Éditeur(s) : HAL CCSD Oxford University Press (OUP)
Résumé : International audience
Are bisphenol A (BPA) and BPA analogs (BPA-A) safe for male human reproductive function? The endocrine function of human testes explants [assessed by measuring testosterone and insulin-like factor 3 (INSL3)] was impacted by exposure of the human adult testis explants to BPA/BPA-A. The few epidemiologic studies performed suggest that bisphenols have potential endocrine disruptive properties, but they did not identify clear and direct patterns of endocrine disruption. Adult human testis explants in culture were exposed to BPA and the analogs bisphenol F (BPF), bisphenol S (BPS), bisphenol E (BPE), bisphenol B (BPB) and bisphenol A diglycidyl ether (BADGE) at 10(-9)-10(-5) M for 24 or 48 h. Human adult testes were obtained from prostate cancer patients who had no hormone therapy, or from multiorgan donors. After ex vivo exposure to the investigated bisphenols, the measured outcomes were related to histopathology (gross morphology and germ cell viability determined by anti-caspase three immunohistochemistry), and the levels of testosterone, INSL3 and inhibin B were measured using immunoassays. The levels of mRNA encoding key enzymes of bisphenol biotransformation were investigated by quantitative PCR: UGT2B15 UDP (glucuronosyltransferase two family, polypeptide B15), GUSB (glucuronidase beta), SULT1A1 and 3 (sulfotransferase family 1 A member 1 and 3) and STS (steroid sulfatase). A significant dose-dependent inhibition was found between testosterone levels measured in the culture medium and concentrations of BPA (P = 0.00778 at 24 h and P = 0.0291 at 48 h), BPE (P = 0.039) and BPF (P = 0.00663). The observed BPA and BPA-A-induced inhibition of testosterone production varied according to duration of exposure and BPA/BPA-A concentrations. BPA (10(-9) M; P < 0.05), BPB (10(-9) M; P < 0.05), BPS (10(-9) and 10(-8) M; P < 0.05) and BADGE (10(-5) M; P < 0.05) increased Leydig cell INSL3 production. By contrast, BPE dose dependently inhibited INSL3 (P = 0.0372). Conversely, Sertoli cell function (inhibin B) and germ cell viability were not significantly affected by either bisphenols. N/A. Environmental compounds cannot be deliberately administered to men, justifying the use of an ex vivo approach. A relatively low number of testes samples were available for analysis (n = 3, except for testosterone secretion with n = 5). The active concentrations of BPA and BPA-A used in the study were higher than those found in human biological fluids. Under our experimental conditions, direct exposure to BPA or BPA-A can result in endocrine disturbance in the adult human testis.
ISSN: 0268-1161

hal-01578582
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01578582
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01578582/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01578582/file/Parallel%20assessment%20of%20the%20effects%20of%20bisphenol%20A_accepted.pdf
DOI : 10.1093/humrep/dex093

Éditeur(s) : HAL CCSD
Résumé : National audience
INTRODUCTION: Pulmonary arterial hypertension (PAH) is a severe complication of systemic sclerosis and detecting PAH efficiently remains challenging. The DETECT study has offered in 2013 a composite screening tool for PAH. The objective of our study was to compare the indication of right heart catheterisation (RHC) as suggested by the DETECT algorithm with the decisions of a multidisciplinary team. METHODS: This prospective monocentric non-interventional study consecutively included systemic sclerosis patients when data required to apply DETECT algorithm were available. We evaluate the number of RHC as requested by this algorithm and confronted it with the indications of RHC suggested by a multidisciplinary group blinded for the result of DETECT algorithm. RESULTS: In total, 117 systemic sclerosis patients were included. When DETECT algorithm was applied to all patients, RHC was suggested by this algorithm for 70 patients, whereas only 15 indications were required by the multidisciplinary group; among those patients only 7 had PAH. When DETECT algorithm was applied only to the 42 patients with DLCO<60% and disease duration of more than 3 years, RHC was suggested for 31 patients whereas only 13 were indicated by the multidisciplinary group; among those patients only 7 had PAH. CONCLUSION: The DETECT algorithm is able to efficiently detect all PAH patients finally diagnosed by our multidisciplinary team. However, it increases by 3 the number of RHC that should be performed.
La Revue de Médecine Interne

hal-01579606
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01579606
DOI : 10.1016/j.revmed.2017.04.005
PUBMED : 28545856

