Éditeur(s) : HAL CCSD
Résumé : International audience
BACKGROUND: The effects of pressure-controlled (PC) ventilation on the ventilatory and haemodynamic parameters during laparoscopy procedures had not been carefully assessed. This prospective cross-over study was undertaken to compare how volume-controlled (VC) and PC modes could affect pulmonary mechanics, gas exchange, and cardiac function in patients undergoing laparoscopy. METHODS: Twenty-one patients undergoing laparoscopic urological procedures had their lungs ventilated at the beginning with VC ventilation. PC ventilation was instituted at the end of the VC sequence. Ventilator settings were adjusted to keep tidal volume, respiratory rate, and Fi(o(2)) constant in every mode. A complete set of ventilatory, haemodynamic, and gas exchange parameters was obtained under VC after 40 min of pneumoperitoneum and 20 min after switching for PC. Transoesophageal echocardiography was performed in order to evaluate systolic and diastolic function of the heart. RESULTS: When VC was switched to PC, peak airway pressure decreased [mean (sd) 32 (6) vs 27 (6) cm H(2)O; P < 0.0001], peak inspiratory flow increased [17 (3) vs 48 (8) litre min(-1); P < 0.0001), and dynamic compliance improved [+15 (8)%]. No difference was noted for static airway pressure, static compliance, and arterial oxygenation. No significant change could be demonstrated in the systolic [left ventricular end-systolic wall stress 66 (16) vs 63 (14) x 10(3) dyn cm(-2) m(-2)] or diastolic function [early diastolic velocity 10.3 (2.5) vs 10.5 (2.7) cm s(-1)]. CONCLUSIONS: In this study, no short-term beneficial effect of PC ventilation could be demonstrated over conventional VC ventilation in patients with pneumoperitoneum.
BJA

hal-00689758
https://hal.archives-ouvertes.fr/hal-00689758
DOI : 10.1093/bja/aem166
PUBMED : 17626027

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Introduction: The value and challenges of long-term prophylaxis (LTP) in adolescents and young adults need further characterisation.Aim: To determine the proportions of adolescents and young adults with severe or moderately severe haemophilia in France under LTP and treatment on demand (OD).Methods: Patients 15 to 25 years old with haemophilia A or B, factor VIII/IX ≤ 2% and no current inhibitor could be included if they had been under factor VIII/IX treatment at least 12 months and kept a treatment and bleeding diary.Results: LTP was administered to 169/212 patients (79.7%) and OD treatment to 40/212 patients (18.9%). The most frequent reasons for initiating LTP were joint bleeding, target joints and frequent bleeds; whereas OD treatment was most often selected on the basis of mild bleeding phenotype or because of constraints on LTP. The mean annual bleed rate (ABR) in the OD group (6.33) was higher than in the LTP group (3.07, p < 0.001). Mean ABR did not differ significantly between age strata (15–18, > 18–21 and > 21–25 years), but was significantly higher for patients with severe haemophilia (4.02) as compared to those with moderate haemophilia (1.97, p = 0.002). No significant difference was observed in mean ABR for joint bleeds between the LTP and OD groups. Physician reported LTP compliance was good or excellent in 97.0% of patients.Conclusion: LTP is the predominant factor VIII/IX treatment among adolescents and young adults with severe or moderately severe haemophilia in France. LTP was associated with low ABR and high compliance. © 2017 The Authors
ISSN: 0049-3848

hal-01467550
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01467550
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01467550/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01467550/file/Choice%20of%20factor%20VIII-IX%20regime.pdf
DOI : 10.1016/j.thromres.2016.12.023

Éditeur(s) : HAL CCSD Geological Society of London
Résumé : The Borborema and Benin–Nigeria provinces of NE Brazil and NW Africa, respectively, are key areas in the amalgamation of West Gondwana by continental collision during the Brasiliano/Pan-African orogenies. Both are underlain by complex basement: Nigeria has c. 3.05 Ga Archaean crust but no known Palaeoproterozoic rocks >2.0 Ga; in NE Brazil, 2.6–3.5 Ga Archaean rocks form small cores within Palaeoproterozoic gneiss terrains affected by plutonism at c. 2.17 Ga. Both regions exhibit Late Palaeoproterozoic (c. 1.8 Ga) rift-related magmatism and metasedimentary sequences overlying the basement. The Seridó Group of NE Brazil (<0.65 Ga) is similar to the Igarra Sequence in SW Nigeria. The Ceará Group, which may date back to c. 0.85 Ga, is a passive margin deposit on crust thinned during initiation of an oceanic domain. In both provinces, basement and sedimentary cover were involved in tangential tectonics that resulted in crust-thickening by nappe-stacking associated with closure of this ocean. Frontal collision between c. 0.66 and 0.60 Ga later evolved to an oblique collision, generating north–south continental strike-slip shear zones at c. 0.59 Ga. In NE Brazil, the main Pan-African suture is probably buried beneath the Parnaíba Basin. The Transbrasiliano Lineament, interpreted as the prolongation of the Kandi–4°50 Lineament in Hoggar, may represent a cryptic suture.
West Gondwana: Pre-cenozoic correlations across the south atlantic region

