Éditeur(s) : HAL CCSD International Medical Press
Résumé : International audience
BACKGROUND: Psychiatric disorders are relatively common among HIV-infected patients. However, there are few studies about their potential risk factors. This analysis aimed to measure the incidence of severe psychiatric events (PE) among patients receiving combination antiretroviral therapy (cART) of the French APROCO-COPILOTE (ANRS CO8) cohort, and to identify the medical and socio-behavioural correlates of their first episode of depression, suicide or suicide attempt (D/S/SA). METHODS: APROCO-COPILOTE is a cohort of patients started on a protease inhibitor regimen between 1997 and 1999, with prospective medical standardized records and self-administered questionnaires collecting socio-demographic and socio-behavioural data. This analysis included all 11-year follow-up visits for 1,095 patients having completed baseline self-administered questionnaires. A proportional hazard Cox model was used to identify the correlates of a first D/S/SA event. RESULTS: The overall prevalence of severe PE remained low: 50 patients experienced 67 events (incidence rate [95% CI] =1.04 [0.82, 1.32] per 100 person-years). Depression (n=16), suicides (n=5) and suicide attempts (n=14) were the most frequently diagnosed PE (0.54 [0.39, 0.76] per 100 person-years) among 25 patients. Multivariate results showed that unemployment, unstable housing, detectable viral load and smoking more than 20 cigarettes/day were independently associated with D/S/SA. CONCLUSIONS: Although the incidence of severe PE remained relatively low among the patients of APROCO-COPILOTE cohort, this study's results underline a clinically important problem in HIV-infected patients receiving cART. Furthermore, our findings not only emphasize the importance of comprehensive care, especially for socially vulnerable patients, but may also help future studies designed to assess the effectiveness of interventions in reducing the risk of PE during cART.
ISSN: 1359-6535

hal-00875183
https://hal.archives-ouvertes.fr/hal-00875183
DOI : 10.3851/IMP2102
PUBMED : 22544079

Éditeur(s) : HAL CCSD American Geophysical Union (AGU)
Résumé : International audience
The Tian Shan Mountains constitute central Asia's longest and highest mountain range. Understanding their Cenozoic uplift history thus bears on mountain building processes in general, and on how deformation has occurred under the influence of the India-Asia collision in particular. In order to help decipher the uplift history of the Tian Shan, we collected 970 samples for magnetostratigraphic analysis along a 4571-m-thick section at the Jingou River (Xinjiang Province, China). Stepwise alternating field and thermal demagnetization isolate a linear magnetization component that is interpreted as primary. From this component, a magnetostratigraphic column composed of 67 polarity chrons are correlated with the reference geomagnetic polarity timescale between ~1 Ma and ~23.6 Ma, with some uncertainty below ~21 Ma. This correlation places precise temporal control on the Neogene stratigraphy of the southern Junggar Basin and provides evidence for two significant stepwise increases in sediment accumulation rate at ~16–15 Ma and ~11–10 Ma. Rock magnetic parameters also undergo important changes at ~16–15 Ma and ~11–10 Ma that correlate with changes in sedimentary depositional environments. Together with previous work, we conclude that growth history of the modern Tian Shan Mountains includes two pulses of uplift and erosion at ~16–15 Ma and ~11–10 Ma. Middle to upper Tertiary rocks around the Tian Shan record very young (<~5 Ma) counterclockwise paleomagnetic rotations, on the order of 15° to 20°, which are interpreted as because of strain partitioning with a component of sinistral shear that localized rotations in the piedmont.
ISSN: 0278-7407

insu-00376345
https://hal-insu.archives-ouvertes.fr/insu-00376345
https://hal-insu.archives-ouvertes.fr/insu-00376345/document
https://hal-insu.archives-ouvertes.fr/insu-00376345/file/2007TC002137.pdf
DOI : 10.1029/2007TC002137

