Éditeur(s) : Sector Publico Agricola, Instituto de Ciencia y Tecnologia Agricolas Sector Publico Agricola, Instituto de Ciencia y Tecnologia Agricolas
Résumé : Cover title.
"Prepared for presentation at the conference on: Integrated Crop and Animal Production to Optimize Resource Utilization on Small Farms in Developing Countries, The Rockefeller Foundation Conference Center, Bellagio, Italy, October 18-23, 1978."
Includes bibliographical references (leaf 12).
(Funding) Electronic resources created as part of a prototype UF Institutional Repository and Faculty Papers project by the University of Florida.
Guatemala
Caribbean
Guatemala
Guatemala

ocm7152

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
BACKGROUND: Thrombophilias are common disorders that increase the risk of pregnancy-associated venous thromboembolism and pregnancy loss and can also increase the risk of placenta-mediated pregnancy complications (severe pre-eclampsia, small-for-gestational-age infants, and placental abruption). We postulated that antepartum dalteparin would reduce these complications in pregnant women with thrombophilia. METHODS: In this open-label randomised trial undertaken in 36 tertiary care centres in five countries, we enrolled consenting pregnant women with thrombophilia at increased risk of venous thromboembolism or with previous placenta-mediated pregnancy complications. Eligible participants were randomly allocated in a 1:1 ratio to either antepartum prophylactic dose dalteparin (5000 international units once daily up to 20 weeks' gestation, and twice daily thereafter until at least 37 weeks' gestation) or to no antepartum dalteparin (control group). Randomisation was done by a web-based randomisation system, and was stratified by country and gestational age at randomisation day with a permuted block design (block sizes 4 and 8). At randomisation, site pharmacists (or delegates) received a randomisation number and treatment allocation (by fax and/or e-mail) from the central web randomisation system and then dispensed study drug to the local coordinator. Patients and study personnel were not masked to treatment assignment, but the outcome adjudicators were masked. The primary composite outcome was independently adjudicated severe or early-onset pre-eclampsia, small-for-gestational-age infant (birthweight <10th percentile), pregnancy loss, or venous thromboembolism. We did intention-to-treat and on-treatment analyses. This trial is registered with ClinicalTrials.gov, number NCT00967382, and with Current Controlled Trials, number ISRCTN87441504. FINDINGS: Between Feb 28, 2000, and Sept 14, 2012, 292 women consented to participate and were randomly assigned to the two groups. Three women were excluded after randomisation because of ineligibility (two in the antepartum dalteparin group and one in the control group), leaving 146 women assigned to antepartum dalteparin and 143 assigned to no antepartum dalteparin. Some patients crossed over to the other group during treatment, and therefore for on-treatment and safety analysis there were 143 patients in the dalteparin group and 141 in the no dalteparin group. Dalteparin did not reduce the incidence of the primary composite outcome in both intention-to-treat analysis (dalteparin 25/146 [17.1%; 95% CI 11.4-24.2%] vs no dalteparin 27/143 [18.9%; 95% CI 12.8-26.3%]; risk difference -1.8% [95% CI -10.6% to 7.1%)) and on-treatment analysis (dalteparin 28/143 [19.6%] vs no dalteparin 24/141 [17.0%]; risk difference +2.6% [95% CI -6.4 to 11.6%]). In safety analysis, the occurrence of major bleeding did not differ between the two groups. However, minor bleeding was more common in the dalteparin group (28/143 [19.6%]) than in the no dalteparin group (13/141 [9.2%]; risk difference 10.4%, 95% CI 2.3-18.4; p=0.01). INTERPRETATION: Antepartum prophylactic dalteparin does not reduce the occurrence of venous thromboembolism, pregnancy loss, or placenta-mediated pregnancy complications in pregnant women with thrombophilia at high risk of these complications and is associated with an increased risk of minor bleeding. FUNDING: Canadian Institutes of Health Research, Heart and Stroke Foundation of Canada, and Pharmacia and UpJohn.
ISSN: 0923-7577

hal-01258557
http://hal.univ-brest.fr/hal-01258557
DOI : 10.1016/S0140-6736(14)60793-5
PUBMED : 25066248

Résumé : This image appeared in Munson Steamship Line's "The Cuba Review and Bulletin" on the cover in July 1905 with the following caption: "Cover illustration: A turn in the road that winds down the Yumuri Valley, Matanzas. A fountain, centuries old, near by yields the traveler refreshing drink."
1900-1910
CHC5017
Matanzas (Cuba)

Droits : http://merrick.library.miami.edu/digitalprojects/copyright.html
chc50170000260001001
1295

