Éditeur(s) : HAL CCSD Springer Verlag
Résumé : International audience
We aimed to assess the impact of a postoperative drainage after RPN. A retrospective multicentric study included RPN performed at eight centers between 2010 and 2014. Three centers stopped using postoperative drainage early in their RPN experience, whereas other institutions systematically left a drain. Preoperative characteristics, complication rates, need for postoperative imaging or procedure (surgical or radiological) and length of hospital stay were compared between the two groups [drainage (D) and no drainage (ND)]. Among 636 RPNs, 140 were done without drainage (22 %). In the ND group, surgeons were more experienced (> 50 cases: 55.7 vs. 15.1 %; p < 0.0001), and tumors were more complex (RENAL score: 7.6 vs. 6.5; p < 0.0001). Complication rates were similar in both groups (21.9 vs. 20.2 %; p = 0.67). The omission of postoperative drainage did not increase requirement of CT scan (RR = 1.03; 95 % CI 0.64-1.67). Length of hospital stay was shorter in the ND group (4.5 vs. 5.5 days; p = 0.007). There were six urinary fistulas: four in the D group (0.8 %) and two in the ND group (1.4 %; p = 0.49). A CT scan was done to confirm the diagnosis of fistula in every case. In multivariate analysis, the omission of drainage was not associated with increased need of postoperative CT scan or major complications but was a predictor of decreased length of stay. The omission of postoperative drainage does not seem to increase the risk of postoperative complications and could safely be omitted after RPN.
ISSN: 0724-4983

hal-01361502
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01361502
DOI : 10.1007/s00345-015-1721-2
PUBMED : 26511751

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 National Institute of Environmental Health Sciences
Résumé : International audience
BACKGROUND: Women of reproductive age can be exposed to endocrine-disrupting chemicals (EDCs) at work, and exposure to EDCs in pregnancy may affect fetal growth. OBJECTIVES: We assessed whether maternal occupational exposure to EDCs during pregnancy as classified by application of a job exposure matrix was associated with birth weight, term low birth weight (LBW), length of gestation, and preterm delivery. METHODS: Using individual participant data from 133,957 mother-child pairs in 13 European cohorts spanning births from 1994 through 2011, we linked maternal job titles with exposure to 10 EDC groups as assessed through a job exposure matrix. For each group, we combined the two levels of exposure categories (possible and probable) and compared birth outcomes with the unexposed group (exposure unlikely). We performed meta-analyses of cohort-specific estimates. RESULTS: Eleven percent of pregnant women were classified as exposed to EDCs at work during pregnancy, based on job title. Classification of exposure to one or more EDC group was associated with an increased risk of term LBW [odds ratio (OR) = 1.25; 95% CI: 1.04, 1.49], as were most specific EDC groups; this association was consistent across cohorts. Further, the risk increased with increasing number of EDC groups (OR = 2.11; 95% CI: 1.10, 4.06 for exposure to four or more EDC groups). There were few associations (p < 0.05) with the other outcomes; women holding job titles classified as exposed to bisphenol A or brominated flame retardants were at higher risk for longer length of gestation. CONCLUSION: Results from our large population-based birth cohort design indicate that employment during pregnancy in occupations classified as possibly or probably exposed to EDCs was associated with an increased risk of term LBW.
ISSN: 0091-6765

hal-01405823
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01405823
DOI : 10.1289/EHP208
PUBMED : 27152464