Éditeur(s) : HAL CCSD National Institute of Environmental Health Sciences
Résumé : International audience
Background: Glycol ethers (GE) are widely used organic solvents. Despite the potential neurotoxicity of several families of organic solvents, little is known about the impact of GE on the neurodevelopment of infants and children. Objectives: We investigated the relation between urinary concentrations of GE metabolites in pregnant women and neurocognitive abilities in their 6-year-old children in the PELAGIE mother-child cohort. Methods: Five GE metabolites were measured in first morning void urine samples of 204 French pregnant women in early pregnancy (<19 weeks of gestation). Psychologists assessed the neurocognitive abilities of their 6-year-old children with the Wechsler Intelligence Scale for Children IV (WISC) and the Developmental Neuropsychological Assessment (NEPSY). We analyzed the results with linear (WISC) and Poisson regression models (NEPSY), adjusted for potential confounders, including child's stimulation at home. Results: GE metabolites were detected in 90-100% of maternal urine samples. The WISC Verbal Comprehension score was significantly lower for children with the highest tertile of urinary phenoxyacetic acid (PhAA) [beta (third vs. first tertile)=-6.53; 95% CI: -11.44, -1.62]. Similarly, the NEPSY Design Copying subtest score was lower in those with the highest tertile of urinary ethoxyacetic acid (EAA) [beta (third vs. first tertile)=-0.11; 95% CI: -0.21, 0.00]. The other GE metabolites we studied were not significantly associated with WISC or NEPSY scores. Conclusions: Prenatal urine concentrations of two GE metabolites were associated with lower WISC Verbal Comprehension Index scores and NEPSY Design Copying subscale scores, respectively, at age 6 years. PhAA is the primary metabolite of 2-phenoxyethanol (EGPhE), which is commonly found in cosmetics, and precursors of EAA are frequently used in cleaning agents. Additional research is needed to confirm our findings and further explore potential effects of prenatal GE exposures on neurocognitive performance in children.
ISSN: 0091-6765

hal-01519256
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01519256
DOI : 10.1289/EHP39
PUBMED : 27740510

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
ISSN: 0362-546X

hal-00699030
https://hal.archives-ouvertes.fr/hal-00699030

Éditeur(s) : HAL CCSD Taylor & Francis (Routledge): STM, Behavioural Science and Public Health Titles
Résumé : International audience
The aim of this study was to determine factors associated with complete satisfaction with the care provided (satisfaction with physicians and satisfaction with services and organization) among HIV-infected patients followed up in the French ANRS CO8 APROCO-COPILOTE cohort. Analyses focused on cross-sectional data collected during the ninth year of cohort follow-up. Satisfaction with care, sociodemographic characteristics, and behavioral data were collected using self-administered questionnaires, while clinical data were derived from medical records. Complete satisfaction with care was defined as being 100% satisfied. Two logistic regression models were used to identify predictors of (1) complete satisfaction with physicians (n=404) and (2) complete satisfaction with services and organization (n=396). Sixteen percent of patients were completely satisfied with physicians, while 15.9% were completely satisfied with services and organization. Being older and reporting fewer discomforting antiretroviral therapy (ART) side effects were factors independently associated with complete satisfaction with both physicians and services and organization. Strong support from friends and absence of hepatitis C (HCV) co-infection were independently associated with complete satisfaction with physicians, while strong support from one's family and comfortable housing conditions were independently associated with complete satisfaction with services and organization. Even after nine years of follow-up, social vulnerabilities still strongly influence HIV-infected patients' interactions with the health care system. Day-to-day experience with the disease, including perceived treatment side effects, appears to play a key role in the quality of these interactions. More attention should be given to patient satisfaction, especially for socially vulnerable patients, in order to avoid potentially detrimental consequences such as poor adherence to ART.
AIDS Care

hal-00875619
https://hal.archives-ouvertes.fr/hal-00875619
DOI : 10.1080/09540121.2011.613909
PUBMED : 21999644