hal-00412234
https://hal.archives-ouvertes.fr/hal-00412234
DOI : 10.1144/SP294.4

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
PURPOSE: Two hundred and fifty-three patients were included in a study on the etiology of encephalitis, carried out in France in 2007. Tuberculosis was the second most frequently identified cause, after HSV and with the same number of cases as VZV. The authors report the specific features of patients presenting with tuberculosis encephalitis (TE). METHODS: TE patients were defined as patients presenting with encephalitis, with positive culture or PCR for Mycobacterium tuberculosis, or the association of clinical, biological, imaging, and epidemiological evidence (possible cases). Clinical, microbiological, and brain imaging data was analyzed and compared to that of other included patients. RESULTS: Twenty cases of TE were identified. The M/F sex-ratio was 1.5, the mean age 53 years. Four (20%) patients had a history of tuberculosis before the encephalitis. The median delay between the onset of general and neurological symptoms was significantly longer for tuberculosis cases than for others (10 days vs. 2; P<10(-10)). The median CSF protein level was significantly higher for tuberculosis cases (2.1 g/L vs. 0.8 g/L, P=0.002). CT scan and MRI were normal on admission for eight patients out of 17. Fourteen isolated strains of M. tuberculosis were susceptible to first-line anti-tuberculosis drugs and one was rifampicin-resistant. Six (33%) patients died during hospitalization and two were lost to follow-up. Ten out of 12 (78.6%) had persisting neurological symptoms on discharge. DISCUSSION: Despite non-multiresistant MT strains, the case fatality rate among TE patients was high in our series. Early brain imaging is poor contributive for the diagnosis of TE.
ISSN: 0399-077X

hal-00874835
https://hal.archives-ouvertes.fr/hal-00874835
DOI : 10.1016/j.medmal.2013.05.003
PUBMED : 23816146

Éditeur(s) : HAL CCSD Inter-Research
Résumé : International audience
Sphaeroma serratum is a marine isopod species that inhabits seashores from Europe to West Africa. The individuals live under stones in direct contact with reduced sediments and harbour a diverse bacterial community on the cuticle of their pleopods. We investigated the diversity of these epibiotic bacteria on male (pubescent and senescent) and female specimens with electron microscopic obser vations and molecular tools. The microbial community of S. serratum was shown to be composed of at least 5 bacterial morphotypes observed on the pleopodal cuticle in all male specimens. Using fluorescence in situ hybridization, we identified 5 major phylogenetic groups (α-, β-, γ- and δ-Proteobacteria and Archaea) whereas denaturing gradient gel electro - phoresis (DGGE) of PCR-amplified 16S rRNA gene fragments of epibiotic bacteria revealed 50 bands. The bacterial community associated with S. serratum seems more diverse than in other marine crustaceans, such as Rimicaris. The relative diversity of this bacterial community was also studied in relation to the molt cycle. The comparison of DGGE band patterns of several individuals from female, pubescent male and senescent male groups revealed that the bacterial community diversity was dependent on the sex and the age of the individuals and more generally on the molt status.
Marine Ecology Progress Series

