0000000000518943

AUTHOR

Stéphanie Leroux

showing 2 related works from this author

Population pharmacokinetic meta-analysis of individual data to design the first randomized efficacy trial of vancomycin in neonates and young infants.

2019

Abstract Objectives In the absence of consensus, the present meta-analysis was performed to determine an optimal dosing regimen of vancomycin for neonates. Methods A ‘meta-model’ with 4894 concentrations from 1631 neonates was built using NONMEM, and Monte Carlo simulations were performed to design an optimal intermittent infusion, aiming to reach a target AUC0–24 of 400 mg·h/L at steady-state in at least 80% of neonates. Results A two-compartment model best fitted the data. Current weight, postmenstrual age (PMA) and serum creatinine were the significant covariates for CL. After model validation, simulations showed that a loading dose (25 mg/kg) and a maintenance dose (15 mg/kg q12h if &lt…

0301 basic medicinePediatricsvancomycininfusion procedures0302 clinical medicinenewbornMedicinePharmacology (medical)Randomized Controlled Trials as Topiceducation.field_of_studyMaintenance doseAnti-Bacterial Agents3. Good healthInfectious Diseasesdrug maintenance doseResearch DesignArea Under CurveData Interpretation Statisticalcreatinine testsVancomycinMonte Carlo Methodmedicine.drugMicrobiology (medical)medicine.medical_specialty030106 microbiologyPopulationGestational AgeMicrobial Sensitivity TestsLoading doseRS03 medical and health sciencesPharmacokineticsdrug loading dose030225 pediatricsHumanssteady stateeducationPharmacologyDose-Response Relationship Drugbusiness.industryBody WeightInfant NewbornPostmenstrual AgeinfantNONMEMRegimen[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologieregimen[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologiebusinessserum
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Monsoon Multidisciplinary Analysis (AMMA) : an integrated project for understanding of the West African climate system and its human dimension

2011

International audience; The intraseasonal time scale is critical in West Africa where resources are highly rainfall dependent. Three main modes of variability have been identified, two with a mean periodicity of 15 days and one with a mean periodicity around 40 days. These modes have a regional scale and can strongly influence precipitation and convective activity. They are mainly controlled by atmospheric dynamics and land-surface interactions. They can also modulate the very specific phase of the African summer monsoon onset. A better knowledge of the mechanisms controlling this scale is necessary to improve its predictability.

Atmospheric Science010504 meteorology & atmospheric sciences0207 environmental engineering02 engineering and technology[SDU.STU.ME]Sciences of the Universe [physics]/Earth Sciences/MeteorologyIntraseasonal variabilityMonsoonAtmospheric sciences01 natural sciencesWest africaWest African monsoonpredictabilityMonsoon onsetmonsoon onsetCrop yieldPrecipitationPredictability020701 environmental engineering0105 earth and related environmental sciencesintraseasonal variability[ SDU.STU.ME ] Sciences of the Universe [physics]/Earth Sciences/Meteorologycrop yieldScale (music)PredictabilityWest african13. Climate actionClimatologyEnvironmental scienceAtmospheric dynamics
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