Éditeur(s) : HAL CCSD
Résumé : Monitoring crustal deformation during the interseismic phase when searching for earth transients requires precise instruments able to operate for very long periods. The ANR-LINES project aimed to develop three new instruments: a single-axis seismometer, a hydrostatic long base tiltmeter and a borehole pendulum tiltmeter. These three instruments benefit of an extrinsic Fabry-Pérot interferometer (EFFPI) with long optic fibers for displacement detections. Their mechanical architectures and their disposal of long fibers help these newly manufactured geophysical instruments complete their goals. The first objective of this study is to propose appropriate methods for estimating the phase of the optical path in the Fabry-Pérot cavities. A modulation of the laser diode current, followed by a homodyne demodulation of the interference signal and a Kalman filter, allow determining the phase in real time. The results are convincingwhile taking short periods measurements but require additional solutions for protection against environmental phenomena variations. The EFFPI sensor integrated in the LINES borehole tiltmeter gives it the opportunity to establish a differential measurement of the bob's oscillation thanks to three Fabry-Perot cavities. The LINES seismometer also uses the EFFPI displacement sensor to measure its coil's displacement. A description of the two instruments' mechanical structures and an analysis of the detected phenomena (slow movements, tides, earthquakes, microseisms . . . ) are part of this thesis.
Le suivi de la déformation de la croûte terrestre durant la phase intersismique pour la recherche des transitoires nécessite des instruments précis capables d'opérer pour de très longues durées. Le projet ANR-LINES a visé le développement de trois nouveaux instruments : un sismomètre mono-axial, un inclinomètre hydrostatique à longue base et un inclinomètre de forage pendulaire. Ces trois instruments profitent d'un capteur interférométrique de déplacement à longues fibres optiques du type Fabry-Pérot Extrinsèque (EFFPI). Leurs architectures mécaniques et l'utilisation de longues fibres permettent à ces instruments géophysiques nouvellement fabriqués d'atteindre les objectifs fixés. Le premier objectif de cette étude est de proposer des méthodes adaptées à l'estimation de la phase du chemin optique dans les cavités Fabry-Pérot. Une modulation du courant de la diode laser, suivie par une démodulation homodyne du signal d'interférence et un filtre de Kalman permettent de déterminer la phase en temps réel. Les résultats sont convaincants pour des mesures de courtes durées mais exigent des solutions complémentaires pour se prémunir des effets de la variation des phénomènes environnementaux. Le capteur EFFPI intégré dans l'inclinomètre de forage LINES lui offre l'opportunité d'établir une mesure différentielle de l'oscillation de la masselotte pendulée grâce à trois cavités Fabry-Pérot. Le sismomètre LINES utilise lui aussi le capteur de déplacement EFFPI pour la mesure du déplacement de sa bobine. Une description de l'architecture mécanique de ces instruments et une analyse des phénomènes détectés (mouvements lents, marées, séismes, microséismes . . . ) font partie de cette thèse.
https://tel.archives-ouvertes.fr/tel-00779335

tel-00779335
https://tel.archives-ouvertes.fr/tel-00779335
https://tel.archives-ouvertes.fr/tel-00779335/document
https://tel.archives-ouvertes.fr/tel-00779335/file/Manuscript_Chawah.pdf

Éditeur(s) : HAL CCSD American Public Health Association
Résumé : International audience
BACKGROUND: It is well established that high adherence to HIV-infected patients on highly active antiretroviral treatment (HAART) is a major determinant of virological and immunologic success. Furthermore, psychosocial research has identified a wide range of adherence factors including patients' subjective beliefs about the effectiveness of HAART. Current statistical approaches, mainly based on the separate identification either of factors associated with treatment effectiveness or of those associated with adherence, fail to properly explore the true relationship between adherence and treatment effectiveness. Adherence behavior may be influenced not only by perceived benefits-which are usually the focus of related studies-but also by objective treatment benefits reflected in biological outcomes. METHODS: Our objective was to assess the bidirectional relationship between adherence and response to treatment among patients enrolled in the ANRS CO8 APROCO-COPILOTE study. We compared a conventional statistical approach based on the separate estimations of an adherence and an effectiveness equation to an econometric approach using a 2-equation simultaneous system based on the same 2 equations. RESULTS: Our results highlight a reciprocal relationship between adherence and treatment effectiveness. After controlling for endogeneity, adherence was positively associated with treatment effectiveness. Furthermore, CD4 count gain after baseline was found to have a positive significant effect on adherence at each observation period. This immunologic parameter was not significant when the adherence equation was estimated separately. In the 2-equation model, the covariances between disturbances of both equations were found to be significant, thus confirming the statistical appropriacy of studying adherence and treatment effectiveness jointly. CONCLUSIONS: Our results, which suggest that positive biological results arising as a result of high adherence levels, in turn reinforce continued adherence and strengthen the argument that patients who do not experience rapid improvement in their immunologic and clinical statuses after HAART initiation should be prioritized when developing adherence support interventions. Furthermore, they invalidate the hypothesis that HAART leads to "false reassurance" among HIV-infected patients.
ISSN: 0025-7079

hal-00875196
https://hal.archives-ouvertes.fr/hal-00875196
DOI : 10.1097/MLR.0b013e3182422f61
PUBMED : 22362167

