. The addition of scintigraphy improves the overall sensitivity of endoscopy.
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Affiliation(s)
- T Dao
- Department of Hepatogastroenterology, University Hospital Center of Caen, France
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26
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27
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Dao T, Lecointe I, Galateau F, Freymuth F, Rideau A, Verwaerde JC, Valla A. [Contribution of liver biopsy and serology of hepatitis C virus to the diagnosis of a moderate and prolonged elevation of aminotransferases]. Gastroenterol Clin Biol 1993; 17:37-43. [PMID: 8467969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
The aim of this study was to evaluate the diagnostic usefulness of percutaneous liver biopsy and screening for hepatitis C virus antibodies with 1st and 2nd generation ELISA in asymptomatic blood donors with persistent (> 1 year) and moderate elevation (> 1.5 times the upper limit of normal) of serum alanine aminotransferase. The diagnosis was established from clinical, biological and ultrasound data before biopsies were obtained, then compared to the histological diagnosis. Thirty one of 56 blood donors who satisfied the preceding criteria accepted liver biopsy and were subsequently included in the study. An accurate diagnosis was proposed before biopsy in 20 cases. This was in agreement with the histological results in 19 cases but in 2 of these, unexpected lobular hepatitis was associated with the expected steatosis. Positive hepatitis C virus tests corresponded to chronic hepatitis in all cases (n = 5). No accurate diagnosis could be proposed in the 11 remaining cases owing to the lack of evidence of any etiology (n = 4) or because several potential etiologies were possible for the same subject (n = 7). Histological diagnoses were: isolated steatosis (n = 12), steatosis associated with lobular hepatitis (n = 7) or with chronic persistent hepatitis (n = 1), chronic active (n = 2) or chronic persistent hepatitis (n = 3), alcoholic hepatitis (n = 2), hemochromatosis (n = 1), and normal liver (n = 3). Liver biopsy is essential to the accurate etiological diagnosis of persistent and moderate elevation of aminotransferases despite hepatitis virus C tests which are associated with the correct diagnosis of chronic hepatitis in 16% of cases.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- T Dao
- Service d'Hépato-Gastroentérologie, CHU, Caen
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28
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Mahé AM, Manoux J, Valla A, Follana R, Zarif L, Greiner J, Vierling P, Riess JG. Perfluoroalkylated surfactants: relationships between structure and acute toxicity in mice. Biomater Artif Cells Immobilization Biotechnol 1992; 20:1025-7. [PMID: 1391421 DOI: 10.3109/10731199209119757] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
New single chain neutral, and single and double chain zwitterionic perfluoroalkylated surfactants or co-surfactants have been evaluated for in vivo applications. A study of the relationship between structure and acute toxicity in mice is presented. Acute toxicity evaluations i.v. in mice indicate the following trends (increasing tolerance): zwitterionic single-chain less than neutral single-chain less than zwitterionic double-chain and, where the polar head is concerned, single-chain compounds: phosphocholine less than phosphoramidate less than trehalose approximately sucrose less than maltose less than xylitol.
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Affiliation(s)
- A M Mahé
- Centre de Transfusion Sanguine des Alpes Maritimes, St Laurent du Var, France
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29
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Follana R, Klein D, Krafft MP, Long DM, Long CD, Ni Y, Riess JG, Valla A. Prolonged shelf stability and biocompatibility of a concentrated injectable fluorocarbon emulsion. Biomater Artif Cells Immobilization Biotechnol 1992; 20:1059-61. [PMID: 1391426 DOI: 10.3109/10731199209119763] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
A four-year-old 100% w/v concentrated emulsion of perfluorooctylbromide (PFOB, perflubron) stored at 5 degrees C, when submitted to the close-to-total exchange-perfusion test in conscious rats (Hct 3-5%) still resulted in 75% survival. Particle size and size distribution, viscosity, pH were still in the acceptable range.