Éditeur(s) : HAL CCSD Public Library of Science
Résumé : International audience
BACKGROUND: Dengue fever is the most important arboviral infection that affects humans, particularly in tropical and subtropical regions. Here, we provide the first comprehensive overview of the severity of dengue epidemics in French Guiana. METHODOLOGY/PRINCIPAL FINDINGS: We monitored hospitalized cases between 2008 and 2013. Detailed clinical features and biological parameters were collected on a daily basis from all cases. Among the 1,356 cases, 216 (16%) were classified according to the WHO 2009 classification as dengue without warning signs (WS), 926 (68%) were classified as dengue with WS and 214 (16%) were classified as severe dengue. The severity rates were similar between the three major epidemics that occurred during the study period, whereas the hospitalization rate was highest in 2013. Fluid accumulation, aspartate aminotransferase (ASAT) counts>193 IU/L and platelet counts<75,000 cells/mm3 were associated with dengue severity. CONCLUSIONS/SIGNIFICANCE: Our findings provide a recent epidemiological description of the severity of dengue epidemics in French Guiana. These results highlight the potential impacts and consequences of implementing the WHO 2009 classification on hospital activity. Future studies should include virological and immunological investigations of well-documented serum samples.
ISSN: 1932-6203

hal-01477201
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01477201
DOI : 10.1371/journal.pone.0172267
PUBMED : 28196111

Éditeur(s) : HAL CCSD Wiley
Résumé : International audience
BACKGROUND: Recent studies suggest that a Mediterranean dietary pattern during pregnancy may influence pregnancy outcomes. The aim of this study was to evaluate the effect of adherence to a Mediterranean diet (MD) during pregnancy on fetal growth restriction (FGR) and preterm delivery (PTD) in a French Caribbean island where the population is largely of African descent and presents dietary patterns similar to MD. METHODS: Using data from the TIMOUN Mother-Child Cohort Study conducted in Guadeloupe (French West Indies) between 2004 and 2007, we analysed data for 728 pregnant women who delivered liveborn singletons without any major congenital malformations. Degree of adherence to MD during pregnancy was evaluated with a semi-quantitative food frequency questionnaire based on nine dietary criteria. Multiple logistic regression models were used to analyse birth outcomes while taking potential confounders into account. RESULTS: Overall there was no association between MD adherence during pregnancy and the risk of PTD or FGR. However, pre-pregnancy body mass index was a strong effect modifier, and MD adherence was associated with a decreased risk of PTD specifically in overweight and obese women (adjusted odds ratio 0.7, 95% confidence interval 0.6, 0.9) (P heterogeneity <0.01). CONCLUSIONS: These results suggest that Caribbean diet during pregnancy may carry some benefits of MD and may contribute to reduce the risk of PTD in overweight and obese pregnant women.
ISSN: 0269-5022

hal-00988172
https://hal-univ-rennes1.archives-ouvertes.fr/hal-00988172
DOI : 10.1111/ppe.12113
PUBMED : 24754337

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
We performed torsional deformation experiments on pre-hydrated fine-grained olivine aggregates using an innovative experimental assembly to investigate water weakening in mantle rocks at high shear strains. San Carlos olivine powder was cold-pressed and then hot-pressed under hydrous conditions, producing aggregates with average grain sizes of 7 or 15 μm. Deformation experiments were performed in a high-resolution gas-medium apparatus equipped with a torsional actuator, under a confining pressure of 300 MPa, a temperature of 1200 °C, and constant shear strain rates ranging from 8 × 10−5 to 1.4 × 10−4 s−1. Maximum shear stresses range from 150 to 195 MPa. These values are 30% lower relative to those determined in previous torsion experiments on dry, fined-grained dunites under similar conditions. Textures and microstructures of the starting and deformed specimens were characterized by scanning and transmission electron microscopy. All deformed aggregates exhibit a shape-preferred orientation marking a foliation and lineation, as well as a reduction in mean grain size from 15 μm down to 3-4 μm due to dynamic recrystallization. Olivine crystallographic fabrics developed rapidly (γ < 0.1), but their strength, characterized by the J-index, is low compared to naturally deformed peridotites or to polycrystalline olivine deformed at similar finite shear strains under dry conditions. The crystallographic fabrics are consistent with deformation by a dislocation accommodated creep mechanism with activation of multiple {0 k l}[1 0 0] systems, among which the (0 1 0)[1 0 0] slip system is dominant, and minor participation of the (0 1 0)[0 0 1] slip system. Transmission electron microscopy confirmed the occurrence of dislocations with [1 0 0] and [0 0 1] Burgers vectors in most grains. Analysis of unpolarized infrared spectra indicates that hydrogen concentration in the olivine lattice is below the saturation level of 18 ppm wt H2O, which is similar to those typically observed in spinel-bearing peridotite xenoliths, and also provide evidence for water-rich inter-granular material trapped in pores and grain boundaries. Seismic properties computed from the CPO observations correspond to those most commonly observed in naturally deformed mantle peridotites with fast P-wave propagation and S-wave polarization subparallel to the shear direction. These torsion experiments on fine-grained olivine polycrystals under hydrous conditions indicate that water weakening under lithospheric conditions is linked to various defects with hydrogen in the olivine structure, as well as with water-derived species in grain boundaries or pores.
ISSN: 0031-9201

hal-00745170
https://hal.archives-ouvertes.fr/hal-00745170
DOI : 10.1016/j.pepi.2012.05.001

