Éditeur(s) : Elsevier
Résumé : The composition of the glacial vegetation of southern French plains has been a matter of debate for several decades. Vegetation is considered as steppic according to French and Spanish lacustrine pollen records whereas cave deposits suggest the presence of mesothermophilous trees through the Last Glacial Maximum. In our paper, we display new palynological records from marine sediments of the Gulf of Lions. They indicate the presence of Abies, Picea and deciduous Quercus in the Gulf of Lions, certainly located in the drainage basins of the Pyreneo-Languedocian rivers. These populations that were sensitive to short climatic events during Marine Isotopic Stage 2 could have been linked to northeastern Spanish and southeastern French relicts already evidenced by phylogenetic data. These trees were absent from the Rhone drainage basin during the deglaciation and certainly also disappeared from the Pyreneo-Languedocian drainage basins from ca 17 to 15 ky cal BP. Finally, the Last Glacial Maximum does not appear as stable, cold and dry as previously thought.
Quaternary Science Reviews (0277-3791) (Elsevier), 2007-04 , Vol. 26 , N. 7-8 , P. 1037-1054

Droits : 2007 Elsevier Ltd All rights reserved.
http://archimer.ifremer.fr/doc/2007/publication-2804.pdf
DOI:10.1016/j.quascirev.2006.12.009
http://archimer.ifremer.fr/doc/00000/2804/

Éditeur(s) : Direction Générale des Travaux Publics Direction Générale des Travaux Publics ( Haiti )
Résumé : This collection of over 5,000 black and white photographs held by the National Archives of Haiti dates from 1918 to 1945. It contains images of public buildings before and after restoration, public works, monuments, and the visits of U.S. Presidents and other officials.
Haiti

Droits : All rights reserved by the National Archives of Haiti.
11152

Éditeur(s) : Direction Générale des Travaux Publics Direction Générale des Travaux Publics ( Haiti )
Résumé : This collection of over 5,000 black and white photographs held by the National Archives of Haiti dates from 1918 to 1945. It contains images of public buildings before and after restoration, public works, monuments, and the visits of U.S. Presidents and other officials.
Haiti

Droits : All rights reserved by the National Archives of Haiti.
11972

Éditeur(s) : Direction Générale des Travaux Publics Direction Générale des Travaux Publics ( Haiti )
Résumé : This collection of over 5,000 black and white photographs held by the National Archives of Haiti dates from 1918 to 1945. It contains images of public buildings before and after restoration, public works, monuments, and the visits of U.S. Presidents and other officials.
Haiti

Droits : All rights reserved by the National Archives of Haiti.
11515

Éditeur(s) : Direction Générale des Travaux Publics Direction Générale des Travaux Publics ( Haiti )
Résumé : This collection of over 5,000 black and white photographs held by the National Archives of Haiti dates from 1918 to 1945. It contains images of public buildings before and after restoration, public works, monuments, and the visits of U.S. Presidents and other officials.
Haiti

Droits : All rights reserved by the National Archives of Haiti.
11645

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
This study investigated the clinical epidemiology and resistance mechanisms of Acinetobacter baumannii and characterised the clonal diversity of carbapenem-resistant A. baumannii (CRAB) during an ICU-associated outbreak at Cayenne Hospital, French Guiana. All non-duplicate A. baumannii isolates from 2008 to 2014 were tested for antibiotic susceptibility by disk diffusion. Multilocus sequence typing, pulsed-field gel electrophoresis (PFGE) and characterisation of carbapenemase-encoding genes were performed on CRAB. Of the 441 A. baumannii isolates, most were from males (54.0%) and were detected mainly from the ICU (30.8%) and medicine wards (21.8%). In the ICU, strains were mainly isolated from the respiratory tract (44.1%) and bloodstream (14.0%), whereas in medicine wards they mainly were from wound/drainage (36.5%) and bloodstream (25.0%). A. baumannii showed the greatest susceptibility to piperacillin/tazobactam (92.7%), imipenem (92.5%), colistin (95.6%) and amikacin (97.2%), being lower in the ICU and medicine wards compared with other wards. An outbreak of OXA-23-producing CRAB occurred in the 13-bed ICU in 2010. CRAB strains were more co-resistant to other antimicrobials compared with non-CRAB. Molecular genetics analysis revealed five sequence types [ST78, ST107 and ST642 and two new STs (ST830 and ST831)]. Analysis of PFGE profiles indicated cross-transmissions of CRAB within the ICU, between the ICU and one medicine ward during transfer of patients, and within that medicine ward. This study provides the first clinical and molecular data of A. baumannii from French Guiana and the Amazon basin. The ICU was the highest risk unit of this nosocomial outbreak of OXA-23-producing CRAB, which could subsequently disseminate within the hospital.
ISSN: 0924-8579