Éditeur(s) : HAL CCSD Institut de Géographie Alpine
Résumé : International audience
The international symposium on «Urban Growth and Natural Hazards, in particular in Developing Countries» was held in the University Blaise Pascal, Clermont-Ferrand (France) on December 2 and 3, 1994. This meeting brought together about 70 research people, Ph.D. students, and professionals from France and 12 countries, representing universities, research agencies, as well as government and private companies. The symposium aimed to gather specialized people who are engaged and acting in programmes on hazard appraisal, risk prevention and urban management in city environment. These people aimed to compare experiences acquired in two different fields: on the one hand urban growth and its consequences, and on the other hand, natural hazards and effects, in particular in Developing Countries.Half-way through the International Decade for Natural Hazard Disaster Reduction, we strove to reconcile two points of view usually distincts: nature-oriented research and society-oriented research on hazards. These convergent approaches should merge, not only to improve knowledge of natural hazards and risks, but also to cope with hazard and risk situation on a day-basis in a city. We also choose to study both approaches in Developing Countries (DC) because most of the large cities of the world already are or will be located there in near future. In addition, city location in DC coincides with tropical areas where natural hazards are most frequent threats to life, in particular in mountains, on seashores, and on active convergent plate margins. We stress the fact that the 3 following topics are often lacking in studies which have been carried out on natural hazard appraisal and management. 1) How should we include social and economical factors, and particularly a sound analysis of vulnerability of people and values at risk ? 2) How should we cope with hazard management in large cities of Developing Countries ? 3) What is the specific task of research people in hazard case studies engaged in urban environment and management?Three themes correspond to the three sessions of the symposium. (1) Natural hazards and environmental factors : inventory, diagnostic and classification, (2) Vulnerability of urban society and environment : concepts, approaches, and classification, (3) Tools for urban risk prevention and risk management in case of crisis and catastrophes.
Ce numéro de la Revue de Géographie Alpine reprend une dizaine parmi les 41 contributions exposées par des chercheurs français et étrangers lors du colloque international « Croissance urbaine et risques naturels dans les pays en développement » qui s'est déroulé à l'Université Blaise Pascal, Clermont-Ferrand, les 2 et 3 décembre 1994. L'objectif général du colloque était de rassembler les diverses compétences existant en France et à l'étranger dans le domaine de l'évaluation et de la gestion des risques naturels et de confronter les expériences acquises à l'interface entre les villes en croissance et le champ d'action des phénomènes naturels créateurs de risques. Le colloque a donc réuni des chercheurs, des doctorants et des praticiens français et leurs collègues étrangers chargés de prévention, de gestion des risques naturels et de gestion urbaine, principalement dans les grandes villes des pays en développement (P.E.D.).Parvenus à mi-chemin de la Décennie Internationale pour la Prévention des Catastrophes Naturelles, nous avons porté des regards croisés sur les approches naturalistes et sociologiques des risques naturels. Il est maintenant nécessaire de faire converger ces approches, non seulement dans la connaissance des menaces et des risques, mais dans la gestion du risque quotidien en milieu urbain. Nous avons concentré ces approches dans les pays en développement ; en effet, le site de leurs grandes villes coïncide souvent avec le champ d'action des phénomènes naturels générateurs de risques, notamment dans la zone intertropicale et en particulier dans les marges continent ales actives (par exemple autour du Pacifique).Nous avons porté l'accent sur 3 points principaux, qui semblent en partie faire défaut dans les études et les méthodes actuellement mises en oeuvre dans la gestion des risques naturels : 1) comment prendre en compte les aspects socio-économiques, en particulier les types d'analyse des vulnérabilités ? 2) comment aborder la gestion des risques en milieu urbain dans les P.E.D. ? 3) quel rôle doit jouer le chercheur en Sciences de l'Homme, de la Société et de la Terre dans les analyses, les expertises consacrées aux risques et surtout dans leur gestion globale, à la charnière des sociétés citadines précaires et des milieux « naturels » contraignants ?Les contributions ont été regroupées, exposées et discutées lors du colloque sous forme de 3 thèmes. (1) Les phénomènes naturels créateurs de dommages (= menaces) : diagnostic, inventaire et typologie, (2) Les vulnérabilités des sociétés et des espaces urbanisés : concepts, typologie et modes d'analyse, (3) Les outils d'aide à la prévention et à la gestion du risque en milieu urbain.
Colloque international : "Croissance urbaine et risques naturels dans les pays en développement"
Clermont-Ferrand, Université Blaise Pascal, France