Résumé : Dans le cadre de la promotion de systèmes de culture alternatifs à moindres intrants chimiques, des études sur l'introduction de plantes de service ayant vocation à réduire l'usage des pesticides et engrais azotés mobilisent un effort de recherche considérable. Dans le cadre de la production bananière pour laquelle la nuisibilité causée par les nématodes phytoparasites constitue l'une des principales contraintes, une des principales alternatives à l'utilisation de nématicides chimiques repose sur l'usage raisonné en rotation ou en association culturale de plantes de service à propriétés nématorégulatrices. Parmi les espèces candidates, celles du genre Crota/aria spp. ont largement été étudiées en raison de leur aptitude à contrôler les nématodes phytoparasites. Une méta-analyse révèle cependant que même si de nombreux auteurs s'accordent à reconnaître les propriétés allélopathiques des plantes de cette espèce, ils sont également enclins à reconnaître la forte variabilité d'expression de ces propriétés vis-à-vis du contrôle des nématodes selon les situations expérimentées. L'objectif de ce travail repose sur la compréhension du déterminisme biochimique des exsudats. La stratégie expérimentale mise en oeuvre a consisté à tester en conditions contrôlées le comportement biochimique des exsudats racinaires de deux espèces de crotalaires (C retusa, C spectabilis) et d'une espèce sensible, le bananier dessert (Musa spp.) en fonction i) de conditions biotiques variées -i.e. présence ou non de nématodes (Radopholus similis et Meloidogyne arenariaï, et présence ou non de mycorhizes-, ii) de conditions abiotiques contrastées -i.e. utilisation d'un sol naturel vs. substrat neutre, ajout ou non d'engrais chimique. La méthodologie innovante des «plantes à traire » (Brevet INRA) a été requise pour pouvoir travailler sur les exsudats racinaires des plantes conditionnées plutôt que sur des Iixiviats, comme réalisé dans des expérimentations antérieures.Les résultats obtenus en spectrophométrie visible montrent que la modification des conditions abiotiques affecte de manière importante les profils biochimiques des plantes étudiées. En présence du nématode 1..·1. arenaria les profils biochimiques des deux crotalaires sont également modifiés. Des biotests réalisés à l'aide des exsudats racinaires conditionnés au préalable par les modifications biotiques ont permis de démontrer l'effet nématostatique des crotalaires. Des analyses biochimiques en Ge-MS mettent en évidence de manière plus précise des molécules actives mises en jeu sous différentes modalités biotiques et abiotiques. Ces recherches, de portée générique, permettront de mieux comprendre les conditions de l'environnement qui régulent les profils biochimiques des exsudats racinaires des crotalaires et par extension, seront applicables aux recherches menées sur d'autres plantes de service candidates. Ceci aidera, à terme, à définir les conditions environnementales à réunir, pour orienter de manière optimale les effets allélopathiques dans une perspective de nématorégulation naturelle
As part of the promotion of alternative cropping systems at lower chemical inputs, studies on the introduction of cover crops designed to reduce the use of pesticides and nitrogen fertilizers mobilize a considerable research effort. Under banana production for which the hannfu1ness caused by plant-parasitic-nematodes is one ofthe main constraints, one of the main alternatives to the use ofchemical nematicides is based on the rational use in rotation or intercropping of cover rI crops to proteet crops from plant-parasitic-nematodes, Among the candidate species, the species from the genus of Crota/aria spp. have been widely studied because of their ability to control plant parasitic-nematodes. A meta-analysis reveals that although many authors agree allelopathic properties of these species, they are also likely to recognize the high variability of expression of these properties vis-àvis the control of nematodes according to the situations experieaced.. The objective of this woIk is focnsed on the onderstanding of the biochemical determinism of mot exudates onder environment biotic and abiotic variations. The experimental strategy was 10 test onder controlled conditions the biochemical behavior of mot exudates of two species of crotalarias (C retusa, C. spectabilis) and a susceptible species, the dessert banana crop (Musa spp.) with i) modification ofbiotic conditions -ie presence or absence of nematodes iMeloidogyne arenaria and Radopho/us similis), and presence or absence of mycorrhiza-ii) contrasting abiotic conditions -ie using a natural soil vs. neutral substrate, whether to add fertilizer. The innovative methodology of "milking plants" (patent INRA) was required in order to work on the root exudates of plants packed rather thanleachate, as done in previous experiments. The results obtained show that 'visible spectrophotometry changing abiotic conditions affect significantly the biochemical profiles of the studied plants. In the presence of nematode M. arenaria biochemical profiles of both crotalarias are also changed. Bioassays conducted using mot exudates conditioned in advance by biotic changes have demonstrated the effect of nématostatique crotalarias. Biochemical Ge-MS demonstrate more clearly active molecules that are involved in varions biotic and abiotic conditions. This research, generic scope, to better understand the environmental conditions that regulate biochemical profiles of mot exudates crotalarias and by extension, will apply to research on other plants service candidates. This will ultimately define the environmental conditions to meet, to guide optimal allelopathic effects from the perspective ofnatural nématorégulation

