Professeur des universités en sciences de gestion
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Spatio-Temporal Image-Based Texture Atlases for Dynamic 3-D Models
- Type de publi. : Communication dans un congrès
- Date de publi. : 03/10/2009
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Auteurs :
Zsolt JankoJean-Philippe Pons
Fiche détaillée
Spatio-Temporal Image-Based Texture Atlases for Dynamic 3-D Models
- Type de publi. : Communication dans un congrès
- Date de publi. : 03/10/2009
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Auteurs :
Zsolt JankoJean-Philippe Pons
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Organismes :
Interpretation and Modelling of Images and Videos
imagine [Marne-la-Vallée]
Laboratoire d'Informatique Gaspard-Monge
imagine [Marne-la-Vallée]
Laboratoire d'Informatique Gaspard-Monge
Résumé : In this paper, we propose a method for creating a high-quality spatio-temporal texture atlas from a dynamic 3-D model and a set of calibrated video sequences. By adopting an actual spatio-temporal perspective, beyond independent frame-by-frame computations, we fully exploit the very high redundancy in the input video sequences. First, we drastically cut down on the amount of texture data, and thereby we greatly enhance the portability and the rendering efficiency of the model. Second, we gather the numerous different viewpoint/time appearances of the scene, so as to recover from low resolution, grazing views, highlights, shadows and occlusions which affect some regions of the spatio-temporal model. Altogether, our method allows the synthesis of novel views from a small quantity of texture data, with an optimal visual quality throughout the sequence, with minimally visible color discontinuities, and without flickering artifacts. These properties are demonstrated on real datasets.
Fichiers liés :
Janko2009.pdf
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Dual SP/ALDH Functionalities Refine the Human Hematopoietic Lin−CD34+CD38− Stem/Progenitor Cell Compartment
- Type de publi. : Article dans une revue
- Date de publi. : 01/10/2009
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Auteurs :
Olivier Nicolas Pierre-LouisDenis ClayPhilippe Brunet de la GrangeIstvan BlazsekChristophe DesterkeBernadette GuertonCamille BlondeauJean-Valère MalfusonMarie PratAnnelise Bennaceur-GriscelliJean-Jacques LatailladeMarie-Caroline Le Bousse-Kerdilès
Fiche détaillée
Dual SP/ALDH Functionalities Refine the Human Hematopoietic Lin−CD34+CD38− Stem/Progenitor Cell Compartment
- Type de publi. : Article dans une revue
- Date de publi. : 01/10/2009
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Auteurs :
Olivier Nicolas Pierre-LouisDenis ClayPhilippe Brunet de la GrangeIstvan BlazsekChristophe DesterkeBernadette GuertonCamille BlondeauJean-Valère MalfusonMarie PratAnnelise Bennaceur-GriscelliJean-Jacques LatailladeMarie-Caroline Le Bousse-Kerdilès
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Organismes :
Pathologie Cardiovasculaire, toxicité environnementale et envenimations [UR5_3]
Institut Cochin
Les cellules souches : de leurs niches à leurs applications thérapeutiques
Les cellules souches : de leurs niches à leurs applications thérapeutiques
Interactions cellules souches-niches : physiologie, tumeurs et réparation tissulaire
SFR89
Hôpital Robert Ballanger [Aulnay-sous-Bois]
Centre de Transfusion Sanguine des Armées
Les cellules souches : de leurs niches à leurs applications thérapeutiques
AP-HP - Hôpital Saint-Antoine
Modèles de Cellules Souches Malignes et Thérapeutiques
Département de biologie et pathologie médicales [Gustave Roussy]
Centre de Transfusion Sanguine des Armées
Microenvironnement et Physiopathologie de la Differenciation
- Publié dans STEM CELLS le 29/10/2020
Résumé : Abstract Identification of prevalent specific markers is crucial to stem/progenitor cell purification. Determinants such as the surface antigens CD34 and CD38 are traditionally used to analyze and purify hematopoietic stem/progenitor cells (HSCs/HPCs). However, the variable expression of these membrane antigens poses some limitations to their use in HSC/HPC purification. Techniques based on drug/stain efflux through the ATP-binding cassette (ABC)G2 pump (side population [SP] phenotype) or on detection of aldehyde dehydrogenase (ALDH) activity have been independently developed and distinguish the SP and ALDHBright (ALDHBr) cell subsets for their phenotype and proliferative capability. In this study, we developed a multiparametric flow cytometric method associating both SP and ALDH activities on human lineage negative (Lin−) bone marrow cells and sorted different cell fractions according to their SP/ALDH activity level. We find that Lin−CD34+CD38Low/− cells are found throughout the spectrum of ALDH expression and are enriched especially in ALDHBr cells when associated with SP functionality (SP/ALDHBr fraction). Furthermore, the SP marker identified G0 cells in all ALDH fractions, allowing us to sort quiescent cells regardless of ALDH activity. Moreover, we show that, within the Lin−CD34+CD38−ALDHBr population, the SP marker identifies cells with higher primitive characteristics, in terms of stemness-related gene expression and in vitro and in vivo proliferative potential, than the Lin−CD34+ CD38−ALDHBr main population cells. In conclusion, our study shows that the coexpression of SP and ALDH markers refines the Lin−CD34+CD38− hematopoietic compartment and identifies an SP/ALDHBr cell subset enriched in quiescent primitive HSCs/HPCs.