hal-00743743
https://hal.univ-antilles.fr/hal-00743743
DOI : 10.3354/meps09711

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
The Urucum region (Mato Grosso do Sul, Brazil) contains Neoproterozoic–Cambrian manganese ore in the layers Mn-1, Mn-2, and Mn-3, which are interbedded with iron formations (IFs) from the Santa Cruz Formation (Jacadigo Group) and surrounded by carbonate rocks from the Bocaina and Tamengo Formations (Corumbá Group). These rocks fill an ancient graben, with sediments from the Santa Cruz Formation overlying fluvial deposits from the Urucum Formation and limestones from the Bocaina and Tamengo Formations deposited in the shallow marginal regions. As the graben deepened, it was flooded with microbe-rich seawater and hydrothermalism began. Iron and manganese precipitated within the pores in arkosic sandstones, thereby forming the clastic Lower Mn-1 ore layer. The remaining manganese was simultaneously deposited on the basin floor with clastic clay and silt from turbidity currents, thereby forming the Upper Mn-1 clastic–chemical ore layer. The sedimentation of Mn-1 and its host IFs was controlled by seawater saturation and homogeneous oxidation, which caused manganese and iron sedimentation and the death of microorganisms, generating mangano-ferriferous sediments with high P, Co and Ni contents. Mn-2 formed during periods of tectonic quiescence through water influxes that carried abundant microbes, Fe(II), Mn(II), and SiO2. Under UV radiation, these microbes oxidized Mn(II) and Fe(II) to form hydroxides and died, thereby forming biomass that was enriched in P, Co and Ni and minor carbonate adjacent to and below the oxycline. These microbes also formed kremydilites, oblate structures that resemble manganese stromatolites, within the biomass and produced CH4 and/or H2 gas bubbles. During early diagenesis, wormlike organisms inhabited the biomass and probably separated iron from manganese to produce cryptomelane microbialites, which agglutinated to form manganese micronodules that coalesced to form the massive layer Mn-2. This process ended with the disappearance of microorganisms and the sedimentation of the IFs, and a new water influx generated layer Mn-3 via the same process. The final seawater upwelling precipitated IFs in the basin depocenter, whereas limestone from the Tamengo Formation was deposited along the basin’s edges. The diagenesis initially transformed the manganese oxides into cryptomelane and then into hollandite.
ISSN: 0169-1368

hal-01684668
https://hal.archives-ouvertes.fr/hal-01684668
DOI : 10.1016/j.oregeorev.2017.09.018

Éditeur(s) : HAL CCSD Geological Society of America
Résumé : International audience
On the New Jersey shelf (offshore North America), the presence of pore water fresher than seawater is known from a series of boreholes completed during the 1970s and 1980s. To account for this fresh water, a fi rst hypothesis involves possible present-day active dynamic connections with onshore aquifers, while a second involves meteoritic and/or sub- ice-sheet waters during periods of lowered sea level. Expedition 313 drilled three boreholes on the middle shelf, offering a unique opportunity for the internal structure of the siliciclastic system to be accessed, at scales ranging from the depositional matrix to the continental margin. This enables the stratigraphic architecture to be correlated with the spatial distribution and salinity of saturating fl uids. Expedition 313 revealed both very low salinities (<3 g/L) at depths exceeding 400 m below the seafl oor and evidence for a multilayered reservoir organization, with freshand/ or brackish-water intervals alternating vertically with salty intervals. In this study we present a revised distribution of the salinity beneath the middle shelf. Our observations suggest that the processes controlling salinity are strongly infl uenced by lithology, porosity, and permeability. Saltier pore waters generally occur in coarse-grained intervals and fresher pore waters occur in fi ne-grained intervals. The transition from fresher to saltier intervals is often marked by cemented horizons that probably act as permeability barriers. In the lowermost parts of two holes, the salinity varies independently of lithology, suggesting different mechanisms and/or sources of salinity. We present an interpretation of the sedimentary facies distribution, derived from core, logs, and seismic profi le analyses, that is used to discuss the marginscale two-dimensional reservoir geometry and permeability distribution. These proposed geometries are of primary importance when considering the possible pathways and emplacement mechanisms for the fresh and salty water below the New Jersey shelf.
EISSN: 1553-040X

insu-00858241
https://hal-insu.archives-ouvertes.fr/insu-00858241
DOI : 10.1130/GES00855.1

Éditeur(s) : HAL CCSD Ferrata Storti Foundation
Résumé : International audience
BackgroundRecent evidence suggests that autonomic nervous system activity could be involved in thepathophysiology of sickle cell disease, but it is unclear whether differences in autonomic nervoussystem activity are detectable during steady state in patients with mild and severe disease.The aim of the present study was to compare the autonomic nervous system activity, bloodrheology, and inflammation in patients with sickle cell anemia according to the frequency ofacute pain crisis.Design and MethodsTwenty-four healthy volunteers, 20 patients with sickle cell anemia with milder disease, and15 patients with sickle cell anemia with more severe disease were recruited. Milder disease wasdefined as having no pain crisis within the previous year. More severe disease was defined ashaving had within the previous year three or more pain crises which were documented by aphysician and required treatment with narcotics. The autonomic nervous system activity wasdetermined by spectral analysis of nocturnal heart rate variability. Blood viscosity determinationand measurements of several inflammatory markers (interleukin-6, soluble vascular celladhesion molecule-1, soluble CD40 ligand and sL-selectin) were made on blood samples collectedin steady-state conditions.ResultsResults showed that: 1) patients who had suffered more frequent pain crises had lowerparasympathetic activity and greater sympatho-vagal imbalance than both controls andpatients with milder disease. However, when adjusted for age, no significant difference wasdetected between the two sickle cell anemia patient groups; 2) patients who had suffered morefrequent pain crises had higher blood viscosity than patients with milder disease, and this wasnot dependent on age.ConclusionsResults from the present study indicate that both the autonomic nervous system activity andblood viscosity are impaired in patients with sickle cell anemia exhibiting high frequency ofpain crisis in comparison with those who did not experience a crisis within the previous year.
ISSN: 0390-6078