Éditeur(s) : HAL CCSD
Résumé : National audience
Un ensemble de données sur l’environnement géologique despéridotites de la Zone Nord-Pyrénéenne a été obtenu dans lecadre des programmes ANR Pyramid et RGF-BRGM consacrésà l’évolution géodynamique des Pyrénées. Ces données représententdes contraintes indispensables pour l’étude des processus del’exhumation du manteau, de l’amincissement de la croûte continentaleet de sa disparition complète lors de l’ouverture desbassins transtensifs albo-cénomaniens. On y trouve : (1) de nouveauxlevés géologiques de détail autour des lherzolites de Lherz-Freychinède-Vicdessos-Bestiac-Prades et d’Urdach-Les Pernes et(2) des analyses multi-méthodes des métasédiments de la couvertureprérift et du socle paléozoïque adhérent au manteau :composition des assemblages du métamorphisme HT, températuresmaximales par spectrométrie RAMAN sur la m.o., fabriquede la calcite par EBSD, inclusions fluides et isotopes stables dansles marbres et veines associées, datations U-Th-Pb in situ. Cesdonnées permettent d’estimer les conditions thermiques lors de laremontée du manteau et de sa mise à l’affleurement. Nous montronsune variabilité remarquable de l’Ouest vers l’Est.A l’Ouest, le manteau est exhumé à l’Albien sup. - Cénomanieninf. en perçant une couverture mésozoïque prérift qui n’a pas étéchauffée à plus de 250C. La croûte continentale supérieure y estréduite en lames ductiles extrêmement amincies puis cataclaséeset remaniées sur le fond ultrabasique avec des fragments de manteauet de la couverture prérift, durant le dépôt du flysch noir. Latempérature augmente au cours du Cénomanien (480C) dans leszones où le manteau n’a pas été mis à l’affleurement. Le Triassupérieur se transforme profondément (talc-chlorites) et perd sacomposante évaporitique. La couverture prérift décollée joue unrôle majeur comme couvercle isotherme, suivi en cela par les flyschsalbiens puis cénomaniens.A l’Est, le manteau perce à travers une couverture chauffée localementà plus de 600C. Le Keuper y est réduit à quelquesdécimètres de grès et brèches riches en saphirine. La croûtesupérieure a été presque totalement éliminée tectoniquement, maisdes granulites sont remaniées à côté des péridotites et des marbresdans les brèches recouvrant le manteau exhumé.Ces données de terrain représentent les contraintes de base pourconstruire les modèles d’amincissement crustal. La variabilitémise en évidence (gradient thermique et présence ou absence decroûte profonde remaniée) ne permet pas de proposer un modèled’amincissement simple et unique. Cependant, toutes ces donnéesindiquent que la croûte moyenne à supérieure se comporteductilement sous les écrans thermiques de la couverture prériftet synrift, mobiles sur le Keuper. Un modèle de marge passivedistale faisant appel à des blocs continentaux rigides de type ”extensional allochthons ” ne peut s’appliquer ici. Sur la base deces données géologiques, nous mettons donc en avant un nouveaumodèle de type marge distale chaude plus ou moins transtensive.
RST 2016, livre des résumés
Caen, France