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Role of uncontrolled HIV RNA level and immunodeficiency in the occurrence of malignancy in HIV-infected patients during the combination antiretroviral therapy era: Agence Nationale de Recherche sur le Sida (ANRS) CO3 Aquitaine Cohort.
- Type de publi. : Article dans une revue
- Date de publi. : 01/10/2009
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Auteurs :
Mathias BruyandRodolphe ThiébautSylvie Lawson-AyayiPierre JolyAnnie-Jeanne SascoPatrick MerciéJean Luc PellegrinDidier NeauFrançois DabisPhilippe MorlatGeneviève ChêneFabrice Bonnet
Fiche détaillée
Role of uncontrolled HIV RNA level and immunodeficiency in the occurrence of malignancy in HIV-infected patients during the combination antiretroviral therapy era: Agence Nationale de Recherche sur le Sida (ANRS) CO3 Aquitaine Cohort.
- Type de publi. : Article dans une revue
- Date de publi. : 01/10/2009
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Auteurs :
Mathias BruyandRodolphe ThiébautSylvie Lawson-AyayiPierre JolyAnnie-Jeanne SascoPatrick MerciéJean Luc PellegrinDidier NeauFrançois DabisPhilippe MorlatGeneviève ChêneFabrice Bonnet
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Organismes :
Epidémiologie et Biostatistique [Bordeaux]
Coordination Régionale de la lutte contre l'infection due au VIH
Epidémiologie et Biostatistique [Bordeaux]
Coordination Régionale de la lutte contre l'infection due au VIH
Epidémiologie et Biostatistique [Bordeaux]
Coordination Régionale de la lutte contre l'infection due au VIH
Epidémiologie et Biostatistique [Bordeaux]
Epidémiologie et Biostatistique [Bordeaux]
Epidémiologie et Biostatistique [Bordeaux]
Coordination Régionale de la lutte contre l'infection due au VIH
Service de médecine interne et maladies infectieuses [Bordeaux]
Coordination Régionale de la lutte contre l'infection due au VIH
Service de médecine interne et maladies infectieuses [Bordeaux]
Epidémiologie et Biostatistique [Bordeaux]
Coordination Régionale de la lutte contre l'infection due au VIH
Service de médecine interne et maladies infectieuses [Bordeaux]
Epidémiologie et Biostatistique [Bordeaux]
Coordination Régionale de la lutte contre l'infection due au VIH
Epidémiologie et Biostatistique [Bordeaux]
Coordination Régionale de la lutte contre l'infection due au VIH
Service de médecine interne et maladies infectieuses [Bordeaux]
Epidémiologie et Biostatistique [Bordeaux]
Coordination Régionale de la lutte contre l'infection due au VIH
Epidémiologie et Biostatistique [Bordeaux]
Coordination Régionale de la lutte contre l'infection due au VIH
Service de médecine interne et maladies infectieuses [Bordeaux]
- Publié dans Clinical Infectious Diseases le 30/10/2020
Résumé : BACKGROUND: Human immunodeficiency virus (HIV)-infected patients are at higher risk of malignancies. In addition to traditional determinants, a specific deleterious effect of HIV and immunodeficiency is speculated. We aimed at studying the association between immunological and virological characteristics of HIV-infected patients in care and the risk of acquired immunodeficiency syndrome (AIDS)-defining and non-AIDS-defining malignancies. METHODS: Patients consecutively enrolled in the hospital-based Agence Nationale de Recherche sur le Sida (ANRS) CO3 Aquitaine Cohort were included if the duration of follow-up