hal-01163973
https://hal.univ-antilles.fr/hal-01163973
DOI : 10.3324/haematol.2011.047365

Éditeur(s) : HAL CCSD Public Library of Science
Résumé : International audience
IntroductionLeishmania RNA virus type 1 (LRV1) is an endosymbiont of some Leishmania (Vianna) species in South America. Presence of LRV1 in parasites exacerbates disease severity in animal models and humans, related to a disproportioned innate immune response, and is correlated with drug treatment failures in humans. Although the virus was identified decades ago, its genomic diversity has been overlooked until now.Methodology/Principles findingsWe subjected LRV1 strains from 19 L. (V.) guyanensis and one L. (V.) braziliensis isolates obtained from cutaneous leishmaniasis samples identified throughout French Guiana with next-generation sequencing and de novo sequence assembly. We generated and analyzed 24 unique LRV1 sequences over their full-length coding regions. Multiple alignment of these new sequences revealed variability (0.5%±23.5%) across the entire sequence except for highly conserved motifs within the 5' untranslated region. Phylogenetic analyses showed that viral genomes of L. (V.) guyanensis grouped into five distinct clusters. They further showed a species-dependent clustering between viral genomes of L. (V.) guyanensis and L. (V.) braziliensis, confirming a long-term co-evolutionary history. Noteworthy, we identified cases of multiple LRV1 infections in three of the 20 Leishmania isolates.Conclusions/SignificanceHere, we present the first-ever estimate of LRV1 genomic diversity that exists in Leishmania (V.) guyanensis parasites. Genetic characterization and phylogenetic analyses of these viruses has shed light on their evolutionary relationships. To our knowledge, this study is also the first to report cases of multiple LRV1 infections in some parasites. Finally, this work has made it possible to develop molecular tools for adequate identification and genotyping of LRV1 strains for diagnostic purposes. Given the suspected worsening role of LRV1 infection in the pathogenesis of human leishmaniasis, these data have a major impact from a clinical viewpoint and for the management of Leishmania-infected patients.
ISSN: 1935-2727

pasteur-01583523
https://hal-riip.archives-ouvertes.fr/pasteur-01583523
DOI : 10.1371/journal.pntd.0005764
PUBMED : 28715422

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
This work describes the history of late Pleistocene glaciations in the central Sayan-Tuva Upland (southern Siberia). Geological and geomorphological analysis as well as 10Be surface-exposure dating revealed the glacier fluctuations in this continental area. The available published data show that the glaciers were formed in the MIS 6 and probably survived in the MIS 5. Data are also available concerning glacial advances in different periods of MIS 4, MIS 3 and MIS 2. ELAs were 2030-2230 m. Two distinct 10Be exposure ages groups are highlighted reflecting the time of formation of glacial deposits in the MIS 2 associated to the Big Sayan Ridge outlet glaciers. The Sentsa - Sailag group (terminal moraine) has a mean exposure age of 16.44 ± 0.38 ka. The Jombolok (terminal moraine) - Jombolok (outwash plain) group has a mean exposure age of 22.80 ± 0.56 ka. The last glaciation that occurred at MIS 2 is characterized by the absence of ice cap on the Azas volcanic Plateau and of ice field in the Todza Basin. The thickness of the valley glacier was 300-400 m. At MIS 2, the terminal moraines were ∼1300-1400 m a.s.l. in the Tissa, Sentsa, Jombolok and Sailag river valleys.
ISSN: 0277-3791

hal-00758082
https://hal.archives-ouvertes.fr/hal-00758082
DOI : 10.1016/j.quascirev.2012.06.005