http://www.theses.fr/2012AGUY0561/document

Éditeur(s) : HAL CCSD
Résumé : The modernization of agriculture is under scrutiny. It is currently debated within the growing concept and practice of agroecology that applies ecological fundaments to the design and the management of sustainable agroecosystems. In matter of ecologization of agriculture, agroecological transition may be considered as a privileged pathway. It relies on two main forms: the weak (that intends to reduce the use of chemicals by alternative practices such as their substitution by biological inputs) versus strong modernization of agriculture (based on the valorization of biodiversity providing ecosystemic services). In this article, through an analysis of the technological innovations used for the enhancement of mycorrhiza (symbiotic interactions between plants and soil microorganisms) as an illustration of the implementation of the agroecological transition in France, we wonder in what extent a strong modernization of agriculture is likely to occur.This paper shows how the conceptual framework of socio-technical regime is useful to analyze the dynamics of the agroecological transition. Our demonstration relies on an empirical material (survey of the main actors of the mycorrhiza supply chain) that permits to understand how is structured the dominant system and how it impedes the development of the alternative niche. We then give some prerequisites in terms of public action to define in what extent the niche can be supported and can compete the current system.
54. ERSA Congress "Regional development & globalization: Best practices"
Saint-Petersburg, Russia

hal-01606449
https://hal.archives-ouvertes.fr/hal-01606449
PRODINRA : 387723

Éditeur(s) : HAL CCSD
Résumé : International audience
Cet article prolonge le débat introduit dans l'article précédent de la rubrique « Innovations obsjectivées ». Il s'agit ici de discuter un certain nombre de thèmes autour de enseigner et apprendre afin que les apprentissages en sport collectif à l'école deviennent plus efficaces. A cet effet, nous allons examiner successivement comment les élèves apprennent, comment les professeurs enseignent et aussi comment enseigner pour que les élèves apprennent et retiennent. Dans une dernière partie, une discussion est menée autour de la question de l'égal accès de toutes et tous aux fondamentaux de la culture scolaire et sportive. Mots clés : sport collectif, connaissance, enseigner, apprendre, réussite Le développement des technologies et, en particulier, l'avènement de la société de l'information ont augmenté les possibilités d'accès des individus à l'information et au savoir. Mais, en même temps, tous ces phénomènes entraînent une modification des compétences à acquérir pour le travail ou les loisirs. La société du futur sera donc une société cognitive est-il souvent affirmé (Commission européenne, 1995) et c'est dans cette perspective que se place le rôle central de l'éducation et la formation. L'éducation physique et sportive a plus que jamais une place prépondérante à jouer dans une société où la sédentarité devient une menace. Aussi, dans cette deuxième partie, nous allons discuter un certain nombre de thèmes autour d'enseigner et apprendre afin que les apprentissages en sport collectif à l'école deviennent plus efficaces. A cet effet, nous allons examiner successivement comment les élèves apprennent, comment les professeurs enseignent et aussi comment enseigner pour que les élèves apprennent et retiennent. Enfin une discussion sera menée autour de la question de l'égal accès de toutes et tous aux fondamentaux de la culture scolaire et sportive.
eJRIEPS

hal-01620910
https://hal.univ-antilles.fr/hal-01620910
https://hal.univ-antilles.fr/hal-01620910/document
https://hal.univ-antilles.fr/hal-01620910/file/7.%20eJR%2040%20Gr%C3%A9haigne%20et%20al.%202.pdf

Éditeur(s) : HAL CCSD American Academy of Neurology
Résumé : International audience
OBJECTIVE: We examined if the CNS Penetration-Effectiveness (CPE) score of antiretroviral drugs was associated with survival after a diagnosis of HIV-related encephalopathy, progressive multifocal leukoencephalopathy (PML), cerebral toxoplasmosis, or cryptococcal meningitis. METHODS: Using data from the FHDH-ANRS CO4, we compared the survival of 9,932 HIV-infected patients diagnosed with a first neurologic AIDS-defining event in the pre-combination antiretroviral therapy (cART) (1992-1995), early cART (1996-1998), or late cART (1999-2004) periods. Follow-up was subdivided (CPE < 1.5 and CPE ≥ 1.5), and relative rates (RR) of death were estimated using multivariable Poisson regression models. RESULTS: In the pre-cART and early cART periods, regimens with CPE ≥ 1.5 were associated with lower mortality after HIV-related encephalopathy (RR 0.64; 95% confidence interval [CI] 0.47-0.86 and RR 0.45; 95% CI 0.35-0.58) and after PML (RR 0.79; 95% CI 0.55-1.12 and RR 0.45; 95% CI 0.31-0.65), compared to regimens with CPE < 1.5, while in the late cART period there was no association between the CPE score and the mortality. A higher CPE score was also associated with a lower mortality in all periods after cerebral toxoplasmosis (RR 0.68, 95% CI 0.56-0.84) or cryptococcal meningitis (RR 0.50, 95% CI 0.34-0.74). Whatever the neurologic event, these associations were not maintained after adjustment on updated plasma HIV-RNA (missing, <500, ≥500 copies/mL) with RR ranging from 0.82 (95% CI 0.36-1.91) to 1.02 (0.69-1.52). CONCLUSION: At the beginning of the cART era, the CPE score was of importance for survival after severe neurologic event, while in the late cART period, the additional effect of CPE score vanished with more powerful antiretroviral regimens associated with plasma viral load control.
ISSN: 0028-3878

hal-00875434
https://hal.archives-ouvertes.fr/hal-00875434
DOI : 10.1212/WNL.0b013e31820c3089
PUBMED : 21248274

