Publications by authors named "Jean-Pierre Goulle"

Cannabidiol (CBD) is a phytocannabinoid present in cannabis, obtained either by extraction from the plant or by synthesis. The latter has the advantage of being pure and contains few impurities, unlike CBD of plant origin. It is used by inhalation, ingestion or skin application.

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  • The French authorities requested recommendations for screening and managing exposure to inorganic arsenic (iAs) for the population, leading to a review of existing literature on the indicators of exposure and effects in France.
  • Evaluating the toxicity of iAs involved examining studies from the past 30 years, including recent literature from 2016 to 2019.
  • The recommended biomonitoring indicator for iAs exposure is a specific urine concentration measurement, with set limits indicating overexposure; no biological indicators for early health effects exist, but skin issues like hyperpigmentation are noted as early signs of harm.
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In recent years, special emphasis has been put on heavy metals. Children are very sensitive to accumulation of metals. Furthermore, as regards elements, the reference values in children are scarce in the literature as it is difficult to obtain the large quantity of blood necessary to analyze many metals by the conventional atomic absorption spectrometry technique.

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Metopimazine (MPZ) is an antiemetic considered as a currently used drug. In France, it has become the leading antiemetic mediator due to its good tolerance, however, its pharmacokinetics has never previously been studied in children. MPZ was administered by oral route to 8 children with a single dose of 0.

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  • Some drugs can impair driving abilities by affecting vision, hearing, and coordination, leading to issues like sedation and balance problems.
  • Both doctors and pharmacists are responsible for informing patients about the potential risks of medication on driving and machinery operation.
  • Medicinal products often have pictograms to indicate their risk levels for driving, ranging from "be prudent" to "do not drive," but this does not account for individual differences or specific health conditions.
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  • Metal and metalloid exposure is unavoidable in daily life and can lead to toxicity in humans.
  • Recent advancements in analytical techniques have shifted from older methods to more sophisticated multi-element techniques, particularly inductively coupled plasma mass spectrometry (ICP-MS).
  • ICP-MS is crucial in clinical and forensic toxicology for analyzing various biological samples, including blood, urine, and tissues, to assess metal toxicity in humans.
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Lethal occurrence is exceptional after disopyramide or mianserin poisoning. A case of intentional lethal intoxication with these drugs was reported, as well as a review of the literature. Pre- and postmortem blood concentrations of disopyramide or mianserin were assessed in a woman who died from acute cardiac failure after ingestion.

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  • The contribution of pharmaceuticals from hospitals to wastewater was minimal (below 1%), with most contamination coming from municipal sources.
  • To mitigate harmful waste discharge into the River Seine, an effective pharmaceutical treatment process is necessary at municipal plants, and the HPLC-MS/MS method can aid in optimizing this wastewater treatment.
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In 2003, we simultaneously quantified 27 metals by inductively coupled plasma-mass spectrometry (ICP-MS) in the whole blood, plasma and urine of 100 healthy volunteers. We again determined the metallic profile in whole blood and plasma during 2012. ICP-MS validated multielementary method was performed for metals in whole blood and plasma.

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Thirty-four metals were analyzed by ICP-MS. Among these elements, anthropogenic silver, gadolinium and platinum, were representative markers of medical activities in hospital and urban wastewater. On working days, median hospital wastewater concentrations for anthropogenic silver, gadolinium, and platinum were approximately three, 13 and 27 times higher respectively than the Municipal wastewater.

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  • Arsenic trioxide (ATO) has been an effective treatment for acute promyelocytic leukemia (APL) for over ten years.
  • A patient developed mitochondrial myopathy after ATO treatment, showing severe symptoms and muscle damage with high levels of arsenic in muscle tissue.
  • After stopping ATO, the patient experienced partial recovery of strength and muscle health, but some issues like mitochondrial DNA deletions and arsenic buildup continued, suggesting the need for ongoing monitoring in ATO-treated patients.
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Drug-facilitated crime (DFC) is well known to the public, yet general practitioners and other physicians are unfamiliar with this issue, largely because toxicology is not part of the medical curriculum. This often leads to diagnostic errors. The frequency of DFC is underestimated, often owing to late examination and analytical problems.

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The clays consumed by geophagous individuals contain large quantities of aluminum, a known neurological and hematological toxin. This is the first study to evaluate the risk of aluminum poisoning in geophagous individuals. Blind determinations of plasma and urinary aluminum concentrations were carried out in 98 anemic geophagous pregnant women and 85 non-anemic non-geophagous pregnant women.

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Considerable advances have been made in metals and metalloids analysis over the past decade. This analysis is a basic stage in deficiency or toxicity assessment. A recently introduced technique, inductively coupled plasma mass spectrometry (ICP-MS) is progressively replacing atomic absorption.

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High dosage buprenorphine (Subutex(®)) has been prescribed as a replacement therapy for major opioid dependencies in France since 1996. However, several studies have underlined its lethal risk, especially when administered intravenously, or when combined with benzodiazepines, alcohol or other central nervous system depressants. We report three fatal buprenorphine-related poisonings after snorting, among outside protocol individuals, observed at the Forensic Medicine Unit of Caen University Hospital.

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The authors describe the use of inductively coupled plasma to detect 32 metals and metalloids in blood, urine, hair and nails. They also report the first case of gadolinium overdose documented by blood analysis with this method Metal speciation, a new approach developed in our laboratory, can distinguish between toxic and non toxic metals.

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Introduction: Tramadol use is largely considered safe. However, several lethal cases of tramadol intoxication were reported, suggesting an underestimated toxicity. We report for a tramadol overdose case in combination with other central nervous system depressants, leading to refractory shock requiring extracorporeal life support.

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  • A rapid high-performance liquid chromatographic method has been developed to detect thiocyanate (SCN-) in plasma, using anion exchange chromatography and ultrafiltration.
  • The method demonstrates a linear detection range of 1-30 mg/L, with accuracy and precision under 20% for both intra-assay and interassay measurements.
  • It is applicable in clinical settings and was also tested on plasma from deceased individuals in fire cases, offering potential for forensic analysis of cyanide levels in blood.
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Enormous progress has been made in clinical toxicology over the last two decades, notably in the detection of pollutants. Chromatographic techniques have now replaced colorimetric reactions, which were non specific and poorly sensitive. Mass spectrometry has largely supplanted immunological methods, and is now coupled to gas phase (GC-MS or GC-MS/MS), liquid phase (LC-MS or LC-MS/MS) or induced coupled plasma spectrometry (ICP-MS).

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Four multi-elementary metal and metalloid quantification methods using inductively coupled plasma mass spectrometry (ICP-MS) were developed and validated in human whole blood, plasma, urine and hair by means of a single preparation procedure for each sample. The ICP-MS measurements were performed using a Thermo Elemental X7CCT series and PlasmaLab software without a dynamic reaction cell. With this procedure 27-32 elements can be simultaneously quantified in biological matrices: Li, Be, B, Al, V, Cr, Mn, Co, Ni, Cu, Zn, Ga, Ge, As, Se, Rb, Sr, Mo, Pd, Ag, Cd, Sn, Sb, Te, Ba, W, Pt, Hg, Tl, Pb, Bi, U.

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