ISBN : 0035-1121
hal-01165252
https://hal.archives-ouvertes.fr/hal-01165252

Éditeur(s) : HAL CCSD Oxford University Press (OUP)
Résumé : International audience
This study aims to describe current risk management practices and policies across the world in relation to personal exposures from devices emitting radiofrequency fields, environmental exposures from fixed installations and exposures in the work environment. Data from 86 countries representing all WHO regions were collected through a survey. The majority of countries (76.8 %) had set exposure limits for mobile devices, almost all (90.7 %) had set public exposure limits for fixed installations and 76.5 % had specified exposure limits for personnel in occupational settings. A number of other policies had been implemented at the national level, ranging from information provisions on how to reduce personal exposures and restrictions of usage for certain populations, such as children or pregnant women to prevention of access around base stations. This study suggests that countries with higher mobile subscriptions tend to have set radiofrequency exposure limits for mobile devices and to have provisions on exposure measurements about fixed installations.
ISSN: 0144-8420

hal-01146847
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01146847
DOI : 10.1093/rpd/ncu324
PUBMED : 25394650

Éditeur(s) : HAL CCSD Public Library of Science
Résumé : International audience
Understanding the factors underlying the spatio-temporal distribution of infectious diseases provides useful information regarding their prevention and control. Dengue fever spatio-temporal patterns result from complex interactions between the virus, the host, and the vector. These interactions can be influenced by environmental conditions. Our objectives were to analyse dengue fever spatial distribution over New Caledonia during epidemic years, to identify some of the main underlying factors, and to predict the spatial evolution of dengue fever under changing climatic conditions, at the 2100 horizon. We used principal component analysis and support vector machines to analyse and model the influence of climate and socio-economic variables on the mean spatial distribution of 24,272 dengue cases reported from 1995 to 2012 in thirty-three communes of New Caledonia. We then modelled and estimated the future evolution of dengue incidence rates using a regional downscaling of future climate projections. The spatial distribution of dengue fever cases is highly heterogeneous. The variables most associated with this observed heterogeneity are the mean temperature, the mean number of people per premise, and the mean percentage of unemployed people, a variable highly correlated with people's way of life. Rainfall does not seem to play an important role in the spatial distribution of dengue cases during epidemics. By the end of the 21st century, if temperature increases by approximately 3°C, mean incidence rates during epidemics could double. In New Caledonia, a subtropical insular environment, both temperature and socio-economic conditions are influencing the spatial spread of dengue fever. Extension of this study to other countries worldwide should improve the knowledge about climate influence on dengue burden and about the complex interplay between different factors. This study presents a methodology that can be used as a step by step guide to model dengue spatial heterogeneity in other countries.
ISSN: 1935-2727

Droits : http://creativecommons.org/licenses/by/
pasteur-01247037
https://hal-riip.archives-ouvertes.fr/pasteur-01247037
https://hal-riip.archives-ouvertes.fr/pasteur-01247037/document
https://hal-riip.archives-ouvertes.fr/pasteur-01247037/file/journal.pntd.0004211.pdf
DOI : 10.1371/journal.pntd.0004211

Éditeur(s) : Neidine Editeurs
Résumé : This article has for objective to put forward the ethical values of the sea and the ocean. After a reminder(abs of the marine origin of life on earth and what the human always carries in him tracks of this origin, we underline several characteristics: the regulation of the climate by the ocean, the specificities of part of the animal kingdom which unlike other did not conquer the terrestrial domain, the fact that marine biological material was at the origin of numerous Nobel prizes, finally which the sea holds number of biological, mineral, energy resources etc. which will be the resources of tomorrow. The following part is dedicated to the human values which the sea inculcates to those who frequent her. We offer a list of some current expressions of the French language the origin of which is marine or maritime. We discuss then about prosperous nations, sometimes small ones, which knew how to put forward the values of the sea and benefit from it for their influence. We talk about the symbols pulled by the sea, in particular the shells and their value, which various civilizations and peoples have known to adopt. We end on the New Caledonian case and on the opportunities and the assets which can be, considering its marine and maritime values as an island Pacific country.
Cet article a pour objectif de mettre en avant les valeurs éthiques de la mer et de l’océan. Après un rappel de l’origine marine de la vie sur terre et du fait que l’homme porte toujours en lui des traces de cette origine, on souligne plusieurs caractéristiques : la régulation du climat par l’océan, les spécificités de certains embranchements du règne animal qui à la différence d’autres n’ont pas conquis le domaine terrestre, le fait que matériel biologique marin a été à l’origine de nombreux prix Nobel, enfin que la mer recèle nombre de ressources biologiques, minérales, énergétiques etc… qui seront les ressources de demain. La partie suivante est consacrée aux valeurs humaines que la mer inculque à ceux qui la fréquentent. On offre une liste d’expressions courantes de la langue française dont l’origine est marine ou maritime. On discute ensuite des nations florissantes, parfois petites, qui ont su mettre en avant les valeurs de la mer et en tirer profit pour leur rayonnement. On disserte sur les symboles tirés de la mer et notamment des coquillages et de leur valeur que différentes civilisations et peuples ont su adopter. On conclue sur le cas calédonien et sur les opportunités et atouts qui peuvent être les siens de considérer ses valeurs marines et maritimes en tant que pays insulaire du Pacifique.
Tai Kona (2269-7535) (Neidine Editeurs), 2014-07 , N. 9 , P. 28-43