Éditeur(s) : HAL CCSD Springer International Publishing
Résumé : The intensive farming practices that have been developed over the past 60 years are based mainly on the use of chemical inputs such as fertilisers and pesticides, mechanical tillage and monoculture. The limitations of these methods are now clear: long-term degradation of soil fertility, impacts on the environment and human health, high consumption of fossil fuels, low efficiency of inputs and threats to food security in a context of climate change. Would farming practices that rely on the activation of ecological processes be an alternative to achieve a balance between high productivity and environmental preservation? While many studies suggest a positive relationship between soil biodiversity and ecosystem services, there is considerable debate on the form such agricultural systems should take. This study reviewed the state of current knowledge and identified aspects requiring further research to achieve the aim of sustainable intensification of agriculture. The following major points emerged: 1) Most studies focused on the evaluation of individual practices. However, changes in farmers’ cropping practices to take advantage of soil biodiversity services would need to manage not only the interactions between various practices but also the trade-off between the technical and socio economic constraints of cropping systems. Advances in agricultural system design approaches may help to ensure appropriate trade-offs. 2) More attention should be given to drawing on knowledge from different sources: laboratory studies focusing on the ecological functions of soil biodiversity, experimental surveys on farmers’ fields to rank the farming practices and processes to be included in site-specific models, and on- station experiments to test hypotheses and acquire additional reference material. 3) Whereas advances in technical and scientific knowledge provide an increasing number of relevant indicators for characterizing biodiversity and ecological functions, studies are rarely targeted at the development of indicators that are accessible to farmers or their technical advisors. The lack of indicators accessible to grassroots players for evaluating the impacts of their decisions on soil biodiversity remains a serious obstacle to the development of innovative agro-ecological systems.
Sustainable Agriculture Reviews 14

ISBN : 978-3-319-06015-6
hal-01268743
https://hal.archives-ouvertes.fr/hal-01268743
DOI : 10.1007/978-3-319-06016-3_5
PRODINRA : 270786

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 Wiley
Résumé : International audience
A nested case-control association study was designed to investigate the influence of maternal and fetal copy number variants (CNVs) on reproductive outcomes. Genotypes of ten CNVs encompassing GST and CYP genes were assessed. Significant associations were only found for child CNV genotypes. In particular, the child GSTM1 insertion allele was associated with prematurity protection (odds ratio, 95% CI: 0.67, 0.51-0.89; P < 0.01), whereas the child GSTT2B insertion allele was associated with an increased risk of being small for gestational age (odds ratio, 95% CI: 1.33, 1.07-1.67; P = 0.01). The study highlights the role of the fetal genome in prenatal development and also the need to analyse CNVs in a systematic manner.
ISSN: 1470-0328

hal-00875955
https://hal.archives-ouvertes.fr/hal-00875955
DOI : 10.1111/j.1471-0528.2012.03400.x
PUBMED : 22676722