was >3 months during the period 1998-2006. Multivariate modeling used an extended Cox proportional hazards model for time-dependent covariates and delayed entry. RESULTS: The 4194 patients included in the study developed 251 first malignancies during 22,389 person-years. A higher incidence of AIDS-defining malignancies (107 cases) was independently associated with (1) both longer and current exposures to a plasma HIV RNA level >500 copies/mL (hazard ratio [HR], 1.27 per year [P<.001] and 3.30 [P<.001], respectively) and (2) both longer and current exposure to a CD4(+) cell count <200 cells/mm(3) (HR, 1.36 per year [P<.001] and 6.33 [P<.001], respectively). A higher incidence of non-AIDS-defining malignancies (144 cases) was independently associated with longer and current exposure to a CD4(+) cell count <500 cells/mm(3) (HR, 1.13 per year [P=.01] and 2.07 [P<.001], respectively) and male sex (HR, 1.69; P=.02) but not with plasma HIV RNA level (P=.49 and P=.10 for cumulative and current exposures, respectively). CONCLUSIONS: Uncontrolled plasma HIV RNA level was independently associated with a higher likelihood of developing AIDS-defining malignancies, whereas immunosuppression was associated with a higher risk of developing any type of malignancies. Antiretroviral treatment should aim at reaching and maintaining a CD4(+) count >500 cells/mm(3) to prevent the occurrence of malignancy, this should be integrated to malignancy-prevention policies.
Fichiers liés :
inserm-00391182_edited.pdf
revised_manuscript.pdf
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Étude expérimentale du transfert hydrique dans un sol initialement non saturé
- Type de publi. : Article dans une revue
- Date de publi. : 01/10/2009
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Auteurs :
Philippe ReiffsteckJean Pierre MagnanAbdeldjalil ZadjaouiAbdelmalek Bekkouche
Fiche détaillée
Étude expérimentale du transfert hydrique dans un sol initialement non saturé
- Type de publi. : Article dans une revue
- Date de publi. : 01/10/2009
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Auteurs :
Philippe ReiffsteckJean Pierre MagnanAbdeldjalil ZadjaouiAbdelmalek Bekkouche
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Organismes :
Division Mécanique des Sols des Roches et de la Géologie de l'Ingénieur
Direction technique "Géotechnique"
Laboratoire Eau et Ouvrages dans Leurs Environnements
Laboratoire Eau et Ouvrages dans Leurs Environnements
- Publié dans European Journal of Environmental and Civil Engineering le 29/10/2020
Résumé : Cet article présente une étude en laboratoire de l'infiltration dans une colonne du sol initialement non saturé. Considérant certaines hypothèses simplificatrices, le phénomène du transfert hydrique est ramené physiquement à un processus décrit par une équation aux dérivées partielles type parabolique détaillée dans un premier temps. Dans un second temps l'article décrit le matériau utilisé dans cette étude. Il donne une description de montage utilisé pour suivre l'infiltration. Les courbes d'infiltration cumulée sont analysées en détail. Les auteurs montrent comment la conductivité hydraulique peut être déduite de ces mesures. L'application aux résultats du modèle de Philip montre une bonne concordance avec les mesures. Enfin, les conditions d'application et les interprétations sont détaillées.