hal-01506828
https://hal.archives-ouvertes.fr/hal-01506828
PUBMED : 27236843

Éditeur(s) : HAL CCSD
Résumé : International audience
In the context of climate change, this study presents the ability of major/trace elements together with strontiumisotopes to trace back water paths at small scale and to deconvolve the geochemical signal of a small watershedsubject to intense flash floods episodes (Peyne, Hérault, France). Two small sub-basins draining distinct lithologiesin their heads (Plio-Villafranchian conglomerate versus Triassic gypsum-rich marls and dolomites) and the sameMiocene lithology downstream are investigated.Major elements and Ca/Na vs. Mg/Na ratios classically applied at large scale to distinguish carbonate from silicateweathering, allow here discriminating the three main lithologies from the two sub-basins. Trace elements Rband Sr coupled to calcium, also allow this lithological discrimination but in addition the Ca/Rb vs. Sr/Rb tracersappear to be much more discriminant for the various hydrological conditions. Thus, in combination with detailedlithological descriptions, they allow identifying the different facies that imprint the water signature through water-rock interaction according to the hydrological conditions.Strontium isotopes and Rb/Sr ratio, discriminate more precisely the drained lithologies of the 2 sub-basins. Firstly,the 87Sr/86Sr ratios allow identifying the nature of the lithologies and their main component(s) contributing to theSr budget in water and thus imprint the isotopic signature. Secondly, Sr isotopes evidenced two distinct Miocenefacies: the detritric faction (sandy marls), and the marine carbonates.The geochemical signatures of the brook samples draining both compartments were compared to the signatureof the Peyne River outlet just before the confluence into the Hérault River. It appears that the signature of thePeyne River, integrating all the water draining the basin, is relatively stable whatever the hydrological conditionsand mainly marked by the Miocene formations. Sr isotopes further highlight that this signature seems to resultfrom the mixing of both Miocene facies present in the lower part of the Peyne watershed, i.e. the sandy marls andthe carbonates. The typical signatures of the Plio-Villafanchian conglomerates and Triassic gypsiferous marls anddolomites of the headwaters of each sub-basin are completely hidden by the Miocene signatures. This should berelated to the large drainage area of the Miocene compared to other lithologies, despite the high solubility of thegypsum formations releasing large quantities of dissolved elements in solution.Understanding water paths at small scale is even more efficient when the geochemical approach is coupled with adetailed geological description. Indeed, the geochemical tracers are extremely dependent on the facies sequences(morphology) and of the soil nature (mineralogical composition), this is particularly sensitive at small scale.In the context of climate change increasing the intensity of rain events in the Mediterranean region, and resultingin catastrophic floods events (flash floods), tracing the origin of water contributing to the runoff is of primaryimportance and this must be investigated at small scale. Geochemical and isotopic fingerprinting thus constituteexcellent tools which can help to define the area of interest to be monitored in the framework of flood forecast andwarning networks
EGU General Assembly 2015
Vienne, Austria

hal-01118622
https://hal-brgm.archives-ouvertes.fr/hal-01118622

Éditeur(s) : Université des Antilles Études caribéennes
Résumé : Loin d’être un phénomène nouveau, les mobilités internationales se sont fortement accrues depuis les années 1960. Aujourd’hui, le contexte de mondialisation tend à accélérer les dynamiques migratoires alors que dans le même temps s’observe une élévation des niveaux d’éducation. Ainsi, la soutenabilité de l’augmentation de la fuite des cerveaux dans le monde soulève interrogations et réflexions.Le poids des flux de migrants qualifiés allié à la fragilité relative des données, pose la nécessité d’aborder en profondeur le problème de la fuite des cerveaux. Une analyse au cas par cas s’impose. À partir de données se rapportant à la diaspora caribéenne sur la base statistique de Docquier et Marfouk, cet article propose une réflexion sur les facteurs explicatifs de la fuite des cerveaux dans les territoires insulaires caribéens.
Far from being a new phenomenon, the international motilities have increased since the 60’s. Today, the context of globalization tends to accelerate the migratory dynamics while at the same time observed a rise of the educational levels. The increase of the brain drain has respite to many questions.Nevertheless, image, nature of flows of skilled migrants combined with relative data’s fragility and the necessity to approach the problem and presenting appropriate policies, impose an analysis case by case. Using data relating to the Caribbean diaspora on the statistical basis of Docquier and Marfouk, this article purpose a reflection on the factors that explain the brain drain in the Caribbean islands.
Caraïbes

