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Institution

University of Lorraine

EducationNancy, France
About: University of Lorraine is a education organization based out in Nancy, France. It is known for research contribution in the topics: Population & Context (language use). The organization has 11942 authors who have published 25010 publications receiving 425227 citations. The organization is also known as: Lorraine University.


Papers
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Journal ArticleDOI
TL;DR: Tofacitinib, an oral small‐molecule Janus kinase inhibitor, is potentially a new treatment option for patients with ulcerative colitis.
Abstract: Background Biological therapies have improved the care of patients with ulcerative colitis (UC). Tofacitinib, an oral small-molecule Janus kinase inhibitor, is potentially a new treatment option. Aim To comparatively assess efficacy and harm of tofacitinib and biologics (infliximab, adalimumab, golimumab and vedolizumab) in adult patients not previously exposed to TNF antagonists. Methods We performed a comprehensive search of PubMed, Embase, Scopus, clinical trial registries, regulatory authorities' websites and major conference proceedings, through August 2017, to identify randomised, placebo-controlled or head-to-head trials assessing tofacitinib or biologics as induction and/or maintenance therapy in moderate-to-severe UC. Two reviewers independently extracted study data and outcomes, and investigated each trial's risk-of-bias. We used conventional meta-analysis to synthesise direct evidence, and network meta-analysis for adjusted indirect treatment comparisons. Results Fifteen randomised, double-blind, placebo-controlled trials (n = 3130) contributed data for induction: All treatments are superior to placebo. Indirect treatment comparisons showed that infliximab is better than adalimumab (OR: 2.01, 95% CI: 1.36-2.98) and golimumab (1.67, 1.08-2.59) in clinical response, better than adalimumab (2.10, 1.21-3.64) in clinical remission, and better than adalimumab (1.87, 1.26-2.79) and golimumab (1.75, 1.13-2.73) in mucosal healing. No indirect comparisons between tofacitinib and biologics reached statistical significance. Nine studies (n = 1776) contributed maintenance data showing that all treatments have higher clinical efficacy than placebo. Safety analyses indicated no increased rates of adverse events for the treatments under evaluation (except for infliximab), while vedolizumab may have an advantage regarding the occurrence of serious adverse events. Conclusions Tofacitinib and biologics are efficacious and safe for UC. Further high-quality research is warranted to establish the best therapeutic option.

108 citations

Journal ArticleDOI
TL;DR: In this article, new field observations, ages and geochemical data are presented for the Adamawa-Yade domain, forming part of Central African Orogenic Belt in Cameroon.

108 citations

Journal ArticleDOI
TL;DR: In this article, the authors identify three forms of crop-livestock integration beyond the farm level: local coexistence, complementarity, and synergy, each with increasingly stronger temporal, spatial, and organizational coordination among farms.
Abstract: Paradoxically, the number of crop–livestock farms is declining across Europe, despite the fact that crop-livestock farms are theoretically optimal to improve the sustainability of agriculture. To solve this issue, crop–livestock integration may be organized beyond the farm level. For instance, local groups of farmers can negotiate land-use allocation patterns and exchange materials such as manure, grain, and straw. Development of such a collective agricultural system raises questions, rarely documented in the literature, about how to integrate crops and livestock among farms, and the consequences, impacts, and conditions of integrating them. Here, we review the different forms of crop–livestock integration beyond the farm level, their potential benefits, and the features of decision support systems (DSS) needed for the integration process. We identify three forms of crop–livestock integration beyond the farm level: local coexistence, complementarity, and synergy, each with increasingly stronger temporal, spatial, and organizational coordination among farms. We claim that the forms of integration implemented define the nature, area, and spatial configuration of crops, grasslands, and animals in farms and landscapes. In turn, these configurations influence the provision of ecosystem services. For instance, we show that the synergy form of integration promotes soil fertility, erosion control, and field-level biological regulation services through organizational coordination among farmers and spatiotemporal integration between crops, grasslands, and animals. We found that social benefits of the synergy form of integration include collective empowerment of farmers. We claim that design of the complementarity and synergy forms of crop–livestock integration can best be supported by collective participatory workshops involving farmers, agricultural consultants, and researchers. In these workshops, spatialized simulation modeling of crop–livestock integration among farms is the basis for achieving the upscaling process involved in integrating beyond the farm level. Facilitators of these workshops have to pay attention to the consequences on governance and equity issues within farmers groups.

108 citations

Journal ArticleDOI
TL;DR: This review reports the latest advances silica-based systems and discusses the potential benefits and drawbacks of using silica for oral delivery of drugs, macromolecules or cells.

108 citations

Journal ArticleDOI
TL;DR: In this article, the free exciton energy (determined by the photoluminescence peak) is inversely proportional to the square of the thickness while core-level binding energy is inverse proportional to thickness.
Abstract: The excitonic light emission of ZnO films have been investigated by means of photoluminescence measurements in ultraviolet-visible region. Exciton confinement effects have been observed in thin ZnO coatings with thickness below 20 nm. This is enhanced by a rise of the intensity and a blue shift of the photoluminescence peak after extraction of the adsorbed species upon annealing in air. It is found experimentally that the free exciton energy (determined by the photoluminescence peak) is inversely proportional to the square of the thickness while core-level binding energy is inversely proportional to the thickness. These findings correlate very well with the theory of kinetic and potential confinements.

108 citations


Authors

Showing all 12161 results

NameH-indexPapersCitations
Jonathan I. Epstein138112180975
Peter Tugwell129948125480
David Brown105125746827
Faiez Zannad10383990737
Sabu Thomas102155451366
Francis Martin9873343991
João F. Mano9782236401
Jonathan A. Epstein9429927492
Muhammad Imran94305351728
Laurent Peyrin-Biroulet9090134120
Athanase Benetos8339131718
Michel Marre8244439052
Bruno Rossion8033721902
Lyn March7836762536
Alan J. M. Baker7623426080
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Performance
Metrics
No. of papers from the Institution in previous years
YearPapers
202375
2022478
20213,153
20202,987
20192,799
20182,593