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Expression of fatty acid desaturase 3 (FADS3) in rat tissues: from the gene to the proteins
- Type de publi. :
- Date de publi. : 01/10/2009
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Auteurs :
Hélène BlanchardMaëla KloarecSabine D’andreaStéphanie DavalVincent RiouxPhilippe P. LegrandFrédérique Pédrono
Fiche détaillée
Expression of fatty acid desaturase 3 (FADS3) in rat tissues: from the gene to the proteins
- Type de publi. :
- Date de publi. : 01/10/2009
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Auteurs :
Hélène BlanchardMaëla KloarecSabine D’andreaStéphanie DavalVincent RiouxPhilippe P. LegrandFrédérique Pédrono
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Organismes :
Université Paris-Saclay
AgroParisTech
Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement
Institut Jean-Pierre Bourgin - Sciences du végétal
Institut de Génétique, Environnement et Protection des Plantes
Institut Agro Rennes Angers
Nutrition, Métabolismes et Cancer
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Does histologic subtype affect oncologic outcomes after nephron-sparing surgery?
- Type de publi. : Article dans une revue
- Date de publi. : 01/10/2009
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Auteurs :
Maxime CrépelHendrik IsbarnUmberto CapitanioDaniel LibermanClaudio JeldresMaxine SunShahrokh F ShariatHugues WidmerPhilippe ArjaneMarkus GraefenFrancesco MontorsiJean-Jacques PatardPaul PerrottePierre I. Karakiewicz
Fiche détaillée
Does histologic subtype affect oncologic outcomes after nephron-sparing surgery?
- Type de publi. : Article dans une revue
- Date de publi. : 01/10/2009
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Auteurs :
Maxime CrépelHendrik IsbarnUmberto CapitanioDaniel LibermanClaudio JeldresMaxine SunShahrokh F ShariatHugues WidmerPhilippe ArjaneMarkus GraefenFrancesco MontorsiJean-Jacques PatardPaul PerrottePierre I. Karakiewicz
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Organismes :
Service d'urologie [Rennes] = Urology [Rennes]
Cancer Prognostics and Health Outcome Unit
Cancer Prognostics and Health Outcome Unit
Martini-Clinic
Cancer Prognostics and Health Outcome Unit
Department of Urology
Cancer Prognostics and Health Outcome Unit
Cancer Prognostics and Health Outcomes Unit
Cancer Prognostics and Health Outcome Unit
Cancer Prognostics and Health Outcomes Unit
Cancer Prognostics and Health Outcome Unit
Division of Urology
Cancer Prognostics and Health Outcomes Unit
Cancer Prognostics and Health Outcomes Unit
Martini-Clinic
Department of urology
Service d'urologie [Rennes] = Urology [Rennes]
Institut de Génétique et Développement de Rennes
Cancer Prognostics and Health Outcomes Unit
Cancer Prognostics and Health Outcome Unit
Cancer Prognostics and Health Outcomes Unit
- Publié dans Urology le 26/10/2020
Résumé : OBJECTIVES: To test whether renal cell carcinoma (RCC) histologic subtypes (HSs) affect cancer-specific mortality after nephron-sparing surgery (NSS). HSs are considered of prognostic value in RCC. For example, the papillary HS might confer a worse prognosis, and, at some centers, only radical nephrectomy is performed for the papillary HS. METHODS: We used univariate and multivariate Cox regression models to study patients with Stage T1N0M0 RCC treated with NSS (n = 1205) from 1988 to 2004. The data were taken from 9 Surveillance, Epidemiology, and End Results registries. RESULTS: At 36 months after NSS, the cancer-specific mortality rate was 97.8%, 100%, and 97.4% for a clear cell, chromophobe, and papillary RCC HS, respectively. On univariate and multivariate analyses, no statistically significant differences were recorded with regard to the HS. CONCLUSIONS: Despite the suggested more aggressive phenotype of the papillary HS, we found no difference among the papillary, chromophobe, and clear cell variants. Thus, the diagnosis of one HS vs another HS should not deter from the use of NSS when cancer-specific mortality is considered as an endpoint.
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A prospective randomised multi-centre controlled trial on tight glucose control by intensive insulin therapy in adult intensive care units: the Glucontrol study.
- Type de publi. : Article dans une revue
- Date de publi. : 01/10/2009
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Auteurs :
Jean-Charles PreiserPhilippe DevosSergio Ruiz-SantanaChristian MélotDjillali AnnaneJohan GroeneveldGaetano IapichinoXavier Maurice LeverveGérard NitenbergPierre SingerJan WernermanMichael JoannidisAdela StecherRené Chioléro
Fiche détaillée
A prospective randomised multi-centre controlled trial on tight glucose control by intensive insulin therapy in adult intensive care units: the Glucontrol study.