Droits : info:eu-repo/semantics/openAccess
urn:doi:10.4000/etudescaribeennes.4702
http://journals.openedition.org/etudescaribeennes/4702

Résumé : The slides were taken on collecting trips sponsored by the William L. Bryant Foundation, where books, music and art indigenous to the regions were gathered. The are organized by geographical location.
Guests can be seen walking near a drained pool in the gardens at Shaw Park, above a water fall. The hill overlooks a view of the Caribbean Sea. The area pictured is now known as the Shaw Park Botanical Gardens and Waterfall in Saint Ann, Jamaica. The hotel has been relocated to the beach. Slide labeled Shaw Park Hotel Ocho Rios.
Jamaica -- Caribbean region -- Ocho Rios, Saint Ann

Droits : All rights to images are held by the respective holding institution. This image is posted publicly for non-profit educational uses, excluding printed publication. For permission to reproduce images and/or for copyright information contact Special Collections & University Archives, University of Central Florida Libraries, Orlando, FL 32816 phone (407) 823-2576, email: speccoll@mail.ucf.edu
CFM1972_01a
http://ufdc.ufl.edu/AA00031123/00001

Éditeur(s) : Direction Générale des Travaux Publics Direction Générale des Travaux Publics ( Haiti )
Résumé : This collection of over 5,000 black and white photographs held by the National Archives of Haiti dates from 1918 to 1945. It contains images of public buildings before and after restoration, public works, monuments, and the visits of U.S. Presidents and other officials.
Haiti

Droits : All rights reserved by the National Archives of Haiti.
11211

Éditeur(s) : Direction Générale des Travaux Publics Direction Générale des Travaux Publics ( Haiti )
Résumé : This collection of over 5,000 black and white photographs held by the National Archives of Haiti dates from 1918 to 1945. It contains images of public buildings before and after restoration, public works, monuments, and the visits of U.S. Presidents and other officials.
Haiti

Droits : All rights reserved by the National Archives of Haiti.
10188

Éditeur(s) : Gauthier-villars
Résumé : 69 new hydrothermal sites were discovered during the Naudur diving cruise. Dives were conducted between 17 degrees 5 and 18 degrees 40'5 on four segments showing marked contrast in morphology, volcanic, tectonic and hydrothermal activity. At 17 degrees 10'5, 17 degrees 25'5 and 18 degrees 37'5 the ridge has a dome shaped cross-section and is dominated by very active volcanic activity. Early widespread low temperature (<50 degrees C) diffuse hydrothermal discharge is followed by focused high temperature black smokers. At 18 degrees 15'S tectonic activity is dominant, no recent lava was observed, and only two of the 20 hydrothermal sites are active. At 18 degrees 32'5 recent lava representing a new volcanic episode partly covers the bottom of the graben. Deep hydrothermal convection is reactivated with new black smokers along the graben wall. Also, there is low temperature shimmering water from cooling lava flows. These three segments can be considered as successive volcanic/tectonic episodes typical of a fast spreading ridge. Further, the observations support a new model for the temporal evolution of episodic hydrothermal activity. Hydrothermal convection is unstable and superficial during the volcanic stage (dykes injection). At the beginning of the teaonic stage (graben formation) faults allow deep circulation and hot fluid to reach the surface. As the graben widens hydrothermal activity is less important and may cease. The heat of a new volcanic episode reactivates the deep hot water circulation along the graben faults completing a cycle.
69 nouveaux sites hydrothermaux ont été découverts entre 17'5 et 18'40'5 sur quatre segments présentant des activités volcaniques et tectoniques contrastées. A 17°10'S,17025'S et 18'37'5, la ride forme un dôme et l'activité volcanique est dominante. Les émissions hydrothermales sont d'abord diffuses et de basse température, puis focalisées et de haute température. A 18°15'S la majorité des sites hydrothermaux sont inactifs dans un graben axial dépourvu de laves récentes. A 18'32'5, des laves récentes s'épanchent au fond du graben. Les circuits hydrothermaux réactivés par le nouvel épisode volcanique se traduisent par des diffusions sur les laves récentes et par une reprise des émissions de haute température le long des murs du graben. Ces quatre segments traduisent des épisodes volcanoltectoniques successifs, caractéristiques de I'évolution temporelle des dorsales rapides. Les observations permettent de proposer un nouveau modèle de l'activité hydrothermale. Les circuits hydrothermaux sont diffus, peu structurés, instables et superficiels durant les épisodes volcaniques. Au début des épisodes tectoniques, les failles du graben drainent les fluides chauds en profondeur, puis lorsque le graben s'élargit, l'activité s'interrompt. La reprise de l'activité volcanique réamorce les circulations profondes le long des failles du graben.
Comptes Rendus de l'Academie des Sciences Serie II (1251-8069) (Gauthier-villars), 1994-12 , Vol. 319 , N. 11 , P. 1399-1406