Droits : Tai Kona
http://archimer.ifremer.fr/doc/00203/31393/29782.pdf
http://archimer.ifremer.fr/doc/00203/31393/

Éditeur(s) : Université des Antilles Études caribéennes
Résumé : Le tourisme et les secteurs des services sont devenus le domaine privilégié des politiques de développement avec le déclin du secteur agricole dans de nombreux pays en développement et les difficultés à développer un secteur industriel compétitif. Le tourisme est donc considéré comme un des moyens importants de lutte contre la pauvreté dans les pays en développement et en particulier dans les pays les moins avancés. Toutefois, il serait illusoire de croire que le tourisme peut contribuer significativement à réduire la pauvreté sans la poursuite de politiques spécifiques centrés sur cet objectif prioritaire.
Tourism and services sectors have become the preferred area of development policies in a context of declining agricultural sector (in many developing countries) and the difficulties of developing a competitive industry. Tourism is considered an important means to fight against poverty in developing countries and in particular the least developed countries. However, it would be illusory to believe that tourism can contribute significantly to poverty reduction without further specific policies focus on this priority.

Droits : info:eu-repo/semantics/openAccess
urn:doi:10.4000/etudescaribeennes.6514
http://journals.openedition.org/etudescaribeennes/6514

Résumé : Selon les théories classiques du pouvoir, les relations asymétriques favorisent généralement l’acteur le plus puissant en termes de ressources. Toutefois, la partie la plus puissante au niveau de la force et des ressources ne gagne pas toujours dans les négociations. Cela dépend de plusieurs facteurs et notamment des tactiques de négociation de la partie la plus faible. Notre thèse vise justement à analyser un certain nombre de stratégies de négociations que peuvent mener les parties les plus faibles pour obtenir des gains. Afin d’illustrer nos propos, nous avons choisi l’exemple donné par un certain nombre de pays en voie de développement (PVD) pour contester le brevet sur le vivant contenu dans l’Accord sur les aspects des droits de la propriété intellectuelle (ADPIC). Notre objectif a été de comprendre les principales stratégies qu’ils ont employées pour remettre en question cette norme et la rééquilibrer. Afin de réaliser ce travail, nous nous sommes servis du concept d’hégémonie de Gramsci et de cadre emprunté à la littérature des mouvements sociaux. Cela nous a permis de poser l’hypothèse selon laquelle l’Accord sur les ADPIC constitue une norme hégémonique qui avantage essentiellement quelques pays développés et des entreprises internationales. Cependant, cette domination se cache derrière un discours universel et positif visant à susciter une forte adhésion. Ainsi, dans un tel cas de figure, les PVD ne peuvent pas espérer la remettre en question sans un changement de perception. Il faut donc que les règles perçues comme justes et immuables soient cadrées comme injustes et mutables, pour que les pays décident de les contester. Nous avons alors testé cette hypothèse à travers une analyse de contenu du discours officiel des PVD à l’Organisation mondiale du commerce. Ce travail nous a permis d’observer que le cadrage est un instrument important pour lutter contre l’hégémonie d’une norme. En effet, il offre la faculté de montrer que le brevet sur le vivant, loin de présenter que des avantages, est aussi une source de problèmes auxquels il faut apporter des solutions. Le cadre constitue aussi un bon moyen pour élaborer des propositions normatives alternatives. Toutefois, nous avons constaté que cette stratégie est insuffisante pour traduire les propositions des PVD en normes contraignantes. Afin d’obtenir certains changements normatifs, l’élaboration de coalitions s’avère particulièrement pertinente pour les PVD. De même, nous avons noté que les PVD qui demandent des changements normatifs quand la structure des opportunités politiques est ouverte ont plus de chance d’obtenir satisfaction de leurs revendications. La présente thèse nous offre ainsi un portrait général de stratégies de négociation et démontre que sous certaines conditions les parties les plus faibles peuvent obtenir certains gains dans une négociation asymétrique.
According to the classical theories of power, asymmetrical relations generally favor the most powerful actor in terms of resources. However, the most powerful in terms of strength and resources part does not always win in negotiations. This depends on several factors, including negotiation tactics of the weaker party. Our thesis aims to analyze different type of negotiation strategies that weaker parties can use to obtain some benefit. To illustrate this point, we chose the example set by a number of developing countries (DV) to challenge the patenting of life contained in the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS). Our goal was to understand the key strategies they have used to question this norm and rebalance it. To make this work, we used the concept of hegemony conceptualized by Gramsci and the concept of framework borrowed from the literature of social movements. This tool has allowed us to make the assumption that TRIPS is a hegemonic norm that mainly benefit to few developed countries and international companies. However, this domination is hidden by the norms thanks to universal and positive discourse which help to generate strong adhesion. Thus, in such a case, developing countries can’t expect to challenge this norm without a change of perception. It is therefore necessary that the rules perceived as fair and immutable are framed as unjust and mutable, so that countries decide to challenge it. We then tested this hypothesis through a content analysis of the DC’s official discourse at the World Trade Organization. This work has allowed us to observe that the framing is an important tool in the fight against the norm’s hegemony. Indeed, it offers the possibility to show that the patenting of life, far from presenting just a source of benefits, is also a source of problems that need solutions. The frame is also a good way to develop alternative normative propositions. However, we found that this strategy is insufficient to translate DC’s proposals into binding norms. In order to obtain changes in the agreement, building coalitions is particularly relevant for DC. Furthermore, we noted that DC which require regulatory changes when the structure of political opportunities is opened are more likely to obtain what they want. This thesis offers us a general picture of negotiations strategies and reveal that under certain conditions the weaker parties can get some gains in an asymmetrical negotiation.