insu-01388463
https://hal-insu.archives-ouvertes.fr/insu-01388463

Éditeur(s) : HAL CCSD
Résumé : The purpose of this work is to specify the deformation offshore East of Taiwan by characterizing major active faults in particular at the level of the Ryukyu forearc. The major problem associated with the study of this region is that earthquakes are located outside the permanent networks. Consequently, this led to some unprecise earthquake locations limiting tectonic and statistical analyses, and therefore the correct estimation of the seismic hazard. This work is included in the project ANR ACTS (Active Tectonics and Seismic Hazard in Taiwan). To achieve this goal, we worked on three different timescales for which a different localization method has been proposed to obtain a clear image of seismic deformation and highlight major faults offhore East of Taiwan. First, at the scale of the century (from the analysis of a seismicity catalogue with homogeneous magnitude), the instrumental historical earthquakes (1897-2007) show that the Ryukyu margin was affected by 6 earthquakes of magnitude greater than 7 with 4 of them for which the responsible fault is unknown. We propose a method of relative location to relocate the historic events from the time difference of P and S arrival times (Ts-Tp) at each station. The location is obtained by searching for "analogue" earthquakes in the recent instrumental catalogue (1991-2008) for which Ts-Tp at each station is close. This method has been applied to the largest (in terms of magnitude) earthquake ever recorded in Taiwan, the earthquake of June 5, 1920 (M7.7 +/- 0.2). A rupture along the interplate of the Ryukyu subduction with a possible nucleation at the downdip limit of a splay-fault is certainly responsible of this earthquake. Then, at the scale of the decade, the improvement of the method of absolute location based on MAXimum of Intersection of EDT (MAXI, EDT: Equal Differential Time) allows to better extract the erroneous arrival times and prevents the "trade-off" between depth and origin time, and between depth and epicentral position when the azimuthal coverage is low (gap Azimuthal > 180degre). Synthetic tests show the effectiveness of MAXI (using P-wave only) to determine the parameters x, y and z even when the azimuthal gap is important. In the latter case, the quality of the results is dependent on the velocity model to represent the 3D structure of the Earth. We propose an approach involving the use of a 3D a priori P-wave velocity model to locate earthquakes which are lateral and remote to the seismic network. An application to the case of Taiwan and Ecuador validates this approach. Finally, at the level of a few months, the marine geophysical campaign RATS (Ryukyu Arc: Tectonics and Seismology) was conducted in two stages. A passive seismology experiment from July to October, 2008 (RATS1) has been conducted over the forearc of the Ryukyus and then active seismic experiment (refraction and reflection) was conducted in May 2009 in a NNE - SSW line through the Ryukyu margin. These two combined experiments allow improving our knowledge about the crustal structure of the margin. At the level of the forearc, the basement of the forearc is characterized by vertical backstop and a very deformed basis certainly associated with a significant out of sequence deformation. In depth, the downgoing plate is certainly affected by a tear that controls the seismicity in the region of transition between the subduction and collision.
Le but de ce travail est de préciser la déformation en mer à l'est de Taïwan et de notamment caractériser les failles actives majeures en particulier au niveau de l'avant-arc des Ryukyus. Le problème majeur associé à l'étude de cette région est que les séismes sont localisés en dehors des réseaux permanents et que cela conduit à des localisations peu précises limitant les analyses statistiques, tectoniques et donc l'estimation correcte de l'aléa sismique. Ce travail est inclus dans le projet ANR ACTS (Active Tectonics and Seismic Hazard in Taiwan). Pour atteindre cet objectif, nous travaillons à trois échelles de temps différentes pour lesquelles une méthode de localisation différente a été proposée pour obtenir une image précise de la déformation sismique et mettre en évidence les failles majeures en mer à l'est de Taïwan. D'abord, à l'échelle du siècle (à partir de l'analyse d'un catalogue de sismicité homogène en magnitude), les séismes historiques instrumentaux (1897-2007) montrent que la marge des Ryukyus a été affectée par 6 séismes de magnitude supérieure à 7 dont 4 pour lesquels la faille responsable n'est pas connue. Nous proposons une méthode de localisation relative qui permet de relocaliser les évènements historiques à partir des différences de temps d'arrivées P et S (Ts-Tp) à chaque station. La localisation est obtenue en recherchant les séismes analogues dans le catalogue instrumental récent (1991-2008) pour lesquels Ts-Tp à chaque station est proche. Cette méthode a été appliquée au plus gros séisme (en terme de magnitude) jamais enregistré à Taïwan, le séisme du 5 juin 1920 (M7.7 $pm$ 0.2). Ce séisme a certainement pour origine une rupture sur l'interplaque sismogène de la subduction des Ryukyus avec une possible nucléation à la base d'une faille hors-séquence. Ensuite, à l'échelle de la dizaine d'années, l'amélioration de la méthode de localisation absolue du MAXimum d'Intersection EDT (MAXI, EDT: Equal Differential Time) permet de mieux extraire les temps d'arrivées erronés et empêche les "trade-off" entre profondeur et temps d'origine et, entre profondeur et position épicentrale lorsque la couverture azimutale est faible (gap azimutal > 180°). Des tests synthétiques montrent l'efficacité de MAXI (en utilisant les ondes P uniquement) à déterminer les paramètres x, y et z même lorsque le gap azimutal est important. Dans ce dernier cas, la qualité des résultats reste dépendant du modèle de vitesse à représenter la structure 3D de la Terre. Nous proposons une démarche associant l'utilisation d'un modèle de vitesse des ondes P 3D a priori avec la méthode MAXI pour localiser les séismes qui sont latéraux et éloignés du réseau. Une application au cas de Taïwan et en Équateur valide cette approche. Enfin, à l'échelle de quelques mois, la campagne de géophysique marine RATS (Ryukyu Arc: Tectonics and Seismology) a été menée en deux temps. Une expérience de sismologie passive de juillet à octobre 2008 (RATS1) a été menée au-dessus de l'avant-arc des Ryukyus puis une expérience de sismique active (réfraction et réflexion) a été menée en mai 2009 sur une ligne NNE-SSW à travers la marge des Ryukyus. Ces deux expériences combinées permettent d'améliorer notre connaissance de la structure crustale de la marge. Au niveau de l'avant-arc, le socle de l'avant-arc est caractérisé par une extrémité formant un butoir vertical et une base très déformée certainement associée à une importante déformation hors-séquence. En profondeur, la plaque plongeante est certainement affectée par une déchirure qui contrôle la sismicité dans cette région de transition entre la subduction et la collision.
https://tel.archives-ouvertes.fr/tel-00660737