Éditeur(s) : HAL CCSD
Résumé : International audience
Over the past decade, much attention has been devoted to the development of forest biomass estimation methods at a stand scale, leading to the establishment of allometric models (Chave et al., 2014). These allometric equations use a unique wood specific gravity value (WSG) per species, but neglect the within tree variations of WSG found by others (Wiemann & Williamson, 1989).The main objectives of this study are (1) to illustrate the diversity of radial (from pith to bark) and longitudinal (from bottom to top) patterns of WSG variation within and between species, (2) to highlight different trends of WSG radial variations and the possible misinterpretations of these trends due to the effect of heartwood and (3) to link these variations and patterns to the successional status of the species (from pioneer to sciaphilic species).We sampled 33 small trees (10 Wood sciences underpinning tropical ecology and management. International closing symposium of the XYLAREDD project.
Tervuren, Belgium

hal-01188894
https://hal-sde.archives-ouvertes.fr/hal-01188894

Éditeur(s) : HAL CCSD Springer Verlag
Résumé : International audience
The purpose of this investigation was to characterize the management and prognosis of severe Pneumocystis jirovecii pneumonia (PJP) in human immunodeficiency virus (HIV)-negative patients. An observational cohort study of HIV-negative adults with PJP documented by bronchoalveolar lavage (BAL) through Gomori-Grocott staining or immunofluorescence, admitted to one intensive care unit (ICU) for acute respiratory failure, was undertaken. From 1990 to 2010, 70 patients (24 females, 46 males) were included, with a mean age of 58.6 ± 18.3 years. The mean Simplified Acute Physiology Score (SAPS)-II was 36.9 ± 20.4. Underlying conditions included hematologic malignancies (n = 21), vasculitis (n = 13), and solid tumors (n = 13). Most patients were receiving systemic corticosteroids (n = 63) and cytotoxic drugs (n = 51). Not a single patient received trimethoprim-sulfamethoxazole as PJP prophylaxis. Endotracheal intubation (ETI) was required in 42 patients (60.0 %), including 38 with acute respiratory distress syndrome (ARDS). In-ICU mortality was 52.9 % overall, reaching 80.9 % and 86.8 %, respectively, for patients who required ETI and for patients with ARDS. In the univariate analysis, in-ICU mortality was associated with SAPS-II (p = 0.0131), ARDS (p < 0.0001), shock (p < 0.0001), and herpes simplex virus (HSV) or cytomegalovirus (CMV) on BAL (p = 0.0031). In the multivariate analysis, only ARDS was associated with in-ICU mortality (odds ratio [OR] 23.4 [4.5-121.9], p < 0.0001). PJP in non-HIV patients remains a serious disease with high in-hospital mortality. Pulmonary co-infection with HSV or CMV may contribute to fatal outcome.
ISSN: 0934-9723

inserm-00872789
http://www.hal.inserm.fr/inserm-00872789
DOI : 10.1007/s10096-012-1730-7
PUBMED : 22930407

Éditeur(s) : HAL CCSD Oxford University Press (OUP): Policy B - Oxford Open Option A Oxford University Press (OUP)
Résumé : International audience
Peridotite xenoliths exhumed by Quaternary alkaline magmatism in the Tahalgha district, southern Hoggar, represent fragments of the subcontinental lithospheric mantle beneath the boundary between the two major structural domains of the Tuareg Shield: the ‘Polycyclic Central Hoggar’ to the east and the ‘Western Hoggar’, or ‘Pharusian Belt’, to the west. Samples were collected from volcanic centres located on both sides of a major lithospheric shear zone at 4°35' separating these two domains. Although showing substantial variations in their deformation microstructures, equilibrium temperatures and modal and chemical compositions, the studied samples do not display any systematic changes of these features across the 4°35' fault. The observed variations rather record small-scale heterogeneities distributed throughout the study area and reflecting the widespread occurrence of vein conduits and metasomatized wall-rocks related to trans-lithospheric melt circulation during the Cenozoic. These features include partial annealing of pre-existing deformation microstructures, post-deformation metasomatic reactions, and trace-element enrichment, coupled with heating from 750–900°C (low-temperature lherzolites) to 900–1150°C (intermediate-T lherzolites and high-T harzburgites and wehrlites). Trace-element modelling confirms that the range of rare earth element (REE) variations observed in the Tahalgha clinopyroxenes may be accounted for by reactive porous flow involving a single stage of basaltic melt infiltration into a light REE (LREE)-depleted protolith. Whole-rock compositions record the final entrapment of disequilibrium metasomatic melts upon thermal relaxation of the veins–wall-rock system. The striking correlations between equilibrium temperatures and trace-element enrichment favor a scenario in which the high-temperature peridotites record advective heat transport along melt conduits, whereas the intermediate- and low-temperature lherzolites reflect conductive heating of the host Mechanical Boundary Layer. This indicates that the lithosphere did not reach thermal equilibrium, suggesting that the inferred heating event was transient and was rapidly erased by thermal relaxation down to the relatively low-temperature present-day geotherm. The low-T (<900°C) deformed lherzolites (porphyroclastic to equigranular) are characterized by only incipient annealing and LREE-depleted clinopyroxene compositions. They were only weakly affected by the Cenozoic events and could represent relatively well-preserved samples from rejuvenated Pan-African lithosphere. Extensive lithospheric rejuvenation occurred either regionally during the Pan-African orogeny, as a result of lithospheric delamination or thermomechanical erosion after thickening, or more locally along the meridional shear zones. The low-T Tahalgha lherzolites are comparable with lherzolites from Etang de Lherz, southern France, interpreted as lithospheric mantle rejuvenated by melt-induced refertilization during a late stage of the Variscan orogeny.
ISSN: 0022-3530