- Type de publi. : Article dans une revue
- Date de publi. : 01/10/2009
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Auteurs :
Jean-Charles PreiserPhilippe DevosSergio Ruiz-SantanaChristian MélotDjillali AnnaneJohan GroeneveldGaetano IapichinoXavier Maurice LeverveGérard NitenbergPierre SingerJan WernermanMichael JoannidisAdela StecherRené Chioléro
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Organismes :
Department of General Intensive Care
Department of General Intensive Care
Department of Intensive Care
Department of Intensive Care
AP-HP - Hôpital Raymond Poincaré
Intensive Care Medicine Unit
Department of Anaesthesia and Intensive Care
Clinique de réanimation médicale
Laboratoire de bioénergétique fondamentale et appliquée
Département d'anesthésie, réanimation et pathologie infectieuse
General Intensive Care Department and Institute for Nutrition Research
Department of Anesthesiology and Intensive Care Medicine
Department of Intensive Care
Department of Anaesthesia and Intensive Care
Service de médecine intensive adulte
- Publié dans Intensive Care Medicine le 27/10/2020
Résumé : PURPOSE: An optimal target for glucose control in ICU patients remains unclear. This prospective randomized controlled trial compared the effects on ICU mortality of intensive insulin therapy (IIT) with an intermediate glucose control. METHODS: Adult patients admitted to the 21 participating medico-surgical ICUs were randomized to group 1 (target BG 7.8-10.0 mmol/L) or to group 2 (target BG 4.4-6.1 mmol/L). RESULTS: While the required sample size was 1,750 per group, the trial was stopped early due to a high rate of unintended protocol violations. From 1,101 admissions, the outcomes of 542 patients assigned to group 1 and 536 of group 2 were analysed. The groups were well balanced. BG levels averaged in group 1 8.0 mmol/L (IQR 7.1-9.0) (median of all values) and 7.7 mmol/L (IQR 6.7-8.8) (median of morning BG) versus 6.5 mmol/L (IQR 6.0-7.2) and 6.1 mmol/L (IQR 5.5-6.8) for group 2 (p < 0.0001 for both comparisons). The percentage of patients treated with insulin averaged 66.2 and 96.3%, respectively. Proportion of time spent in target BG was similar, averaging 39.5% and 45.1% (median (IQR) 34.3 (18.5-50.0) and 39.3 (26.2-53.6)%) in the groups 1 and 2, respectively. The rate of hypoglycaemia was higher in the group 2 (8.7%) than in group 1 (2.7%, p < 0.0001). ICU mortality was similar in the two groups (15.3 vs. 17.2%). CONCLUSIONS: In this prematurely stopped and therefore underpowered study, there was a lack of clinical benefit of intensive insulin therapy (target 4.4-6.1 mmol/L), associated with an increased incidence of hypoglycaemia, as compared to a 7.8-10.0 mmol/L target. (ClinicalTrials.gov # NCT00107601, EUDRA-CT Number: 200400391440).