http://www.theses.fr/2013AGUY0642/document

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
BACKGROUND: Few studies have considered using environmental amenities to explain social health inequalities.Nevertheless, Green spaces that promote good health may have an effect on socioeconomic health inequalities. In developed countries, there is considerable evidence that green spaces have a beneficial effect on the health of urban populations and recent studies suggest they can have a positive effect on pregnancy outcomes. To investigate the relationship between green spaces and the spatial distribution of infant mortality taking account neighborhood deprivation levels. METHODS: The study took place in Lyon metropolitan area, France. All infant deaths that occurred between 2000 and 2009 were geocoded at census block level. Each census block was assigned greenness and socioeconomic deprivation levels. The spatial--scan statistic was used to identify high risk cluster of infant mortality according to these neighborhood characteristics. RESULTS: The spatial distribution of infant mortality was not random with a high risk cluster in the south east of the Lyon metropolitan area (p<0.003). This cluster disappeared (p=0.12) after adjustment for greenness level and socioeconomic deprivation, suggesting that these factors explain part of the spatial distribution of infant mortality. These results are discussed using a conceptual framework with 3 hypothetical pathways by which green spaces may have a beneficial effect on adverse pregnancy outcomes: (i) a psychological pathway, (ii) a physiological disruption process and (iii) an environmental pathway. CONCLUSIONS: These results add some evidence to the hypothesis that there is a relationship between access to green spaces and pregnancy outcomes but further research is required to confirm this.
BMC Pregnancy and Childbirth

hal-00876083
https://hal.archives-ouvertes.fr/hal-00876083
https://hal.archives-ouvertes.fr/hal-00876083/document
DOI : 10.1186/1471-2393-13-191

Éditeur(s) : HAL CCSD IOP Publishing
Résumé : Tropical forests of the Guiana Shield are the most affected by gold-mining in South America,experiencing an exponential increase in deforestation since the early 2000’s.Using yearly deforestation data encompassing Guyana, Suriname, French Guiana and theBrazilian State of Amapá, we demonstrated a strong relationship between deforestation due togold-mining and gold-prices at the regional scale. In order to assess additional drivers ofdeforestation due to gold-mining, we focused on the national scale and highlighted theheterogeneity of the response to gold-prices under different political contexts. Deforestation dueto gold-mining over the Guiana Shield occurs mainly in Guyana and Suriname. On the contrary,past and current repressive policies in Amapá and French Guiana likely contribute to thedecorrelation of deforestation and gold prices. In this work, wefinally present a case studyfocusing on French Guiana and Suriname, two neighbouring countries with very different levelsof law enforcement against illegal gold-mining. We developed a modelling framework to estimatepotential deforestation leakages from French Guiana to Suriname in the border areas. Based onour assumptions, we estimated a decrease in deforestation due to gold-mining of approx. 4 300hectares in French Guiana and an increase of approx. 12 100 hectares in Suriname in response tothe active military repression of illegal gold-mining launched in French Guiana.Gold-mining in the Guiana Shield provides challenging questions regarding REDDþimplementation. These questions are discussed at the end of this study and are important topolicy makers who need to provide sustainable alternative employment to local populations inorder to ensure the effectiveness of environmental policies.
ISSN: 1748-9326

hal-01512075
https://hal.archives-ouvertes.fr/hal-01512075
https://hal.archives-ouvertes.fr/hal-01512075/document
https://hal.archives-ouvertes.fr/hal-01512075/file/document%20%2828%29_%7B81107B08-30D1-44D2-877D-32F6DFAEF28A%7D.pdf
DOI : 10.1088/1748-9326/aa6082