hal-01107410
https://hal.archives-ouvertes.fr/hal-01107410
DOI : 10.1093/petrology/egu056

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
BACKGROUND: Thrombophilias are common disorders that increase the risk of pregnancy-associated venous thromboembolism and pregnancy loss and can also increase the risk of placenta-mediated pregnancy complications (severe pre-eclampsia, small-for-gestational-age infants, and placental abruption). We postulated that antepartum dalteparin would reduce these complications in pregnant women with thrombophilia. METHODS: In this open-label randomised trial undertaken in 36 tertiary care centres in five countries, we enrolled consenting pregnant women with thrombophilia at increased risk of venous thromboembolism or with previous placenta-mediated pregnancy complications. Eligible participants were randomly allocated in a 1:1 ratio to either antepartum prophylactic dose dalteparin (5000 international units once daily up to 20 weeks' gestation, and twice daily thereafter until at least 37 weeks' gestation) or to no antepartum dalteparin (control group). Randomisation was done by a web-based randomisation system, and was stratified by country and gestational age at randomisation day with a permuted block design (block sizes 4 and 8). At randomisation, site pharmacists (or delegates) received a randomisation number and treatment allocation (by fax and/or e-mail) from the central web randomisation system and then dispensed study drug to the local coordinator. Patients and study personnel were not masked to treatment assignment, but the outcome adjudicators were masked. The primary composite outcome was independently adjudicated severe or early-onset pre-eclampsia, small-for-gestational-age infant (birthweight <10th percentile), pregnancy loss, or venous thromboembolism. We did intention-to-treat and on-treatment analyses. This trial is registered with ClinicalTrials.gov, number NCT00967382, and with Current Controlled Trials, number ISRCTN87441504. FINDINGS: Between Feb 28, 2000, and Sept 14, 2012, 292 women consented to participate and were randomly assigned to the two groups. Three women were excluded after randomisation because of ineligibility (two in the antepartum dalteparin group and one in the control group), leaving 146 women assigned to antepartum dalteparin and 143 assigned to no antepartum dalteparin. Some patients crossed over to the other group during treatment, and therefore for on-treatment and safety analysis there were 143 patients in the dalteparin group and 141 in the no dalteparin group. Dalteparin did not reduce the incidence of the primary composite outcome in both intention-to-treat analysis (dalteparin 25/146 [17.1%; 95% CI 11.4-24.2%] vs no dalteparin 27/143 [18.9%; 95% CI 12.8-26.3%]; risk difference -1.8% [95% CI -10.6% to 7.1%)) and on-treatment analysis (dalteparin 28/143 [19.6%] vs no dalteparin 24/141 [17.0%]; risk difference +2.6% [95% CI -6.4 to 11.6%]). In safety analysis, the occurrence of major bleeding did not differ between the two groups. However, minor bleeding was more common in the dalteparin group (28/143 [19.6%]) than in the no dalteparin group (13/141 [9.2%]; risk difference 10.4%, 95% CI 2.3-18.4; p=0.01). INTERPRETATION: Antepartum prophylactic dalteparin does not reduce the occurrence of venous thromboembolism, pregnancy loss, or placenta-mediated pregnancy complications in pregnant women with thrombophilia at high risk of these complications and is associated with an increased risk of minor bleeding. FUNDING: Canadian Institutes of Health Research, Heart and Stroke Foundation of Canada, and Pharmacia and UpJohn.
ISSN: 0923-7577