Fichiers liés :
Preiser-IntCareMed-2009.pdf
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Extreme Magnification Microlensing Event OGLE-2008-BLG-279: Strong Limits on Planetary Companions to the Lens Star
- Type de publi. : Article dans une revue
- Date de publi. : 01/10/2009
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Auteurs :
J. C. YeeA. UdalskiT. SumiSubo DongS. KozłowskiJ. C. BirdAndrew ColeD. HigginsJ. MccormickL. A. G. MonardD. PolishookA. ShporerO. SpectorM. K. SzymańskiM. KubiakGrzegorz PietrzyńskiI. SoszyńskiO. SzewczykK. UlaczykŁ. WyrzykowskiR. PoleskiW. AllenM. BosG. W. ChristieD. L. DepoyJ. D. EastmanB. S. GaudiA. GouldC. HanS. KaspiC.-U. LeeF. MalliaA. MauryD. MaozT. NatuschB.-G. ParkR. W. PoggeR. SantalloF. AbeI. A. BondA. FukuiK. FurusawaJ. B. HearnshawS. HosakaY. ItowK. KamiyaA. V. KorpelaP. M. KilmartinW. LinC. H. LingS. MakitaK. MasudaY. MatsubaraN. MiyakeY. MurakiM. NagayaK. NishimotoK. OhnishiY. C. PerrottN. J. RattenburyT. SakoTo. SaitoL. SkuljanD. J. SullivanW. L. SweatmanP. J. TristramP. C. M. YockM. D. AlbrowV. BatistaP. FouquéJean-Philippe BeaulieuD. P. BennettA. CassanJohan ComparatC. CouturesS. DietersJ. GreenhillK. HorneN. KainsD. KubasRoland MartinJ. MenziesJ. WambsganssAmy J. WilliamsM. Zub
Fiche détaillée
Extreme Magnification Microlensing Event OGLE-2008-BLG-279: Strong Limits on Planetary Companions to the Lens Star
- Type de publi. : Article dans une revue
- Date de publi. : 01/10/2009
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Auteurs :
J. C. YeeA. UdalskiT. SumiSubo DongS. KozłowskiJ. C. BirdAndrew ColeD. HigginsJ. MccormickL. A. G. MonardD. PolishookA. ShporerO. SpectorM. K. SzymańskiM. KubiakGrzegorz PietrzyńskiI. SoszyńskiO. SzewczykK. UlaczykŁ. WyrzykowskiR. PoleskiW. AllenM. BosG. W. ChristieD. L. DepoyJ. D. EastmanB. S. GaudiA. GouldC. HanS. KaspiC.-U. LeeF. MalliaA. MauryD. MaozT. NatuschB.-G. ParkR. W. PoggeR. SantalloF. AbeI. A. BondA. FukuiK. FurusawaJ. B. HearnshawS. HosakaY. ItowK. KamiyaA. V. KorpelaP. M. KilmartinW. LinC. H. LingS. MakitaK. MasudaY. MatsubaraN. MiyakeY. MurakiM. NagayaK. NishimotoK. OhnishiY. C. PerrottN. J. RattenburyT. SakoTo. SaitoL. SkuljanD. J. SullivanW. L. SweatmanP. J. TristramP. C. M. YockM. D. AlbrowV. BatistaP. FouquéJean-Philippe BeaulieuD. P. BennettA. CassanJohan ComparatC. CouturesS. DietersJ. GreenhillK. HorneN. KainsD. KubasRoland MartinJ. MenziesJ. WambsganssAmy J. WilliamsM. Zub
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Organismes :
The Ohio State University [Columbus]
Laboratoire Astrophysique de Toulouse-Tarbes
Institut d'Astrophysique de Paris
Astronomische Rechen-Institut [Heidelberg]
- Publié dans The Astrophysical Journal le 22/10/2020
Résumé : We analyze the extreme high-magnification microlensing event OGLE-2008-BLG-279, which peaked at a maximum magnification of A ~ 1600 on 2008 May 30. The peak of this event exhibits both finite-source effects and terrestrial parallax, from which we determine the mass of the lens, Ml = 0.64 ± 0.10 M sun, and its distance, Dl = 4.0 ± 0.6 kpc. We rule out Jupiter-mass planetary companions to the lens star for projected separations in the range 0.5-20 AU. More generally, we find that this event was sensitive to planets with masses as small as 0.2 \;M_\oplus \simeq 2 \;M_{Mars} with projected separations near the Einstein ring (~3 AU).
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Choquet Optimization using {GAI} Networks for Multiagent/Multicriteria Decision-Making
- Type de publi. : Communication dans un congrès
- Date de publi. : 01/10/2009
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Auteurs :
Jean-Philippe DubusChristophe GonzalesPatrice Perny
Fiche détaillée
Choquet Optimization using {GAI} Networks for Multiagent/Multicriteria Decision-Making
- Type de publi. : Communication dans un congrès
- Date de publi. : 01/10/2009
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Auteurs :
Jean-Philippe DubusChristophe GonzalesPatrice Perny
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Organismes :
DECISION
DECISION
DECISION
Résumé : This paper is devoted to preference-based recommendation or configuration in the context of multiagent (or multicriteria) decision making. More precisely, we study the use of decomposable utility functions in the search for Choquet-optimal solutions on combinatorial domains. We consider problems where the alternatives (feasible solutions) are represented as elements of a product set of finite domains and evaluated according to different points of view (agents or criteria) leading to different objectives. Assuming that objectives take the form of GAI-utility functions over attributes, we investigate the use of GAI networks to determine efficiently an element maximizing an overall utility function defined by a Choquet integral.