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
BACKGROUND: Socioeconomic inequalities in cancer mortality have been observed in different European countries and the US until the end of the 1990s, with changes over time in the magnitude of these inequalities and contrasted situations between countries. The aim of this study is to estimate relative and absolute educational differences in cancer mortality in France between 1999 and 2007, and to compare these inequalities with those reported during the 1990s. METHODS: Data from a representative sample including 1% of the French population were analysed. Educational differences among people aged 30--74 were quantified with hazard ratios and relative indices of inequality (RII) computed using Cox regression models as well as mortality rate difference and population attributable fraction. RESULTS: In the period 1999--2007, large relative inequalities were found among men for total cancer and smoking and/or alcohol related cancers mortality (lung, head and neck, oesophagus). Among women, educational differences were reported for total cancer, head and neck and uterus cancer mortality. No association was found between education and breast cancer mortality. Slight educational differences in colorectal cancer mortality were observed in men and women. For most frequent cancers, no change was observed in the magnitude of relative inequalities in mortality between the 1990s and the 2000s, although the RII for lung cancer increased both in men and women. Among women, a large increase in absolute inequalities in mortality was observed for all cancers combined, lung, head and neck and colorectal cancer. In contrast, among men, absolute inequalities in mortality decreased for all smoking and/or alcohol related cancers. CONCLUSION: Although social inequalities in cancer mortality are still high among men, an encouraging trend is observed. Among women though, the situation regarding social inequalities is less favourable, mainly due to a health improvement limited to higher educated women. These inequalities may be expected to further increase in future years.
ISSN: 1471-2458

inserm-00868759
http://www.hal.inserm.fr/inserm-00868759
http://www.hal.inserm.fr/inserm-00868759/document
http://www.hal.inserm.fr/inserm-00868759/file/1471-2458-13-823.pdf
DOI : 10.1186/1471-2458-13-823

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
BACKGROUND: Few studies have considered using environmental amenities to explain social health inequalities.Nevertheless, Green spaces that promote good health may have an effect on socioeconomic health inequalities. In developed countries, there is considerable evidence that green spaces have a beneficial effect on the health of urban populations and recent studies suggest they can have a positive effect on pregnancy outcomes. To investigate the relationship between green spaces and the spatial distribution of infant mortality taking account neighborhood deprivation levels. METHODS: The study took place in Lyon metropolitan area, France. All infant deaths that occurred between 2000 and 2009 were geocoded at census block level. Each census block was assigned greenness and socioeconomic deprivation levels. The spatial--scan statistic was used to identify high risk cluster of infant mortality according to these neighborhood characteristics. RESULTS: The spatial distribution of infant mortality was not random with a high risk cluster in the south east of the Lyon metropolitan area (p<0.003). This cluster disappeared (p=0.12) after adjustment for greenness level and socioeconomic deprivation, suggesting that these factors explain part of the spatial distribution of infant mortality. These results are discussed using a conceptual framework with 3 hypothetical pathways by which green spaces may have a beneficial effect on adverse pregnancy outcomes: (i) a psychological pathway, (ii) a physiological disruption process and (iii) an environmental pathway. CONCLUSIONS: These results add some evidence to the hypothesis that there is a relationship between access to green spaces and pregnancy outcomes but further research is required to confirm this.
ISSN: 1471-2393

inserm-00878362
http://www.hal.inserm.fr/inserm-00878362
http://www.hal.inserm.fr/inserm-00878362/document
http://www.hal.inserm.fr/inserm-00878362/file/1471-2393-13-191.pdf
DOI : 10.1186/1471-2393-13-191

Éditeur(s) : HAL CCSD Masson
Résumé : National audience
Started in 2015 in Brazil, an outbreak linked to a little known arbovirus, Zika virus spread throughout Latin America. This virus, considered until recently as responsible of only mild symptoms, made mention of previously unsuspected complications, with severe neurological manifestations in adults and malformations of the central nervous system, including microcephaly, in newborns of mother infected during the pregnancy. While the continent is more accustomed to the succession of arbovirus epidemics, suspected complications and the many unknowns keys of the latter arriving raise many public health issues. French Guiana, a French territory located in the north-east of the continent, combines both European level of resources and climate and issues specific to the Amazon region and Latin America. We discuss here the issues for 2016 Zika virus epidemic in our region, many of them are generalizable to neighboring countries.
ISSN: 0037-9085

inserm-01422054
http://www.hal.inserm.fr/inserm-01422054
http://www.hal.inserm.fr/inserm-01422054/document
http://www.hal.inserm.fr/inserm-01422054/file/2016%2C%20Epelboin%20-%20%C3%89pid%C3%A9mie%20de%20virus%20Zika%20en%20Am%C3%A9rique%20latine%20-%20quels%20enjeux%20pour%20la%20Guyane%20%281%29.pdf
DOI : 10.1007/s13149-016-0490-5