hal-01258557
http://hal.univ-brest.fr/hal-01258557
DOI : 10.1016/S0140-6736(14)60793-5
PUBMED : 25066248

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
We explore the relations between deformation, annealing, and melt percolation during rifting and the effect of these processes on seismic anisotropy by analyzing the microstructures and crystal preferred orientations (CPO) in a suite of mantle xenoliths from Mega, in the southern end of the Ethiopian rift. Previous geochemical studies on these xenoliths showed evidence for interactions with variable melt types and volumes during the rifting process. The peridotites have dominantly coarse-porphyroclastic microstructures, but coarse granular or partially recrystallized microstructures also occur. The olivine CPO, characterized by orthorhombic to fiber-[100] patterns and moderate intensities, the common occurrence of (100) tilt walls, and the predominance of <0vw> rotation axes accommodating low angle misorientations in olivine support deformation by dislocation creep with dominant activation of the [100](010) system. Annealing (static recrystallization) of variable intensity followed this deformation. Modal enrichment in pyroxenes in > 60% of the studied peridotites corroborates extensive, but spatially heterogeneous reactive melt percolation leading to refertilization of the lithospheric mantle beneath the southern Ethiopian rift. The common interstitial shapes of the pyroxenes and lack of correlation between the pyroxenes and the olivine CPOs in many samples suggest that part of the refertilization is post-kinematic. However, there is no simple relation between reactive melt percolation and annealing of the olivine deformation microstructure. Comparison with data from other xenolith localities points to changes in the metasomatic imprint in the lithospheric mantle along the East African rift system correlated with the evolution in the rift maturity. Seismic properties averaged over all samples show typical lithospheric mantle patterns with fast propagation of P- and polarization of the fast S-waves parallel to the lineation. The anisotropy is moderate (< 6% for P-waves and < 4% for S-waves), implying that aligned melt must contribute to the strong seismic anisotropy measured in the Main Ethiopian rift, north of Mega.
ISSN: 0040-1951

hal-01355918
https://hal.archives-ouvertes.fr/hal-01355918
DOI : 10.1016/j.tecto.2016.05.027

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 Société géologique de France
Résumé : National audience
The late Lower to Middle Permian Panjal Traps (NW Himalaya, India-Pakistan) represent the greatest magmatic province erupted on the northern Indian platform during the Neotethys opening. New geochemical and isotopic analyses were performed on basalts from the eastern borders of the traps (SE Zanskar-NW Spiti area) in order to characterize this volcanism, to discuss its compositional variations in comparison to Panjal counterparts and its relationships with the opening of Neotethys. Lavas show features of tholeiitic low-Ti (< 1.6%) continental flood basalts with LREE, Th enrichments and Nb-Ta negative anomalies. Trace element ratios combined with {varepsilon}Ndi values (–3.6 to +0.9) and high Pb isotopic ratios suggest that these tholeiitic basalts were derived from an OIB-like mantle contaminated at various degrees by a continental crust component. Previous geochemical features are broadly similar to those of the coeval Panjal volcanic sequences identified westwards (Ladakh, Kashmir and Pakistan). Present geochemical constraints obtained for the Panjal Traps basalts suggest they originated from rapid effusion of tholeiitic melts during opening of the Neotethys Ocean. Similar magmatism implying an OIB-type reservoir is contemporaneously recognized on and along the adjacent Arabian platform. Both Indian and Arabian Permian volcanics were emplaced during coeval syn-rift to post rift transition. These Lower to Middle Permian south Neotethyan continental flood magmatism are regarded as associated to a passive rifting. In this scheme, OIB-type isotopic signature would be related either to a melting episode of syn-rift up-welling mantle plumes or to a melting of a regional abnormally hot and enriched mantle.
EISSN: 1777-5817