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

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

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

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

Éditeur(s) : HAL CCSD
Résumé : L’agriculture aux Antilles, depuis la période coloniale, est orientée vers quelques monocultures, de la canne à sucre à la banane en passant par le coton et le café (Lasserre, 1961). Aux côtés de cette agriculture exportatrice, les agrosystèmes multi-espèces sont aussi très anciens mais ont longtemps fonctionné de façon isolée et sur une base empirique notamment à travers les jardins familiaux ou "jardin créole" (Degras, 2005). De plus en plus, l'intérêt, voire la nécessité d'une diversification professionnelle de l'activité agricole aux Antilles est admise, reconnue voire soutenue compte tenu des impasses agronomiques, environnementales ou économiques L’insularité d’un territoire entraine de nombreux conflits d’usage dans la gestion du capital foncier. La nécessité de terres à bâtir dans un contexte d’augmentation de la population, la nécessité de protection de la forêt tropicale, des forêts marécageuses de mangroves et des zones à proximité des rivières amènent de nombreuses questions en matière d’aménagement et de gestion des territoires surtout lorsqu’ils sont exigus. L’agriculture est un secteur consommateur d’espace et ce pour l’ensemble des productions agricoles Aux Antilles, l’agriculture connaît de lourds héritages avec la prépondérance des cultures destinées à l’exportation et gourmandes en surfaces, la canne à sucre et la banane. La gestion des territoires mais aussi des pratiques agricoles sont très clairement remises en cause depuis la crise médiatique de la chlordécone en 2002 et les années suivantes par les successives interdictions prononcées par arrêtés préfectoraux depuis la crise sociale de 2009 décriant les cultures d’exportation pour leur caractère polluant et intensif et appelant à un retour aux productions locales plus respectueuses de l’environnement. Les systèmes productifs sont sans cesse en évolution. Ces changements sont le reflet des choix productifs effectués par les exploitants et par des pratiques agricoles mises en œuvre. L’analyse du système se fera de manière à identifier les spéculations initiales et leurs évolutions au cours de la dernière décennie. La diffusion spatiale de ces pratiques agricoles ne s’effectue pas linéairement car, dans les systèmes productifs, le phénomène est bien plus complexe dont la compréhension nécessite la prise en compte (i) des interactions entre les acteurs et (ii) de l’aspect temporel. L’émission d’un message informatif évolue dans le temps ainsi que les acteurs et leurs interactions sur le territoire. Même si les agriculteurs sont soumis à des facteurs exogènes communs à l’ensemble de leur exploitation, ils sont tout de même concernés par des influences provenant des réseaux au sein desquels ils sont insérés. Le processus classique de diffusion des pratiques agricoles est résumé par la courbe logistique (Hägerstrand, 1967). Sur le territoire, la situation d’adoption de pratiques n’est pas homogène. Pour une compréhension et une anticipation quant à l’évolution du territoire, l’ensemble des DOM antillais sera sujet à étude. Dans un premier temps, l’analyse des spéculations des systèmes multi-espèces à travers une analyse exploratoire des données permettra de mieux appréhender les dynamiques spatiales perceptibles sur le territoire et ce en fonction du type de production agricole. Pour modéliser la dynamique spatiale de diffusion des choix, il faudra envisager une combinaison de plusieurs approches géographiques pour une meilleure compréhension de la situation et ce en fonction de la complexité du système multi-espèces proposé au sein d’une même exploitation. Il s’agit par la géographie historique de s’intéresser aux changements survenus dans les modèles agricoles au cours du temps en d’étudier l'utilisation des terres agricoles au cours de la dernière décennie (approche diachronique) et la photographie du paysage agricole aux Antilles Françaises (approche synchronique). Ces deux approches synchroniques et diachroniques, révèlent respectivement les corrélations entre plusieurs éléments qui se trouvent dans un même lieu à une période donnée et met l'accent sur les processus de l'activité agricole qui sous-tendent les changements dans les modèles géographiques. La diffusion d’une pratique peut être analysée tout d’abord temporellement (Rogers, 1983) en estimant qu’il n’existe pas de différenciation spatiale dans le phénomène. Dans un deuxième temps, la considération de la dimension spatiale (Hägerstrand, 1967) dans l’étude de la diffusion devient primordiale pour l’étude de diffusion d’une pratique agricole dans des territoires diversifiés même s’ils sont insulaires et exigus. Les processus de diffusion spatiale sont perceptibles à différentes échelles spatiales (Aber, 1972) et il s’agit de déterminer les échelles d’études les plus pertinentes pour clarifier le phénomène : de l’échelle régionale à l’échelle locale (Morrill, 1970). La difficulté est de sélectionner la meilleure échelle pour établir un modèle de diffusion spatio-temporelle (Morrill, 1970). Il s’agira, dans la présente étude, d’opter pour une analyse en « time-geography » (Chardonnel, 2001) à savoir une analyse des réactions des individus dans le temps et l’espace : le comportement des agriculteurs face à leur pratique de 2000 à aujourd’hui et la diffusion spatio-temporelle de ces pratiques agricoles sur le territoire. L’objectif principal de la thèse est de comprendre et de modéliser les processus de diffusion spatiale des pratiques agricoles dans les systèmes productifs multi-espèces aux Antilles françaises. Il s’agira de retracer l’apparition des pratiques agricoles de la dernière décennie des agriculteurs n’ayant pas de mono-spéculation mais développant des systèmes productifs multi-espèces et touchant par conséquent différents secteurs agricoles (banane, canne, élevage, maraîchage…) et tout cela dans une même exploitation agricole. L’enjeu sera d'identifier les différents évènements significatifs survenus et subis par les différentes filières agricoles concernées et les producteurs, évènements marquants intervenus au cours de la période, tant climatiques, parasitaires, qu'organisationnels, structurels, réglementaires, marchands ou sociaux. Chaque agriculteur souhaite faire converger son système de production vers ses objectifs productifs en tenant compte des évolutions contextuelles d’exercice de son activité et ce, en fonction de l’offre technologique disponible dans la période correspondante. Il s’agira d’établir un modèle spatio-temporel de diffusion d’pratiques agricoles en tenant compte des facteurs moteurs et facteurs barrières à l’adoption et en donnant des poids différents aux différents facteurs d’influence. L’adoption de pratiques agricoles dépend de la situation géographique de l’exploitation, de la distance par rapport à l’innovateur : le principal déterminant spatial de l’adoption dans les filières de diversification, moins sujettes à un message technique unilatéral prodigué pour des filières très structurées, est l’effet de « mimétisme » (Girard, 1961). Cette adoption dépend également de l’interconnexion entre les différents acteurs de filière. Ce lien n’est peut-être pas nécessairement lié à la proximité géographique des individus mais à une proximité sociale résultant de l’appartenance à un ou plusieurs réseaux sociaux (Granovetter, 1983). L’accessibilité à l’information et la réaction de l’agriculteur face aux changements de pratiques dépend de son appartenance à un groupe social. Dans des filières très bien structurées (canne à sucre et banane), le message technique diffusé est homogène à toute la population et est influencé grandement par des facteurs exogènes à l’exploitant. La dimension spatiale et les réseaux sociaux sont des facteurs influençant les choix des exploitants et ce selon le type d’exploitations (monoculture ou multi-espèces). Actuellement, il semblerait que ce soit le type d’exploitation (taille et localisation) qui influence le choix de l’exploitation dans l’adoption d’innovation en milieu bananier (Mantran, 2011). A partir des techniques d’exploration des données, on pourra aboutir à la mise au point d’un modèle explicatif de la diffusion d’informations et ce probablement par type de production. Cette étude permettra une meilleure connaissance du territoire et de ses dynamiques spatiales agricoles.
Doctoriales du CEREGMIA
Cayenne, Guyane, France