Droits : Académie des Sciences
http://archimer.ifremer.fr/doc/00183/29455/27889.pdf
http://archimer.ifremer.fr/doc/00183/29455/

Éditeur(s) : HAL CCSD
Résumé : This work focus on the characterization of the source and dynamic of compactional fluids during sedimentary burial, through two complementary examples of late orogenic oil‐field half‐grabens: The exhumed Lodève Permian Basin and a deep buried Jurassic basin in the North Viking Graben (North Sea).Constituting the main part of the thesis, a multi‐disciplinary approach was conducted in the Lodève Basin where Ba‐F‐Cu‐Pb polymetallic mineralized systems are trapped into synrift faults and paleokarsts in the carbonate basement at the hinge point of the rollover. The source, timing and P/T conditions of fluid migration were deduced from the analysis of the microfabric, the fluid inclusions microthermometry, and the isotopic (Sr, S, O, H) and Rare Earth Element (REE) signature. Results are then crossed with a structural and thermal modeling that consolidates the sequence and dynamics of fluid during burial.A similar approach was conducted in the North Viking Graben where fluid markers are restricted to 3D seismic and well core data. Comparable Ba‐Pb‐Zn veins are reported in basin margin, plugging one of the most important siliciclastic hydrocarbon reservoir in the substratum. This analysis provides additional constraints on basinal fluid behavior and allows us to propose a global dynamic model for various compositions of fluids and reservoirs.We conclude to a polyphase fluid sequence history including:(a) In the carbonate basement of the Lodève Basin, karstic paleocanyon incisions and associated cavities coupled to synrift fault, act as major drain for fluids. These structures are early affected by hypogen‐sulfuric karstification in response to the interaction between bacterial oxidation of sulfides entrapped within Lower Permian blackshales and the basement oxidizing aquifer.(b) Disequilibrium compaction initiates overpressure‐driven basinal fluid migration towards basin margins, characterized by temperatures around 150‐180°C and salinities between 9 et 18wt%eq.NaCl. Isotopic (Sr, S, O) and REE analyses reveal that Ba‐M+‐rich mineralizing fluids derived mainly from buried blackshales diagenesis. External fluids coming from the lower crust are also identified that play a key role in fluorite precipitation by the leaching of late hercynian granites (mean temperature of 250°C and salinity > 20wt%eq.NaCl).(c) During the synrift period, fluid overpressure is responsible for the periodic reactivation of fault plane according to seismic‐valve process, bedded‐control shearing and hydraulic brecciation at the basement‐seal interface. These mechanisms induce cyclic polymetallic mineralization by the mixing between in‐situ formation water and deep ascending basinal fluids.(d) Thermogenic fluids expulsion starts with last basinal fluids during late burial stage. Hydrocarbons thus migrate along the same regional pathways up to the rollover crest, where they are partly rerouted by the previous mineralized baffle.(e) In the Lodève basin, post‐rift exhumation of the margins led to the remobilization of synrift deposits by subaerial biochemical processes at the sulfate‐methane transition. The latter results from the interaction between the still active hydrocarbon dysmigration with a playa lake sulfate‐rich aquifer. Secondary low‐temperature barite fronts precipitate then within basement meteoric karsts.In addition to the « source to sink » model of basinal fluids, this work provides new insights on the early plugging of hydrocarbon reservoirs and for the metallogenesis of Mississippi Valley‐Type deposits.