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
According to the World Health Organization, around 20% of all cancers would be due to environmental factors. Among these factors, several chemicals are indeed well recognized carcinogens. The widespread contaminant benzo[a]pyrene (B[a]P), an often used model carcinogen of the polycyclic aromatic hydrocarbons' family, has been suggested to target most, if not all, cancer hallmarks described by Hanahan and Weinberg. It is classified as a group I carcinogen by the International Agency for Research on Cancer; however, the precise intracellular mechanisms underlying its carcinogenic properties remain yet to be thoroughly defined. Recently, the pH homeostasis, a well known regulator of carcinogenic processes, was suggested to be a key actor in both cell death and Warburg-like metabolic reprogramming induced upon B[a]P exposure. The present review will highlight those data with the aim of favoring research on the role of H + dynamics in environmental carcinogenesis.
ISSN: 1044-579X

hal-01531077
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01531077
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01531077/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01531077/file/Hardonniere%20et%20al.%20-%20Environmental%20carcinogenesis%20and%20pH%20homeostasis%20n.pdf
DOI : 10.1016/j.semcancer.2017.01.001

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Properties of composite materials depend on interatomic phenomena occurring between binder crystals. Experimental information of Atomic Force Microscopy (A.F.M.) is of prime importance; however understanding is helped by molecular modeling. As underlined in Section 1, the present study is able to simulate crystal interfaces in presence of a solution within apertures less than 1 Nanometer at a full atomic scale. Section 2 presents the case study of a gypsum solution between (120) gypsum faces, with related boundary conditions and atomic interactions. Section 3 deals with the mass equilibrium of the solution within interfaces <5 angstrom, using the original Semi Analytical Stochastic Perturbations (SASP) approach. This information becomes in Section 4 the key for explaining the peak of adhesion obtained in A.F.M. around an aperture of 3 A and gives enlightenments on gypsum cohesion. In conclusion, this illustration shows the potentialities of full atomic modeling which could not be attained by any numerical approach at a mesoscopic scale.
ISSN: 0008-8846

hal-00411868
https://hal.archives-ouvertes.fr/hal-00411868
DOI : 10.1016/j.cemconres.2007.09.022

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Aim of the study: A knowledge attitude and practice study centred on leishmaniasis and its treatment was performed among the Chayahuita, an Amazonian Peruvian ethnic group living in an endemic area. This study documents traditional Chayahuita plant's use and disease concepts. Also, activty of some medicinal plants used by the Chayahuita is highlighted and discussed. Materials and methods: Ninety-three Chayahuita people were interviewed, following a semi-structured questionnaire focussed on disease knowledge and perception, personal attitude and healing practices. Simultaneously, a collection of plants was performed in different ecotopes, in order to make an extensive inventory of the pharmacopoeia. Results: For the Chayahuita, cutaneous (CL) and muco-cutaneous leishmaniasis (MCL) are considered as diseases of their own, with specific names, aetiologies, mode of transmission. Regarding CL, Chayahuita people consider that the humid characteristic of the skin ulcer is a discriminative fact orienting the diagnostic forTa'ta' (leishmaniasis). Forty-six different species were designated useful against LC and /or MCL (29 species by means of the questionnaire and 27 species when collecting in different ecotopes). Thirty-seven extracts corresponding to 31 species used medicinally were screened in vitro against Leishmania amnzonensis axenic amastigotes, assessing their viability by the reduction of tetrazolium salt (MTT). Six species displayed a good activity ( 10 μg/ml < IC50 < 20 μg/ml): an undetermined hemi-epiphytic Clusiaceae, Cyhianthus anthuriophyllus Pipoly (Myrsinaceae), two Piper, Piper sanguineispicum Trel., and Piper loretoanum Trel. (Piperaceae), Desmodium axillare Sw. DC. (Fabaceae), and Clibadium sylvestre (Aubl.) Baill. (Asteraceae). Conclusion: Perception of leishmaniasis, attitude, treatments and diet prohibitions still largely reflects traditional Chayahuita cosmovision, even if some tentative of bio-medical re-interpretation is arising.
ISSN: 0378-8741

hal-01087667
https://hal-agroparistech.archives-ouvertes.fr/hal-01087667
DOI : 10.1016/j.jep.2009.07.015