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Tumor size is a determinant of the rate of stage T1 renal cell cancer synchronous metastasis.
- Type de publi. : Article dans une revue
- Date de publi. : 01/10/2009
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Auteurs :
Giovanni LughezzaniClaudio JeldresHendrik IsbarnPaul PerrotteShahrokh F. ShariatMaxine SunHugues WidmerPhilippe ArjaneFrancois PeloquinDaniel PharandJean-Jacques PatardMarkus GraefenFrancesco MontorsiPierre I. Karakiewicz
Fiche détaillée
Tumor size is a determinant of the rate of stage T1 renal cell cancer synchronous metastasis.
- Type de publi. : Article dans une revue
- Date de publi. : 01/10/2009
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Auteurs :
Giovanni LughezzaniClaudio JeldresHendrik IsbarnPaul PerrotteShahrokh F. ShariatMaxine SunHugues WidmerPhilippe ArjaneFrancois PeloquinDaniel PharandJean-Jacques PatardMarkus GraefenFrancesco MontorsiPierre I. Karakiewicz
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Organismes :
Cancer Prognostics and Health Outcome Unit
Department of urology
Cancer Prognostics and Health Outcome Unit
Cancer Prognostics and Health Outcome Unit
Martini-Clinic
Cancer Prognostics and Health Outcomes Unit
Cancer Prognostics and Health Outcome Unit
Cancer Prognostics and Health Outcome Unit
Cancer Prognostics and Health Outcomes Unit
Cancer Prognostics and Health Outcomes Unit
Cancer Prognostics and Health Outcomes Unit
Cancer Prognostics and Health Outcomes Unit
Service d'urologie [Rennes] = Urology [Rennes]
Institut de Génétique et Développement de Rennes
Martini-Clinic
Department of urology
Cancer Prognostics and Health Outcome Unit
- Publié dans The Journal of Urology le 27/10/2020
Résumé : PURPOSE: A recent multi-institutional analysis of 995 patients treated for renal cell cancer questioned the relationship between tumor size and the synchronous metastasis rate. We revisited the hypothesis that metastatic potential is unrelated to tumor size. MATERIALS AND METHODS: We tested the relationship between tumor size and synchronous metastasis in 22,204 patients with T1a and T1b renal cell cancer diagnosed and/or treated with nephrectomy for clear cell, papillary or chromophobe histological subtypes in 1 of 9 Surveillance, Epidemiology and End Results registries between 1988 and 2004. RESULTS: In the study population the synchronous metastasis rate was 9.6%, including 5.6% vs 14.2% for T1a vs T1b. Stratification by 1 cm tumor size intervals revealed that the rate increased with increasing tumor size, that is 4.8% at 1.0 cm or less, 4.2% at 1.1 to 2.0 cm, 4.9% at 2.1 to 3.0 cm, 7.1% at 3.1 to 4.0 cm, 12.1% at 4.1 to 5.0 cm, 13.3% at 5.1 to 6.0 cm and 18.4% 6.1 to 7.0 cm (chi-square trend p <0.001). Cubic spline analysis showed that tumor size was virtually linearly related to the synchronous metastasis rate. Stratification by histological subtype in patients treated with nephrectomy revealed that clear cell renal cell cancer was most frequently associated with synchronous metastasis. Finally, tumor size was an independent predictor of synchronous metastasis in multivariate regression models adjusted for age, gender, histological subtype and year of diagnosis quartiles. CONCLUSIONS: Our study confirms that tumor size is an important determinant of the likelihood of synchronous metastasis in patients with T1a and T1b renal cell cancer. The synchronous metastasis rate directly increases with increasing tumor size. Even patients with small renal masses are at risk for synchronous metastasis and patients with clear cell renal cell cancer are at highest risk.
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