tel-00660737
https://tel.archives-ouvertes.fr/tel-00660737
https://tel.archives-ouvertes.fr/tel-00660737/document
https://tel.archives-ouvertes.fr/tel-00660737/file/Thesis_small.pdf

Éditeur(s) : HAL CCSD Lippincott, Williams & Wilkins
Résumé : International audience
OBJECTIVES: The ANRS-112 INTERPRIM trial assessed whether fixed-cycles of antiretroviral treatment interruption (ART-STI) combined or not with pegylated interferon alpha-2b (peg-IFN) could lower viral load and achieve a healthier immune system in patients diagnosed during primary HIV-1-infection (PHI). DESIGN AND METHODS: Patients were randomized to receive either continuous ART (cART) during 72 weeks, or cART during 36 weeks followed by three ART-STIs, or the same ART-STIs associated with peg-IFN during the first 14 weeks and each interruption (ART-STI-IFN). Treatment was stopped at week 72. Final evaluation was based on plasma HIV-RNA level 6 months after the last treatment interruption. RESULTS: Eighty-seven percent of patients achieved undetectable HIV-RNA at week 32, with no deleterious impact of sequential treatment interruptions (STIs). Viral rebounds during interruptions were lower in the ART-STI-IFN than in the ART-STI group and during the second and third interruptions compared with the first one. However, HIV-RNA levels, CD4 T-cell counts and CD4 T/CD8 T ratios were similar between groups after the 6-month interruption, with a persistent effect on CD4 T cells and total cell-associated HIV-DNA levels. Predictive factors of virological outcome were HIV-RNA and HIV-DNA levels at PHI and HIV-DNA levels at treatment interruption. HIV-specific responses did not differ between strategies and were not associated with outcome. Forty-eight percent of patients experienced treatment resumption during long-term follow-up without difference between groups. CONCLUSION: When initiated during PHI, STIs associated or not with IFN did not result in a different outcome as compared to cART. All regimens showed a high response rate and a sustained immunological benefit after cessation.
ISSN: 0269-9370

hal-00875175
https://hal.archives-ouvertes.fr/hal-00875175
DOI : 10.1097/QAD.0b013e32835844d9
PUBMED : 22842994