Éditeur(s) : HAL CCSD
Résumé : International audience
Up-to-date estimates of the health outcomes of preterm children are needed for assessing perinatal care, informing parents, making decisions about care, and providing evidence for clinical guidelines. To determine survival and neonatal morbidity of infants born from 22 through 34 completed weeks' gestation in France in 2011 and compare these outcomes with a comparable cohort in 1997. The EPIPAGE-2 study is a national, prospective, population-based cohort study conducted in all maternity and neonatal units in France in 2011. A total of 2205 births (stillbirths and live births) and terminations of pregnancy at 22 through 26 weeks' gestation, 3257 at 27 through 31 weeks, and 1234 at 32 through 34 weeks were studied. Cohort data were collected from January 1 through December 31, 1997, and from March 28 through December 31, 2011. Analyses for 1997 were run for the entire year and then separately for April to December; the rates for survival and morbidities did not differ. Data are therefore presented for the whole year in 1997 and the 8-month and 6-month periods in 2011. Survival to discharge and survival without any of the following adverse outcomes: grade III or IV intraventricular hemorrhage, cystic periventricular leukomalacia, severe bronchopulmonary dysplasia, retinopathy of prematurity (stage 3 or higher), or necrotizing enterocolitis (stages 2-3). A total of 0.7% of infants born before 24 weeks' gestation survived to discharge: 31.2% of those born at 24 weeks, 59.1% at 25 weeks, and 75.3% at 26 weeks. Survival rates were 93.6% at 27 through 31 weeks and 98.9% at 32 through 34 weeks. Infants discharged home without severe neonatal morbidity represented 0% at 23 weeks, 11.6% at 24 weeks, 30.0% at 25 weeks, 47.5% at 26 weeks, 81.3% at 27 through 31 weeks, and 96.8% at 32 through 34 weeks. Compared with 1997, the proportion of infants surviving without severe morbidity in 2011 increased by 14.4% (P < .001) at 25 through 29 weeks and 6% (P < .001) at 30 through 31 weeks but did not change appreciably for those born at less than 25 weeks. The rates of antenatal corticosteroid use, induced preterm deliveries, cesarean deliveries, and surfactant use increased significantly in all gestational-age groups, except at 22 through 23 weeks. The substantial improvement in survival in France for newborns born at 25 through 31 weeks' gestation was accompanied by an important reduction in severe morbidity, but survival remained rare before 25 weeks. Although improvement in survival at extremely low gestational age may be possible, its effect on long-term outcomes requires further studies. The long-term results of the EPIPAGE-2 study will be informative in this regard.
ISSN: 2168-6211

hal-01258705
http://hal.univ-brest.fr/hal-01258705
PUBMED : 25621457
DOI : 10.1001/jamapediatrics.2014.3351

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Purpose: Active surveillance is a treatment option for favorable risk prostate cancer. However, data are missing on populations of African descent. We evaluated the safety and benefit of active surveillance in an African Caribbean cohort with favorable risk prostate cancer. Materials and Methods: Between 2005 and 2016, a single center, prospective cohort study was performed in Guadeloupe, French West Indies, including patients on active surveillance who had low risk prostate cancer (prostate specific antigen 10 ng/ml or less and Gleason score 6 or less) or favorable intermediate risk prostate cancer (prostate specific antigen 10 to 20 ng/ml, Gleason score 3 + 4 or less and life expectancy less than 10 years). Treatment was recommended in case of grade progression, increased tumor volume, prostate cancer doubling time less than 36 months or patient wish. Overall survival, disease specific survival and duration of active surveillance were calculated with the KaplanMeier method. Multivariate analysis was performed using the Cox proportional hazards model to identify predictors of active surveillance termination. Results: A total of 234 patients with a median age of 64 years were enrolled in study. Median followup was 4 years (IQR 2.3-5.5). Overall survival at 30 months, 5 years and 10 years was 99.5%, 98.5% and 90.7%, respectively. Disease specific survival at 30 months, and 5 and 10 years was 100%. At 30 months, 5 years and 10 years 72.7%, 52.6% and 40.4% of patients, respectively, remained untreated and on active surveillance. Age (HR 0.96 per additional year, 95% CI 0.93-0.99) and prostate specific antigen density (HR 1.52 per additional 0.1 ng/ml, 95% CI 1.20-1.89) were found to be independent predictors of active surveillance termination. Conclusions: Active surveillance is safe and beneficial for highly selected African Caribbean patients. It seems to be feasible for patients at low risk and intermediate favorable risk. Prostate specific antigen density could help better select these patients.
ISSN: 0022-5347

hal-01519251
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01519251
DOI : 10.1016/j.juro.2016.12.047
PUBMED : 27993665