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Affiliation(s)
- R Follana
- Centre Départemental de Transfusion Sanguine, Laurent du Var, France
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30
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Lefrançois C, Derlon A, Maurel J, Le Querrec A, Sillard B, Valla A. [Type II protein S deficiency. Role in the occurrence of arteriovenous thrombosis of the mesocolon]. Presse Med 1991; 20:2106. [PMID: 1837136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
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31
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Chailloux P, Dao T, Justum AM, Verwaerde JC, Valla A. [Retropneumoperitoneum and febrile jaundice revealing abscess of the psoas and Escherichia coli spondylodiscitis]. Presse Med 1990; 19:264. [PMID: 2138299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
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32
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Valla A. [Vomiting. Diagnostic orientation and management]. Rev Prat 1989; 39:1725-8. [PMID: 2814254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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33
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Launoy G, Pottier D, Dao T, Tuyns A, Valla A, Gignoux M. [Survival of a cohort of 418 patients with ascitic cirrhosis]. Gastroenterol Clin Biol 1989; 13:750-1. [PMID: 2806815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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34
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Arlen C, Follana R, Le Blanc M, Long C, Long D, Riess JG, Valla A. Formulation of highly concentrated fluorocarbon emulsions and assessment by near-total exchange perfusion of the conscious rat. Biomater Artif Cells Artif Organs 1988; 16:455-7. [PMID: 3179483 DOI: 10.3109/10731198809132599] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Affiliation(s)
- C Arlen
- Laboratoire de Chimie Moléculaire, Unité Associée au CNRS, Université de Nice, France
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35
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Long D, Long C, Arlen C, Le Blanc M, Riess J, Follana R, Valla A. Total exchange perfusion of rats with highly concentrated fluorocarbon emulsions. J Fluor Chem 1987. [DOI: 10.1016/0022-1139(87)95198-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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36
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Chahidi C, Giraud M, Aubailly M, Valla A, Santus R. 2,4-Diamino-6-pteridinecarboxaldehyde and an azobenzene derivative are produced by UV photodegradation of methotrexate. Photochem Photobiol 1986; 44:231-3. [PMID: 3774890 DOI: 10.1111/j.1751-1097.1986.tb03590.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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37
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Gallet E, Arsène D, Freymuth F, Caillez D, Valla A, Verwaerde JC. [Acute ulcerative colitis and cytomegalovirus infection in a nonimmunosuppressed patient: delayed appearance of specific antibodies]. Gastroenterol Clin Biol 1985; 9:541-2. [PMID: 2991065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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38
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Arsène D, Verwaerde JC, Rideau A, Sassier JC, Valla A, Thomas M. [HBs antigen in the blood donors of Calvados. Epidemiologic study and surveillance of the patients]. Rev Fr Transfus Immunohematol 1983; 26:45-65. [PMID: 6857090 DOI: 10.1016/s0338-4535(83)80049-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
175 Chronic HBs Ag carriers have been discovered in the blood donors of the Calvados blood transfusion center from 1971 to 1979. 72 of them (41%) gave their consent for a clinical and biological study at the end of 1979, after receiving a convocation letter. This work had two aims: - to study the epidemiological factors in this population. - to evaluate the clinical and biological consequences of persistent antigenemia. 1. Epidemiological Study. Most results agree with the literature (higher prevalence in male, age, stay in endemic countries) but some results disagree for several reasons: our donors are all volunteers, HBs Ag prevalence is low in our region, most of the patients are caucasian and with life conditions and habits which may explain some particularities in contagion. Furthermore, the relative number of blood donors found every year as chronic HBs Ag carriers, does not increase in our country. 2. The Clinical and Biological follow-up of 62 HBs Ag carriers (alcoholics excluded) was carried out for 4,3 years on average. No patients developed clinical and biological features of chronic liver disease. After a mean term follow-up, we conclude that the asymptomatic HBs Ag carriers state seems not to be of bad prognostic. Since long term complications cannot be excluded, the follow-up of these patients must be maintained.