Éditeur(s) : HAL CCSD International Medical Press
Résumé : International audience
Background: Although the role of clinical/biological factors associated with mortality has already been explored in HIV-infected patients on antiretroviral therapy (ART), to date little attention has been given to the potential role of social vulnerability. This study aimed to construct an appropriate measure of social vulnerability and to evaluate whether this measure is predictive of increased mortality risk in ART-treated patients followed up in the ANRS CO8 APROCO-COPILOTE cohort.Methods: The cohort enrolled 1,281 patients initiating a protease inhibitor-based regimen in 1997–1999. Clinical/laboratory data were collected every 4 months. Self-administered questionnaires collected psycho-social/behavioural characteristics at enrolment (month [M] 0), M4 and every 8–12 months thereafter. A multiple correspondence analysis using education, employment and housing indicators helped construct a composite indicator measuring social vulnerability. The outcome studied was all-cause deaths occurring after M4. The relationship between social vulnerability and mortality, after adjustment for other predictors, was studied using a shared-frailty Cox model, taking into account informative study dropout.Results: Over a median (IQR) follow-up of 7.9 (3.0–11.2) years, 121 deaths occurred among 1,057 eligible patients, corresponding to a mortality rate (95% CI) of 1.64 (1.37, 1.96)/100 person-years. Leading causes of death were non-AIDS defining cancers (n=26), AIDS (n=23) and cardiovascular diseases (n=12). Social vulnerability (HR [95% CI] =1.2 [1.0, 1.5]) was associated with increased mortality risk, after adjustment for other known behavioural and bio-medical predictors.Conclusions: Social vulnerability remains a major mortality predictor in ART-treated patients. A real need exists for innovative interventions targeting individuals cumulating several sources of social vulnerability, to ensure that social inequalities do not continue to lead to higher mortality.
ISSN: 1359-6535

hal-01299300
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01299300
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01299300/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01299300/file/Twelve-year%20mortality%20in%20HIV-infected%20patients_accepted.pdf
DOI : 10.3851/IMP2960

Éditeur(s) : HAL CCSD
Résumé : International audience
Two opposing visions of the Aegean backarc tectonics implicitly contain contrasting images of the rheological behaviour of the lihosphere, supported by different sets of observations. The propagation of the NAF and extension in the Corinth Rift suggest a strongly localising rheology whereas the formation of MCC in the Cyclades and the Rhodope suggests instead a more viscous behaviour. This paradox was the seminal question addressed by the ANR-EGEO programme (2007-2010) that leads to the following conclusions: (1) The exhumation of the Cycladic MCC's is accommodated by the N-dipping North Cycladic Detachment System (NCDS) that partly reworks the Vardar suture and at the base by a series of thrusts, including the basal contact of the Cycladic Blueschists (CBS) over the Cycladic Basement (CB). The activity of LANF is due to the reactivation of pre-existing discontinuities such as thrusts or earlier detachments and much less to the interaction with granitic plutons. (2) Exhumation in the Cyclades has proceeded in two stages: (a) Eocene syn-orogenic exhumation within the subduction lower/upperplate interface while the post-orogenic Rhodope MCC formed further north, (b) Oligo-Miocene post-orogenic extension in an MCC mode coeval with syn-orogenic exhumation in Crete and the Peloponnese. (3) Both stages were associated with slab retreat, as early as the Eocene with an acceleration at 30-35 Ma. (4) The localisation of the presently active steeply-dipping normal faults on the southern margin of the Corinth Rift may have been preceded by a partial reworking of thrusts and syn-orogenic detachments by shallow-dipping decollements. (5) The localisation of the NAF in the Marmara Sea region and the Northern Aegean Sea is now accurately dated between 5.3 and 5 Ma Ma using the erosion and deposition surfaces that mark the Messinian salinity Crisis and nannofossils ages. (6) The formation of MCCs in the Cyclades resulted in the draining of the low viscosity lower crust from the northern Aegean Sea and led to an easier coupling between upper mantle and upper crust, easing the localisation and propagation of the NAF. (7) A comparison between crustal and mantle finite strain suggests that mantle flow due to slab retreat controls the stretching of the crust. Our model involves progressive slab retreat and mantle flow below the overriding plate inducing the observed succession of tectonic episodes with a progressive localisation of extension due to several slab tearing events. There is no paradox in the tectonic history and rheological behaviour of the Aegean lithosphere but an evolution of the kinematic boundary conditions due to slab deformation at depth.
American Geophysical Union
San Francisco, United States

insu-00860518
https://hal-insu.archives-ouvertes.fr/insu-00860518
BIBCODE : 2010AGUFM.T13G..04J