hal-01458425
https://hal.archives-ouvertes.fr/hal-01458425
PRODINRA : 384817

Éditeur(s) : HAL CCSD American Society for Microbiology
Résumé : International audience
Anti-Aspergillus IgG antibodies are important biomarkers for the diagnosis of chronic pulmonary aspergillosis (CPA) and allergic bronchopulmonary aspergillosis (ABPA). We compared the performance of a new commercial EIA (Bordier Affinity Products) with those of the Bio-Rad and VirionSerion EIAs. This assay is novel in the association of two recombinant antigens with somatic and metabolic antigens of A. fumigatus. In a prospective multicentre study, 436 serum samples from 147 patients diagnosed with CPA (136 sera/104 patients) or ABPA (94 sera/43 patients) and from 205 controls (206 sera) were tested. We obtained sensitivities of 97%, 91.7%, and 86.1%, and specificities of 90.3%, 91.3%, and 81.5% for the Bordier, Bio-Rad and VirionSerion tests, respectively. The Bordier kit was more sensitive than the Bio-Rad kit (p < 0.01), which was itself more sensitive than the VirionSerion kit (p=0.04). The Bordier and Bio-Rad kits had similar specificities (p=0.8), both higher than that of the VirionSerion kit (p=0.02). The areas under the ROC curves confirmed the superiority of the Bordier kit over the Bio-Rad and the VirionSerion kits (0.977, 0.951 and 0.897, respectively; p < 0.01 for each comparison). In a subset analysis of 279 sera tested with the Bordier and Bio-Rad kits and an in-house immunoprecipitin assay (IPD), the Bordier kit had the highest sensitivity (97.7%), but the IPD tended to be more specific (71.2 and 84.7%, respectively; p=0.10).The use of recombinant, somatic and metabolic antigens in a single EIA improved the balance between sensitivity and specificity, resulting in an assay highly suitable for use in the diagnosis of chronic and allergic aspergillosis.
ISSN: 0095-1137

hal-01282328
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01282328
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01282328/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01282328/file/Prospective%20evaluation%20of%20a%20new%20Aspergillus.pdf
DOI : 10.1128/JCM.03261-15

Éditeur(s) : HAL CCSD Public Library of Science
Résumé : International audience
BACKGROUND:Dengue fever is the most important arboviral infection that affects humans, particularly in tropical and subtropical regions. Here, we provide the first comprehensive overview of the severity of dengue epidemics in French Guiana.METHODOLOGY/PRINCIPAL FINDINGS:We monitored hospitalized cases between 2008 and 2013. Detailed clinical features and biological parameters were collected on a daily basis from all cases. Among the 1,356 cases, 216 (16%) were classified according to the WHO 2009 classification as dengue without warning signs (WS), 926 (68%) were classified as dengue with WS and 214 (16%) were classified as severe dengue. The severity rates were similar between the three major epidemics that occurred during the study period, whereas the hospitalization rate was highest in 2013. Fluid accumulation, aspartate aminotransferase (ASAT) counts>193 IU/L and platelet counts<75,000 cells/mm3 were associated with dengue severity.CONCLUSIONS/SIGNIFICANCE:Our findings provide a recent epidemiological description of the severity of dengue epidemics in French Guiana. These results highlight the potential impacts and consequences of implementing the WHO 2009 classification on hospital activity. Future studies should include virological and immunological investigations of well-documented serum samples
ISSN: 1932-6203

inserm-01481447
http://www.hal.inserm.fr/inserm-01481447
http://www.hal.inserm.fr/inserm-01481447/document
http://www.hal.inserm.fr/inserm-01481447/file/2017%2C%20Flamand%20-%20Epidemiological%20assessment%20of%20the%20severity%20of%20dengue%20epidemics%20in%20French%20Guiana.pdf
DOI : 10.1371/journal.pone.0172267.t003