insu-00338862
https://hal-insu.archives-ouvertes.fr/insu-00338862
DOI : 10.2113/gssgfbull.179.4.383

Éditeur(s) : HAL CCSD AGU and the Geochemical Society
Résumé : International audience
Rainbow is a dome-shaped massif at the 36°14′N nontransform offset along the Mid-Atlantic Ridge. It hosts three ultramafic-hosted hydrothermal sites: Rainbow is active and high temperature; Clamstone and Ghost City are fossil and low temperature. The MoMARDREAM cruises (2007, 2008) presented here provided extensive rock sampling throughout the massif that constrains the geological setting of hydrothermal activity. The lithology is heterogeneous with abundant serpentinites surrounding gabbros, troctolites, chromitites, plagiogranites, and basalts. We propose that a W dipping detachment fault, now inactive, uplifted the massif and exhumed these deep-seated rocks. Present-day deformation is accommodated by SSW-NNE faults and fissures, consistent with oblique teleseismic focal mechanisms and stress rotation across the discontinuity. Faults localize fluid flow and control the location of fossil and active hydrothermal fields that appear to be ephemeral and lacking in spatiotemporal progression. Markers of high-temperature hydrothermal activity (∼350°C) are restricted to some samples from the active field while a more diffuse, lower temperature hydrothermal activity (<220°C) is inferred at various locations through anomalously high As, Sb, and Pb contents, attributed to element incorporation in serpentines or microscale-sulfide precipitation. Petrographic and geochemical analyses show that the dominant basement alteration is pervasive peridotite serpentinization at ∼160–260°C, attributed to fluids chemically similar to those venting at Rainbow, and controlled by concomitant alteration of mafic-ultramafic units at depth. Rainbow provides a model for fluid circulation, possibly applicable to hydrothermalism at oceanic detachments elsewhere, where both low-temperature serpentinization and magmatic-driven high-temperature outflow develop contemporaneously, channeled by faults in the footwall and not along the detachment fault.
ISSN: 1525-2027

hal-01115281
https://hal.archives-ouvertes.fr/hal-01115281
https://hal.archives-ouvertes.fr/hal-01115281/document
https://hal.archives-ouvertes.fr/hal-01115281/file/Andreani_et_al-2014-Geochemistry%2C_Geophysics%2C_Geosystems.pdf
DOI : 10.1002/2014GC005269

Éditeur(s) : HAL CCSD Public Library of Science
Résumé : International audience
INTRODUCTION:The frequency, the clinical characteristics, and the prognosis of dengue is highly variable. Dengue fever is associated with a range of neurological manifestations. The objective of the present study was to determine the incidence of neurological signs and their predictive factors using data from cases of dengue seen and followed in Cayenne Hospital during the Dengue 2 epidemic in 2013.METHODS:In 2013, a longitudinal study using data from all cases of dengue seen in Cayenne hospital was collected. Medical records used a standardized form to collect demographic information, clinical signs and biological results and the date at which they were present. The analysis used Cox proportional modeling to obtain adjusted Hazard ratios.RESULTS:A total of 1574 patients were included 221 of whom developed central nervous system signs. These signs were spontaneously resolutive. There were 9298person days of follow-up and the overall incidence rate for central nervous system signs was 2.37 per 100 person-days. The variables independently associated with central nervous system anomalies were headache, Adjusted Hazard ratio (AHR) = 1.9(95%CI = 1.4-2.6), bleeding AHR = 2 ((95%CI = 1.3-3.1), P = 0.001, abdominal pain AHR = 1.9 ((95%CI = 1.4-2.6), P<0.001, aches AHR = 2.1 ((95%CI = 1.5-2.9), P<0.001, and fatigue AHR = 1.5 ((95%CI = 1.3-1.7), P<0.001.DISCUSSION:Overall, the present study suggests that neurological signs of dengue are not exceptional even in patients without the most severe features of dengue. These manifestations were spontaneously resolutive. Here it was not possible to distinguish between encephalitis or encephalopathy. Further studies would require more in depth exploration of the patients.
ISSN: 1932-6203

