Éditeur(s) : HAL CCSD Oxford University Press
Résumé : International audience
Chronic rhinosinusitis (CRS) rank second at chronic inflammatory diseases in industrialized countries and are an important public health concern. Diagnosis relies on a set of arguments including clinical signs, imaging, histopathologic and mycological analyses of sinus specimens, collected during nasal endoscopy. The sensitivity of fungal cultures is reported to be poor, even when direct examination is positive, thus the epidemiology of fungal chronic sinusitis is ill-known. This study evaluated the sensitivity of molecular diagnosis in 70 consecutive samples (61 patients with CRS) analysed at the University Hospital of Rennes during a 3-year period. DNA detection was performed using a conventional PCR method targeting the ITS1/ITS2 sequence and the resulting amplification products were sequenced. Fungal CRS was proven in 42 patients (69%), of which only 20 (48%) had a positive culture. 37/42 (88%) patients were diagnosed with a fungus ball, 3 with allergic fungal CRS and 2 with undetermined fungal CRS. PCR was positive in all 42 cases and direct sequencing allowed to identify fungi in all cases but one, and detected multiple infection in 3. Aspergillus fumigatus was present in 69% of patients; Cladosporium cladosporoides in 9.5%, Scedosporium sp., A. nidulans and A. flavus in 7% each. In 2/19 patients with negative direct examination, sequencing analysis revealed the presence of Capnobotryella sp. and C. cladosporoides, in clinical settings compatible with fungal sinusitis. In conclusion, ITS1/ITS2 PCR had a twice better sensitivity than culture, and combined sequencing provides accurate epidemiological data on fungal CRS.
ISSN: 1369-3786

hal-01383632
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01383632
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01383632/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01383632/file/Contribution%20of%20molecular%20tools%20for%20the%20diagnosis.pdf
DOI : 10.1093/mmy/myw041

Éditeur(s) : HAL CCSD American Geophysical Union
Résumé : International audience
Torsion experiments (inline image =3 × 10−4 s−1) were performed to investigate the large strain (γmax = 15) rheology on quartz-muscovite aggregate as analogue to pelitic rocks undergoing melting and crystallization during deformation at 300 MPa confining pressure and 750°C temperature. Microstructures reveal four distinct but gradational stages of crystal-melt interactions during deformation--(a) solid state deformation, (b) initiation and domination of partial melting, (c) simultaneous partial melting and crystallization, and (d) domination of crystallization. The microstructural stages are linked to the rheology of the deforming samples. Partial melting starts at relatively low finite shear strains (γ = 1-3) showing approximately 60% strain softening. At γ = 4-10 the partially molten bulk material shows a steady state flow at low stress. Further crystallization of new crystals at the expense of melt between γ = 10 and 15 causes weak strain hardening until the material fails by developing brittle fractures. The stress exponent (n), calculated at γ = 1, 5, and 10, increases from ∼ 3 to ∼ 43, indicating a transition from power to power law breakdown or exponential flow of the bulk system. Hydrostatic experiments for equivalent times and conditions of the torsion experiments were also conducted to evaluate the reaction kinetics and microstructures under static conditions. The new experimental data establish that partially molten rock does not flow according to a constant strain rate-dependent power law (steady state) rheology. The rheological transition from strain rate sensitive to strain rate insensitive flow is interpreted as a function of melt-crystal ratio, their mutual interactions, and the evolution of microstructures in the partially molten rock.
ISSN: 0148-0227

hal-01053709
https://hal.archives-ouvertes.fr/hal-01053709
DOI : 10.1002/2013JB010777