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Whilst it used to affect mostly intravenous drug users and patients who underwent valvular surgery with suboptimal infection control procedures, fungal endocarditis is now mostly observed in patients with severe immunodeficiency (onco-haematology), in association with chronic central venous access and broad-spectrum antibiotic use. The incidence of fungal endocarditis has probably decreased in most developed countries with access to harm-reduction policies (i.e. needle exchange programmes) and with improved infection control procedures during cardiac surgery. Use of specific blood culture bottles for diagnosis of fungal endocarditis has decreased due to optimisation of media and automated culture systems. Meanwhile, the advent of rapid techniques, including fungal antigen detection (galactomannan, mannan/anti-mannan antibodies and β-1,3-d-glucans) and PCR (e.g. universal fungal PCR targeting 18S rRNA genes), shall improve sensitivity and reduce diagnostics delays, although limited data are available on their use for the diagnosis of fungal endocarditis. New antifungal agents available since the early 2000s may represent dramatic improvement for fungal endocarditis: (i) a new class, the echinocandins, has the potential to improve the management of Candida endocarditis owing to its fungicidal effect on yeasts as well as tolerability of increased dosages; and (ii) improved survival in patients with invasive aspergillosis with voriconazole compared with amphotericin B, and this may apply to Aspergillus sp. endocarditis as well, although its prognosis remains dismal. These achievements may allow selected patients to be cured with prolonged medical treatment alone when surgery is considered too risky.
ISSN: 0924-8579

hal-01118441
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01118441
DOI : 10.1016/j.ijantimicag.2014.07.003
PUBMED : 25178919

Éditeur(s) : HAL CCSD Lippincott, Williams & Wilkins
Résumé : International audience
BACKGROUND: People in developed countries are widely exposed to low levels of organochlorine pesticides, polychlorinated biphenyls (PCBs), and polybrominated diphenyl ethers (PBDEs). Seafood is a major contributor to PCB exposure. Toxicity of those various pollutants to reproductive and endocrine functions raises questions about possible effects on fertility. We explored whether serum levels of these pollutants and seafood consumption were associated with the fertility of couples enrolled in a French birth cohort (PELAGIE). METHODS: Time-to-pregnancy was investigated in 3,421 pregnant women by asking how many months they had taken to conceive. Levels of 14 organochlorine pesticides, 12 PCBs, and 10 PBDE compounds were measured in cord blood serum from a random subcohort (n = 394). Mercury concentrations measured in maternal hair were considered as a potential coexposure. Fecundability odds ratios (ORs) were estimated from multivariate discrete-time Cox proportional hazard models. RESULTS: Shellfish consumption was associated with longer time-to-pregnancy (fecundability OR ≥twice/week vs. 0.410 µg/L vs. <0.266 µg/L, fecundability OR = 0.46 [0.32-0.66]). In multiple sensitivity analyses, reduced fecundability was most consistently associated with shellfish consumption, p,p'-DDE, total PCBs, PCB153, and PCB187. Models that simultaneously included multiple coexposure factors led to similar conclusions. CONCLUSIONS: Our findings were robust in sensitivity analyses, including analysis restricted to primiparous women. These results suggest that PCBs, p,p'-DDE, and other shellfish contaminants may impair human fertility.
ISSN: 1044-3983

inserm-00826533
http://www.hal.inserm.fr/inserm-00826533
DOI : 10.1097/EDE.0b013e31827f53ec
PUBMED : 23348067

Éditeur(s) : HAL CCSD European Centre for Disease Prevention and Control
Résumé : International audience
Leishmaniasis is endemic in southern Europe, and in other European countries cases are diagnosed in travellers who have visited affected areas both within the continent and beyond. Prompt and accurate diagnosis poses a challenge in clinical practice in Europe. Different methods exist for identification of the infecting Leishmania species. Sixteen clinical laboratories in 10 European countries, plus Israel and Turkey, conducted a study to assess their genotyping performance. DNA from 21 promastigote cultures of 13 species was analysed blindly by the routinely used typing method. Five different molecular targets were used, which were analysed with PCR-based methods. Different levels of identification were achieved, and either the Leishmania subgenus, species complex, or actual species were reported. The overall error rate of strains placed in the wrong complex or species was 8.5%. Various reasons for incorrect typing were identified. The study shows there is considerable room for improvement and standardisation of Leishmania typing. The use of well validated standard operating procedures is recommended, covering testing, interpretation, and reporting guidelines. Application of the internal transcribed spacer 1 of the rDNA array should be restricted to Old World samples, while the heat-shock protein 70 gene and the mini-exon can be applied globally.
ISSN: 1560-7917

hal-01460743
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01460743
DOI : 10.2807/1560-7917.ES.2016.21.49.30418
PUBMED : 27983510