Éditeur(s) : HAL CCSD
Résumé : International audience
A prospective study on randomized patients was conducted to determine how morphokinetic parameters are altered in embryos grown in sequential versus global culture media. Eleven morphokinetic parameters of 160 single embryos transferred were analyzed by time lapse imaging involving two University-affiliated in vitro fertilization (IVF) centers. We found that the fading of the two pronuclei occurred earlier in global (22.56±2.15 hpi) versus sequential media (23.63±2.71 hpi; p=0.0297). Likewise, the first cleavage started earlier at 24.52±2.33 hpi vs 25.76±2.95 hpi (p=0.0158). Also, the first cytokinesis was shorter in global medium, lasting 18±10.2 minutes in global versus 36±37.8 minutes in sequential culture medium (p <0.0001). We also observed a significant shortening in the duration of the 2-cell stage in sequential medium: 10.64 h±2.75 versus 11.66 h±1.11 in global medium (p=0.0225) which suggested a faster progression of the embryos through their first mitotic cell cycle. In conclusion, morphokinetic analysis of human embryos by Time lapse imaging reveals significant differences in five kinetic variables according to culture medium. Our study highlights the need to adapt morphokinetic analysis accordingly to the type of media used to best support human early embryo development.
Annales de Biologie Clinique

hal-01579406
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01579406
DOI : 10.1684/abc.2017.1259
PUBMED : 28751285

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
ABSTRACT: BACKGROUND: Climate change poses unprecedented challenges, ranging from global and local policy challenges to personal and social action. Heat-related deaths are largely preventable, but interventions for the most vulnerable populations need improvement. Therefore, the prior identification of high risk areas at the community level is required to better inform planning and prevention. We aimed to demonstrate a simple and flexible conceptual framework relying upon satellite thermal data and other digital data with the goal of easily reproducing this framework in a variety of urban configurations. RESULTS: The study area encompasses Rennes, a medium-sized French city. A Landsat ETM + image (60 m resolution) acquired during a localized heatwave (June 2001) was used to estimate land surface temperature (LST) and derive a hazard index. A land-use regression model was performed to predict the LST. Vulnerability was assessed through census data describing four dimensions (socio-economic status, extreme age, population density and building obsolescence). Then, hazard and vulnerability indices were combined to deliver a heatwave health risk index. The LST patterns were quite heterogeneous, reflecting the land cover mosaic inside the city boundary, with hotspots of elevated temperature mainly observed in the city center. A spatial error regression model was highly predictive of the spatial variation in the LST (R2 = 0.87) and was parsimonious. Three land cover descriptors (NDVI, vegetation and water fractions) were negatively linked with the LST. A sensitivity analysis (based on an image acquired on July 2000) yielded similar results. Southern areas exhibited the most vulnerability, although some pockets of higher vulnerability were observed northeast and west of the city. The heatwave health risk map showed evidence of infra-city spatial clustering, with the highest risks observed in a north--south central band. Another sensitivity analysis gave a very high correlation between 2000 and 2001 risk indices (r = 0.98, p < 10-12). CONCLUSIONS: Building on previous work, we developed a reproducible method that can provide guidance for local planners in developing more efficient climate impact adaptations. We recommend, however, using the health risk index together with hazard and vulnerability indices to implement tailored programs because exposure to heat and vulnerability do not require the same prevention strategies.
ISSN: 1476-072X

inserm-00762303
http://www.hal.inserm.fr/inserm-00762303
http://www.hal.inserm.fr/inserm-00762303/document
http://www.hal.inserm.fr/inserm-00762303/file/1476-072X-11-38.pdf
DOI : 10.1186/1476-072X-11-38

Éditeur(s) : HAL CCSD Oxford University Press (OUP)
Résumé : International audience
BACKGROUND: Human immunodeficiency virus (HIV)-infected patients have decreased immune response to vaccines. Few data are available about pandemic flu vaccination in this population. METHODS: We conducted a multicenter, patient-blinded, randomized trial in a cohort of HIV-infected adults. Patients received 2 injections 21 days apart of a AS03(A)-adjuvanted H1N1v vaccine containing 3.75 μg hemagglutinin (HA) or a nonadjuvanted H1N1v vaccine containing 15 μg HA to assess hemagglutination inhibition (HI) response and safety. RESULTS: A total of 309 patients were randomized, and 306 were vaccinated. After the first vaccine dose, HI titers ≥1:40 were observed in 93.4% of the patients in the adjuvanted group (A group) (n = 155) and in 75.5% in the nonadjuvanted group (B group) (n = 151) (P < .001); seroconversion rates were 88.8% and 71.2%, and factor increases in geometric mean titers (GMT) of 21.9 and 15.1, respectively. After 2 injections, 98.6% of patients of the A group and 92.1% of the B group demonstrated HI titers ≥1:40 (P = .018); seroconversion rates were 96.5% and 87.1%, respectively, and factor increases in GMT were 45.5 and 21.2, respectively. The majority of adverse events were mild to moderate in severity; no impact on CD4+ cell count or viral load has been detected. CONCLUSIONS: In HIV-1-infected adults, the AS03(A)-adjuvanted H1N1v vaccine yielded a higher immune response than did the nonadjuvanted one, with no impact on HIV infection.
ISSN: 0022-1899

hal-00875299
https://hal.archives-ouvertes.fr/hal-00875299
DOI : 10.1093/infdis/jir211
PUBMED : 21628666