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39
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Abstract
AbstractIn a systematic search for risks associated with the consumption of alcohol and tobacco in relation to cancers of the digestive tract, oesophageal cancer was found to be significantly related to both factors. There was a slightly elevated risk for rectal cancer among alcohol consumers as well as a lower risk for gastric cancer. With the exception of oesophageal cancer, none of the other digestive tract cancers were found to be associated with tobacco consumption.
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40
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Potier JC, Grollier G, Le Clerc A, Mandard JC, Rousselot P, Maiza D, Khayat A, Verwaerde JC, Valla A, Foucault JP. [Mitral valve insufficiency secondary to endocardial fibrosis associated with distomatosis]. Arch Mal Coeur Vaiss 1981; 74:1471-5. [PMID: 6800330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
A new case of assumed parasitic cardiac disease is reported once more; a 67 year old woman with a trematode injection presenting with mitral incompetence and left ventricular failure. Biventricular endomyocardial fibrosis predominating at the apex was diagnosed at angiography and confirmed at surgery. Mitral incompetence was related to retraction of the papillary muscles which were surrounded by fibrosis, the rest of the mitral apparatus being normal. There was no indication for endocardectomy and so, mitral valve replacement alone was performed. There are few previous reports of parasitic cardiac disease: one case of left ventricular endomyocardial fibrosis, one case of biventricular fibroplastic parietal endocarditis and one case of cardiomyopathy. This report emphasises the need for cardiac examination in patients with parasitic diseases.
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41
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Bazin C, Lamy C, Piette M, Gorenflot A, Duhamel C, Valla A. [Letter: A recent case of human babesiasis]. Nouv Presse Med 1976; 5:799. [PMID: 772600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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42
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Verwaerde JV, Gignoux M, Humeau F, Rousselot P, Valla A. [Radiation colitis. Interest of mesenteric angiography (author's transl)]. Arch Fr Mal App Dig 1975; 64:53-7. [PMID: 1080657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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43
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Evrard C, Khayat A, Quesnel J, Valla A. [Spontaneous aneurysmatic rupture in the digestive tract. Apropos of 2 cases]. Ann Chir 1973; 27:1131-4. [PMID: 4543974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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44
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Valla A, Heron JF, Loyau G. [Chronic poisoning with colchicine, apropos of a case]. Therapie 1972; 27:1081-9. [PMID: 4661223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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45
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Valla A, Verwaerde JC. [Value of a new antalgic-antispasmodic combination in gastroenterologic practice]. Therapeutique 1969; 45:769-73. [PMID: 5386087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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46
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Hillemand P, Valla A. [A clinical and nosological study of the peptic disease of the esophagus]. Actual Hepatogastroenterol (Paris) 1969; 5:A46-60. [PMID: 5792546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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47
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Valla A. [An improvement in the treatment of gastroduodenal ulcer. The association of sodium oxyferriscorbone and atropine]. Sem Ther 1965; 41:595-8. [PMID: 5878071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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48
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Julien C, Caroli J, Valla A, Pousset JL. [Splenomegalic cirrhosis in a 26-year old man: hepatolenticular degeneration with only splanchnic manifestations]. Rev Med Chir Mal Foie 1965; 40:183-98. [PMID: 5851770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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49
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Julien C, Caroli J, Pépin B, Boudin G, Valla A, Morin P, Pousset JL. [Splenomegalic cirrhosis in a 26-year-old man: hepatolenticular degeneration with a pure splanchnic manifestation]. Bull Mem Soc Med Hop Paris 1965; 116:847-58. [PMID: 5834269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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50
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Hillemand P, Delarue J, Duhamel J, Valla A. [Hemolymphangioma of the rectum]. Arch Mal Appar Dig Mal Nutr 1958; 47:301-6. [PMID: 13534886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/07/2023]
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