Éditeur(s) : HAL CCSD Wiley
Résumé : International audience
BACKGROUND: An association between education and preterm delivery has been observed in populations across Europe, but differences in methodology limit comparability. We performed a direct cross-cohort comparison of educational disparities in preterm delivery based on individual-level birth cohort data. METHODS: The study included data from 12 European cohorts from Denmark, England, France, Lithuania, the Netherlands, Norway, Italy, Portugal, and Spain. The cohorts included between 2434 and 99 655 pregnancies. The association between maternal education and preterm delivery (22-36 completed weeks of gestation) was reported as risk ratios, risk differences, and slope indexes of inequality with 95% confidence intervals (CIs). RESULTS: Singleton preterm live delivery proportion varied between 3.7% and 7.5%. There were large variations between the cohorts in the distribution of education and maternal characteristics. Nevertheless, there were similar educational differences in risk of preterm delivery in 8 of the 12 cohorts with slope index of inequality varying between 2.2 [95% CI 1.1, 3.3] and 4.0 [95% CI 1.4, 6.6] excess preterm deliveries per 100 singleton deliveries among the educationally most disadvantaged, and risk ratio between the lowest and highest education category varying from 1.4 [95% CI 1.1, 1.8] to 1.9 [95% CI 1.2, 3.1]. No associations were found in the last four cohorts. CONCLUSIONS: Educational disparities in preterm delivery were found all over Europe. Despite differences in the distributions of education and preterm delivery, the results were remarkably similar across the cohorts. For those few cohorts that did not follow the pattern, study and country characteristics did not explain the differences.
ISSN: 0269-5022

hal-01146842
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01146842
DOI : 10.1111/ppe.12185
PUBMED : 25808200

Éditeur(s) : HAL CCSD
Résumé : International audience
The 20th Caribbean Academy of Sciences Biennal Meeting was held in Guadeloupe, FWI, on November 24 th to 26 th, 2016. It has gathered over 130 participants from more than 14 countries within or outside the Caribbean. In this booklet, you may find all abstracts form the scientific sessions, and the desciption of two round tables and three symposiums. Sessions were as followed :- Poster session- Mathematics and Informatics- Science Education- Physics of the Athmosphere- Medical Sciences (1)- Interface and Material Physics- Radiochemistry and Nuclear Medicine and Biomolecules- Interdisciplinary Oral Session- Biology- Hydrology and Hydrodynamics- Material and Environmental Chemistry- Medical Sciences (2)
https://hal.univ-antilles.fr/hal-01413318
Dehaies, Guadeloupe

hal-01413318
https://hal.univ-antilles.fr/hal-01413318
https://hal.univ-antilles.fr/hal-01413318v2/document
https://hal.univ-antilles.fr/hal-01413318/file/CAS_2016_Booklet.pdf

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
This study aimed to compare the relative survival of patients with invasive breast cancer between women from French Guiana (a French territory in South America) and metropolitan France. No study hadever compared survival of breast cancer on the basis of immigrant status in France. Our study underlined that access to care for migrants is challenging whichwgenerates health inequalities. Background The prognosis of breast cancer in French Guiana is worse than in France with 23 deaths per 100 incident cases against 17 per 100 in metropolitan France. This study aimed to compare relative survival of patients with invasive breast cancer (IBC) between women from French Guiana and metropolitan France and to determine risk factors influencing breast cancer survival in French Guiana.Materials and methods Data were collected from the Cancer registry of French Guiana. We comparedthe relative survival of women with IBC between French Guiana and metropolitan France. We used Cox's proportional hazard regression to evaluate the effect of prognostic factors on cancer-specific mortality in French Guiana. Results We included all 269 cases of IBC in women diagnosed in French Guiana between 2003 and 2009. The overall 5-year relative survival rate of patients with IBC was 79% in French Guiana and 86% in metropolitan France. The place of birth (foreign country versus French territory), the tumor stage at the time of diagnosis, the mode of diagnosis (symptoms versus screening), the presence of hormone receptors in the tumor and the histologic type were the variables associated with survival differences. None of the other study variables were significantly associated with prognosis. Conclusion Access to care for migrants is challenging,which leads to health inequalities. Early detection through prevention programs is crucial to increaseIBC survival notably for foreign-born patients.
ISSN: 1526-8209

hal-01288657
https://hal.archives-ouvertes.fr/hal-01288657
https://hal.archives-ouvertes.fr/hal-01288657/document
https://hal.archives-ouvertes.fr/hal-01288657/file/2016%2C%20Roue%20-%20Predictive%20factors%20of%20the%20survival%20of%20women%20with%20invasive%20breast%20cancer%20in%20French%20Guiana.pdf