Ce travail porte sur la caractérisation de la source et de la dynamique des fluides de bassin au cours de leur chargement à travers deux exemples complémentaires de demi‐grabens tardi‐orogéniques pétroliers : Le Bassin Permien de Lodève, aujourd’hui à l’affleurement et un bassin jurassique enfouis dans le North Viking Graben (Mer du Nord).Le coeur de la thèse concerne le Bassin de Lodève où, à partir d’une approche pluridisciplinaire intégrée, nous avons caractérisé l’architecture des minéralisations (Ba, F, Cu, Pb) piégées dans un réseau paléokarstique alimenté par les failles syn‐rift, dans le substratum carbonaté à l’apex du roll‐over. La source, le calendrier et les conditions de migration des fluides ont été approchés à partir de l’analyse de la micro‐fabrique, la microthermométrie sur inclusions fluides, les analyses isotopiques (Sr, S, O, H) et de Terres Rares. Les résultats analytiques ont été enfin croisés avec un modèle thermique et structural du bassin qui conforte la séquence et la dynamique du système fluide en cours d’enfouissement.Une démarche similaire, mais plus limitée, a été conduite dans le bassin du North Viking Graben où l’accès aux marqueurs fluides est restreint aux données de sismique 3D et de carottes. Comme à Lodève, les minéralisations Ba‐Pb‐Zn colmatent un réservoir dans le substratum à l’apex du roll‐over. Elles se présentent sous forme de ciments dans des grès ou des fractures. Cette analyse apporte des contraintes complémentaires et permet de proposer un modèle dynamique général avec des variantes en fonction de la nature des fluides et des réservoirs.On retiendra donc la séquence fluide suivante :(a) Dans le cas du bassin de Lodève sur substratum carbonaté, les chemins préférentiels de drainage se développent dans des paléocanyons N‐S couplés à un réseau de fractures et d’endokarsts météoriques. Ces derniers sont élargis en début de rifting par la dissolution hypogène sulfurique produite par l’oxydation bactérienne des sulfates et des pyrites des blackshales, au contact de l’aquifère oxydant du Cambrien.(b) Le déséquilibre de compaction initie la migration des fluides interstitiels en surpression vers les marges avec des températures autour de 150‐180°C et des salinités entre 9 et 18wt%eq.NaCl. Les analyses isotopiques (Sr, S, O) révèlent que la majorité des fluides provient de l’altération diagénétique des blackshales riches en métaux. Des interactions sont également mises en évidence avec des fluides profonds (entre 240°C et 260°C ; salinités > à 20wt%eq.NaCl), qui lessivent les granites tardi‐hercyniens.(c) Pendant le syn‐rift, les conditions de surpression de fluide permettent la réactivation cyclique des failles, les décollements stratigraphiques et la formation de brèches hydrauliques, favorisant la mise en connexion avec les réservoirs superficiels à l’apex du rollover. Le modèle de Sibson ajusté aux fluides de bassins est alors le moteur de la migration verticale.(d) Les fluides thermogéniques commencent à être expulsés avec les derniers fluides de compaction au cours d’un stade plus évolué de l’enfouissement en empruntant les mêmes chemins jusqu’à l’apex du roll over. Ils sont alors partiellement freinés et déviés par les colmatages minéralisés antérieurs.(e) A Lodève, la continentalisation des minéralisations antérieures au cours de l’exhumation post‐rift conduit à leur remaniement partiel au niveau de la transition sulfate‐méthane induite par l’interaction entre une playa évaporitique et la dysmigration des hydrocarbures. Des barytines secondaires de basse température, déprimées en Sr sont alors précipitées de manière synsédimentaire dans des karsts météoriques du socle.Outre l’illustration d’un modèle complet (source to sink) de dynamique des fluides dans un bassin, ce travail apporte de nouvelles contraintes dans l’approche du colmatage des réservoirs à hydrocarbures sur les têtes de blocs basculés et sur la genèse des gîtes miniers de type Mississippi Valley‐Type.
https://hal.archives-ouvertes.fr/tel-01457583

tel-01457583
https://hal.archives-ouvertes.fr/tel-01457583
https://hal.archives-ouvertes.fr/tel-01457583/document
https://hal.archives-ouvertes.fr/tel-01457583/file/th%C3%A8seLaurent2015V2.pdf