Éditeur(s) : HAL CCSD American Geophysical Union (AGU)
Résumé : International audience
The El Oro metamorphic province of SW Ecuador is a composite massif made of juxtaposed terranes of both continental and oceanic affinity that has been located in a fore-arc position since Late Paleozoic times. Various geochemical, geochronological, and metamorphic studies have been undertaken on the El Oro metamorphic province, providing an understanding of the origin and age of the distinct units. However, the internal structures and geodynamic evolution of this area remain poorly understood. Our structural analysis and thermal modeling in the El Oro metamorphic province show that this fore-arc zone underwent four main geological events. (1) During Triassic times (230–225 Ma), the emplacement of the Piedras gabbroic unit at crustal-root level (~9 kbar) triggered partial melting of the metasedimentary sequence under an E-W extensional regime at pressure-temperature conditions ranging from 4.5 to 8.5 kbar and from 650 to 900°C for the migmatitic unit. (2) At 226 Ma, the tectonic underplating of the Arenillas-Panupalí oceanic unit (9 kbar and 300°C) thermally sealed the fore-arc region. (3) Around the Jurassic-Cretaceous boundary, the shift from trench-normal to trench-parallel subduction triggered the exhumation and underplating of the high-pressure, oceanic Raspas Ophiolitic Complex (18 kbar and 600°C) beneath the El Oro Group (130–120 Ma). This was followed by the opening of a NE-SW pull-apart basin, which tilted the massif along an E-W subhorizontal axis (110 Ma). (4) In Late Cretaceous times, an N-S compressional event generated heterogeneous deformation due to the presence of the Cretaceous Celica volcanic arc, which acted as a buttress and predominantly affected the central and eastern part of the massif.
ISSN: 0278-7407

hal-01115714
https://hal.archives-ouvertes.fr/hal-01115714
DOI : 10.1002/2014TC003618

Éditeur(s) : HAL CCSD
Résumé : International audience
The Jaca basin is a thrust-sheet top basin transported southward andunderlain by basement and cover thrusts separated by a Triassic décollement.Basin-fill upper Cretaceous to lower Oligocene synorogenic sequencesrecord a southward depocenter migration, while growth stratadate a shift of deformation from the mid-Eocene in the N to the earlyMiocene in the S (S-Pyrenean front). However, the deep geometry andkinematic relationships between the cover and basement thrusts remainnon-consensual. We present a new structural and kinematic interpretationfor the eastern Jaca basin, based on subsurface structural maps andcross-sections constructed using industrial seismic reflection profiles.Raman Spectroscopy of Carbonaceous Material (RSCM), vitrinite reflectanceand apatite fission track (AFT) thermochronology data givefurther constraints for the restoration of the deformation and burialexhumationsequence. We define 3 main basement thrusts under thenorthern part of the basin, from N to S the Broto, Fiscal and Guargathrusts. The study also clarifies the deep structure of the cover thrustsand their links with these basement thrusts and those located more tothe north in the Axial Zone (AZ), which altogether define the timing ofthe basement thrust sequence as follows : the Lakoura-Eaux Chaudesthrust system (northern AZ) active up to the end Bartonian, the Gavarnie(central AZ) and Broto thrusts during the Priabonian-Rupelian andthe Fiscal and Guarga thrusts during the late Oligocene-early Miocene.AFT results in the basin fill and AZ date the exhumation of the basinto the late Oligocene-early Miocene, in relation to the Fiscal-Guargathrusting. AFT partial reset argues for a maximum burial < 6 km forthe base of the Eocene detrital sequence (Hecho Group turbidites). Bycontrast, RSCM and vitrinite thermometry at the same level indicatesTmax around 180°C, locally up to 240°C, attesting to a temperature anomalypossibly related to transient fluid circulation.
24 ème Réunion des sciences de la Terre 2014
Pau, France

insu-01080836
https://hal-insu.archives-ouvertes.fr/insu-01080836

Éditeur(s) : HAL CCSD Société Géologique de France
Résumé : The Udachnaya-East pipe in Yakutia in Siberia hosts a unique dry (serpentine-free) body of hypabyssal kimberlite (<0.64wt% H2O), associated with a less dry type of kimberlite and a serpentinized kimberlitic breccia. The dry kimberlite is anomalously rich in salts (Na2O and Cl both up to 6wt%) whereas the slightly less dry and the breccia kimberlite are salt free. Yet the Udachnaya kimberlite is a group-I kimberlite, as is the archetypical kimberlite from Kimberley, South Africa. Samples were studied from the three different types of kimberlite (dry-salty, n=8, non-salty, n=5 and breccia, n=3) regarding their mineralogy, geochemistry, and more specifically their sulfur content. Our results show the salty kimberlite is unprecedentedly rich in sulfur (0.13-0.57wt%) compared to the non-salty kimberlite (0.04-0.12wt%) and the breccia (0.29-0.33wt%). In the salty kimberlite, most of the sulfur is present as sulfates (up to 97% of Stotal) and is disseminated throughout the groundmass in close association with Na-K-bearing carbonates. Sulfates occur within the crystal structure of these Na-K-bearing carbonates as the replacement of (CO3) by (SO3) groups, or as Na- and K-rich sulfates (e.g. aphtitalite, (K,Na)3Na(SO4)2). The associated sulfides are djerfisherite; also Na- and K-rich species. The close association of sulfates and carbonates in these S-rich alkaline rocks suggests that the sulfates crystallized from a mantle-derived magma, a case that has strong implication for the oxygen fugacity of kimberlite magmatism and more generally for the global S budget of the mantle.
ISSN: 0037-9409