Éditeur(s) : HAL CCSD
Résumé : 16 p.
National audience
The objective of this paper is to present an approach for experimenting territorial prospective analysis based on spatial modelling. This approach is carried out in the framework of the DESCARTES project which aims at developing a spatial simulation tool to support the design and analysis of different scenarios for land-use allocation in Reunion Island in terms of environmental services. The spatial modelling tool is composed of two complementary applications: (i) the Ocelet modelling language and its land dynamics simulation environment, and (ii) the Margouill@ platform. The first demonstrator, a model of farm land consumption by urbanization, was developed and presented during workshops in order to test the role of the spatial simulation tool in support of a collaborative innovation process among stakeholders, and to foster new research on social learning, spatial simulation of environmental services, and scale change issues.
L'objectif de cet article est de présenter une démarche de construction d'un exercice de prospective territoriale basé sur un outil de modélisation spatiale. Cette démarche est mise en œuvre dans le cadre du projet ANR DESCARTES dont l'objectif est de construire un outil de simulation cartographique pour analyser différents scénarios d'affectation de l'usage des sols à l'Ile de La Réunion, en termes de services environnementaux. La plateforme de simulation cartographique est composée de deux applications complémentaires (i) le langage de modélisation Ocelet et son environnement de simulation de paysages dynamiques, et (ii) la plateforme Margouill@. Le développement puis la présentation, en atelier, d'un premier démonstrateur sur la consommation des terres agricoles par l'urbanisation a permis de tester l'outil cartographique comme support d'un processus d'innovation collective entre les parties prenantes, et d'ouvrir de nouveaux champs de recherche sur l'analyse de la démarche par les apprentissages, la spatialisation et la simulation prospective des services écosystémiques, et la prise en compte du changement d'échelle.
Acte de la Conférence Internationale de Géomatique et d'Analyse Spatiale
Brest, France

cirad-00850243
http://hal.cirad.fr/cirad-00850243
http://hal.cirad.fr/cirad-00850243/document
http://hal.cirad.fr/cirad-00850243/file/SAGEO-Brest2013-version_finale.pdf

Éditeur(s) : HAL CCSD Oxford University Press (OUP)
Résumé : International audience
BACKGROUND: Surveillance of HIV-1 drug resistance in treated patients with plasma viral load (VL) >50 copies/mL. METHODS: The protease and reverse transcriptase (RT) genes were systematically sequenced in samples from 756 patients with VL >50 copies/mL in 2009. The genotyping results were interpreted for each antiretroviral drug (ARV) by using the ANRS algorithm v21. Weighted analyses were used to derive representative estimates of percentages of patients. Prevalence rates were compared with those obtained in 2004 among patients with VL >1000 copies/mL. RESULTS: Sequences were obtained for 506 patients. Sequencing was successful in 45%, 80% and 96% of samples with VL of 51-500, 501-1000 and >1000 copies/mL, respectively. Resistance or possible resistance to at least one ARV was observed in 59% of samples. Overall, 0.9% of samples contained viruses resistant to all drugs belonging to at least three drug classes. All resistance prevalence rates were significantly lower in 2009 than in 2004. CONCLUSION: In France, where 86% of patients were receiving combination antiretroviral therapy in 2009, only 15.0% of patients had a VL >50 copies/mL, suggesting that only 8.9% of treated patients could potentially transmit resistant viruses. Only 0.08% of patients harboured viruses fully resistant to at least three antiretroviral drug classes. Further studies are needed to determine whether resistance continues to decline over time.
ISSN: 0305-7453

hal-00875092
https://hal.archives-ouvertes.fr/hal-00875092
DOI : 10.1093/jac/dkt033
PUBMED : 23404192