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
Parapneumonic pleural effusions represent the main cause of pleural infections. Their incidence is constantly increasing. Although by definition they are considered to be a “parapneumonic” phenomenon, the microbial epidemiology of these effusions differs from pneumonia with a higher prevalence of anaerobic bacteria. The first thoracentesis is the most important diagnostic stage because it allows for a distinction between complicated and non-complicated parapneumonic effusions. Only complicated parapneumonic effusions need to be drained. Therapeutic evacuation modalities include repeated therapeutic thoracentesis, chest tube drainage or thoracic surgery. The choice of the first-line evacuation treatment is still controversial and there are few prospective controlled studies. The effectiveness of fibrinolytic agents is not established except when they are combined with DNase. Antibiotics are mandatory; they should be initiated as quickly as possible and should be active against anaerobic bacteria except for in the context of pneumococcal infections. There are few data on the use of chest physiotherapy, which remains widely used. Mortality is still high and is influenced by underlying comorbidities.
Les épanchements pleuraux parapneumoniques représentent la principale étiologie des pleurésies infectieuses. Leur incidence est en constante augmentation. Bien qu’ils soient qualifiés de « parapneumoniques », l’épidémiologie microbienne est différente de celle des pneumonies avec notamment une plus grande fréquence des germes anaérobies. La ponction pleurale exploratrice représente l’étape diagnostique centrale qui permet de distinguer les épanchements parapneumoniques compliqués et non compliqués. Seuls les épanchements parapneumoniques compliqués doivent faire l’objet d’un traitement évacuateur reposant sur la mise en œuvre de ponctions pleurales répétées (PPR), d’un drainage thoracique ou d’une prise en charge chirurgicale. Le choix de la technique évacuatrice première reste débattu car il existe peu d’études prospectives comparatives. L’utilisation d’agents fibrinolytiques n’a pas fait la preuve de son efficacité sauf lorsqu’ils sont utilisés en association à la DNAse. L’antibiothérapie doit être systématique, précoce et couvrir les germes anaérobies, sauf en cas d’infection à pneumocoque. Il existe peu de données sur la place de la kinésithérapie qui reste largement utilisée. La mortalité est élevée et directement influencée par les comorbidités sous-jacentes.
ISSN: 0761-8425

hal-01117905
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01117905
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01117905/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01117905/file/Les%20%C3%A9panchements%20pleuraux%20parapneumoniques_accepted.pdf
DOI : 10.1016/j.rmr.2014.12.001

Éditeur(s) : Direction Générale des Travaux Publics Direction Générale des Travaux Publics ( Haiti )
Résumé : This collection of over 5,000 black and white photographs held by the National Archives of Haiti dates from 1918 to 1945. It contains images of public buildings before and after restoration, public works, monuments, and the visits of U.S. Presidents and other officials.
Haiti

Droits : All rights reserved by the National Archives of Haiti.
11530

Éditeur(s) : HAL CCSD
Résumé : International audience
Primary spontaneous pneumothorax (PSP) is common and affects young and active patients. Guidelines are accurate about diagnosis and treatment indications, but the initial optimal management remains unclear. Smoking is the main risk factor and smoking cessation must be systematically advised. If simple surveillance is acceptable for small PSP and/or paucisymptomatic patient with PSP, exsufflation or hospitalization with chest tube drainage remains the standard treatment in other situations. Ambulatory management is possible and could become the next standard of care. © 2015, Société de réanimation de langue française (SRLF) and Springer-Verlag France
Reanimation

hal-01326967
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01326967
DOI : 10.1007/s13546-015-1156-1