hal-01622633
https://hal.archives-ouvertes.fr/hal-01622633
DOI : 10.1051/bsgf/2017007

Éditeur(s) : HAL CCSD
Résumé : International audience
OBJECTIVES: To detect new hazards ("signals"), occupational health monitoring systems mostly rest on the description of exposures in the jobs held and on reports by medical doctors; these are subject to declarative bias. Our study aims to assess whether job-exposure matrices (JEMs) could be useful tools for signal detection by improving exposure reporting. METHODS: Using the French national occupational disease surveillance and prevention network (RNV3P) data from 2001 to 2011, we explored the associations between disease and exposure prevalence for 3 well-known pathology/exposure couples and for one debatable couple. We compared the associations measured when using physicians' reports or applying the JEMs, respectively, for these selected diseases and across non-selected RNV3P population or for cases with musculoskeletal disorders, used as two reference groups; the ratio of exposure prevalences according to the two sources of information were computed for each disease category. RESULTS: Our population contained 58,188 subjects referred with pathologies related to work. Mean age at diagnosis was 45.8 years (95% CI 45.7; 45.9), and 57.2% were men. For experts, exposure ratios increase with knowledge on exposure causality. As expected, JEMs retrieved more exposed cases than experts (exposure ratios between 12 and 194), except for the couple silica/silicosis, but not for the MSD control group (ratio between 0.2 and 0.8). CONCLUSIONS: JEMs enhanced the number of exposures possibly linked with some conditions, compared to experts' assessment, relative to the whole database or to a reference group; they are less likely to suffer from declarative bias than reports by occupational health professionals.
International Archives of Occupational and Environmental Health

hal-01560279
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01560279
DOI : 10.1007/s00420-017-1215-1
PUBMED : 28299449

Éditeur(s) : HAL CCSD
Résumé : International audience
Objective To guide nosology and classification of patients with eosinophilic granulomatosis with polyangiitis (EGPA) based on phenotype and presence or absence of ANCA. Methods Organ manifestations and ANCA status were retrospectively analyzed based on the presence or not of predefined definite vasculitis features or surrogates of vasculitis in patients asthma, eosinophilia, and at least one systemic organ manifestation attributable to systemic disease. Results The study population included 157 patients (mean age 49.4 ± 14.1), with a follow-up of 7.4 ± 6.4 years. Patients with ANCA (31%) more frequently had weight loss, myalgias, arthralgias, biopsy-proven vasculitis, glomerulonephritis on biopsy, hematuria, leukocytoclastic capillaritis and/or eosinophilic infiltration of arterial wall on biopsy, and other renal disease. A total of 41% of patients had definite vasculitis manifestations (37%) or strong surrogates of vasculitis (4%), of whom only 53% had ANCA. Mononeuritis multiplex was associated with systemic vasculitis (p = 0.005) and with the presence of ANCA (p < 0.001). Overall, 59% of patients had polyangiitis as defined by definite vasculitis, strong surrogate of vasculitis, mononeuritis multiplex, and/or ANCA with at least one systemic manifestation other than ENT or respiratory. Patients with polyangiitis had more systemic manifestations including arthralgias (p = 0.02) and renal disease (p = 0.024), had higher peripheral eosinophilia (p = 0.027), and a trend towards less myocarditis (p = 0.057). Using predefined criteria of vasculitis and surrogates of vasculitis, ANCA alone were found to be insufficient to categorise patients with vasculitis features. Conclusion We suggest a revised nomenclature and definition for EGPA and a new proposed entity referred to as hypereosinophilic asthma with systemic (non vasculitic) manifestations. © 2016 Elsevier B.V.
Autoimmunity Reviews

hal-01467544
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01467544
DOI : 10.1016/j.autrev.2016.09.018
PUBMED : 27671089