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
Objectifs Aucun consensus n’existe concernant la prise en charge des pneumothorax spontanés de grande abondance. Les recommandations actuelles proposent soit une exsufflation à l’aiguille, soit un drainage thoracique, la plupart des patients étant hospitalisés. Nous avons voulu tester l’efficacité d’une prise en charge ambulatoire des pneumothorax par cathéters de petit calibre dit en « queue de cochon ». Méthodes De février 2007 à janvier 2011, tous les pneumothorax spontanés primaires et secondaires de grande abondance reçus à l’hôpital de Lorient ont été pris en charge par drainage via un cathéter de petit calibre associé à une valve anti-retour. Les patients rentraient immédiatement à domicile et étaient par la suite évalués tous les deux jours selon un algorithme précis. Résultats Sur 132 pneumothorax consécutifs (110 spontanés primaires, 22 secondaires), 103 ont été exclusivement traités en ambulatoire avec un retour complet à la paroi thoracique à j2 ou j4, ce qui représente un succès de l’ambulatoire à 78 %. La durée moyenne de drainage était de 3,4 jours. Sept patients ont été initialement hospitalisés, mais sont rapidement rentrés à domicile et ont été totalement guéris à j2 ou j4, ramenant le taux de succès à 83 %. L’usage d’antalgique était faible. Le taux de récidive à un an était de 26 %. En cas de succès, cette prise en charge est potentiellement économique avec un coût moyen estimé à 926 comprenant 2 consultations et une radiographie thoracique, en comparaison aux 4276 estimés si le patient était hospitalisé avec mise en place d’un drain thoracique pendant 4 jours. Conclusion La prise en charge ambulatoire des pneumothorax spontanés de grande abondance par cathéters de type « queue de cochon » associés à une valve anti-retour peut être considérée comme un traitement de première intention raisonnable. En comparaison avec d’autres études, notre protocole ne nécessite pas d’hospitalisation et est économique
ISSN: 0761-8425

hal-01163246
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01163246
DOI : 10.1016/j.rmr.2015.04.019

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : National audience
o abstract
ISSN: 1297-9589

hal-01485265
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01485265
DOI : 10.1016/j.gyobfe.2016.08.010
PUBMED : 27665251

Éditeur(s) : Direction Générale des Travaux Publics Direction Générale des Travaux Publics ( Haiti )
Résumé : This collection of over 5,000 black and white photographs held by the National Archives of Haiti dates from 1918 to 1945. It contains images of public buildings before and after restoration, public works, monuments, and the visits of U.S. Presidents and other officials.
Haiti

Droits : All rights reserved by the National Archives of Haiti.
7762

Éditeur(s) : HAL CCSD Elsevier
Résumé : In this study, we assessed past and present influence of ancient mining activity on metal(loid) enrichment in sediments of a former mining watershed (Gardon River, SE France), that is now industrialized and urbanized. A sedimentary archive and current sediments were characterized combining geochemical analyses, zinc isotopic analyses and sequential extractions. The archive was used to establish local geochemical background and recorded (i) increasing enrichment factors (EFs) for Pb, Zn, Cd, Tl, Hg, As and Sb throughout the industrial era, (ii) a contamination peak in 1976 attributed to a tailings dam failure, and (iii) current levels in 2002 and 2011 similar to those of 1969, except for Sb and Hg, reflecting a persisting contamination pattern. Inter-element relationships and spatial distribution of EF values of current sediments throughout the watershed suggested that both ancient and current contamination had a common origin for Pb, Zn, Cd, Tl and As related to the exploitation of Pb/Zn mineralization while old Sb mines and coal extraction area were the main sources for Sb and Hg respectively. This prevailing mining origin was reflected for Zn by a relatively uniform isotopic composition at δ66Zn = 0.23 ± 0.03‰, although slight decrease from 0.23‰ to 0.18‰ was recorded from upstream to downstream sites along the river course in relation with the contribution of the lighter δ66Zn signature (~ 0.08‰) of acid mine drainage impacted tributaries. Results from sequential extractions revealed that the potential mobility of the studied metal(loid)s varied in the order Sb < Tl ≈ As < Zn < Pb < Cd, with an increase of the mobile pool for Cd, Pb, Zn and to a lesser extent for As and Tl associated to increased enrichment. Altogether, these results tend to demonstrate that ancient mining activity still contributes to metal enrichment in the sediments of the Gardon River and that some of these metals may be mobilized toward the water compartment.
ISSN: 0048-9697

hal-01054163
https://hal.archives-ouvertes.fr/hal-01054163
DOI : 10.1016/j.scitotenv.2014.02.078