inserm-01421218
http://www.hal.inserm.fr/inserm-01421218
http://www.hal.inserm.fr/inserm-01421218/document
http://www.hal.inserm.fr/inserm-01421218/file/2016%2C%20Djossou%20-%20Incidence%20and%20Predictive%20Factors%20of%20Central%20Nervous%20System%20Dysfunction%20in%20Patients%20Consulting.pdf
DOI : 10.1371/journal.pone.0150828.t003

Éditeur(s) : HAL CCSD American Society for Microbiology
Résumé : International audience
This study aimed to evaluate the repeated sequence REP-529 compared to the B1 gene for the molecular diagnosis of toxoplasmosis by quantitative PCR (qPCR) in routine diagnosis.Over a ten-year period (2003-2013), all patients prospectively diagnosed with a positive REP-529 qPCR result for toxoplasmosis were included. All DNA samples (76 samples from 56 patients) were simultaneously tested using the two qPCR methods (REP-529 and B1).The mean Ct obtained with the B1 qPCR was significantly higher (+4.71 cycles) than that obtained with REP-529 qPCR (p<0.0001). Thirty-one out of 69 extracts (45.6%) positive with REP-529 qPCR were not amplified with the B1 qPCR (relative sensitivity 54.4%, compared to REP-529), yielding false negative results on 15/28 placentas, 5 cord blood, 2 amniotic fluids, 4 cerebrospinal fluids, 1 aqueous humor, 2 lymph node punctures and 1 abortion product. This defect in sensitivity would have left 20/56 patients undiagnosed, distributed as follows: 12/40 congenital toxoplasmosis, 4/5 cerebral toxoplasmosis, 2/8 patients with retinochoroiditis, and both patients with chronic lymphadenopathy. This poor performance of B1 qPCR could be related to low parasite loads, since the mean Toxoplasma quantification in extracts with B1 false negative results was 0.4 parasite/reaction.These results clearly show the superiority of the REP-529 sequence in the diagnosis of toxoplasmosis by PCR suggest that this target should be adopted as part of standardization of the PCR assay.
ISSN: 0095-1137

hal-01118293
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01118293
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01118293/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01118293/file/A%2010-Year%20Retrospective%20Comparison%20of%20Two%20Target%20Sequences-belaz2015.pdf
PUBMEDCENTRAL : PMC4365238

Éditeur(s) : HAL CCSD University of Uludag
Résumé : International audience
The aim of this study was to compare the core temperature (TC) and markers of hydration status in athletes performing a half Ironman triathlon race in hot and humid conditions (27.2 ± 0.5°C, relative humidity was 80 ± 2%). Before and immediately after the 2012 Guadeloupe half Ironman triathlon, body mass and urine osmolarity (mean ± SD) were measured in 19 well-trained male triathletes. TC was measured before and after the race, and at each transition during the event, using an ingestible pill telemetry system. Ambient temperature and heart rate (HR) were measured throughout the race. Mean ± SD performance time was 331 ± 36 minutes and HR was 147 ± 16 beats·min-1. Wet bulb globe temperature (WBGT) averaged 25.4 ± 1.0°C and ocean temperature was 29.5°C. The average TC at the beginning of the race (TC1) was 37.1 ± 0.7°C; it was 37.8 ± 0.9°C after swimming (TC2), 37.8 ± 1.0°C after cycling (TC3), and (TC4) 38.4 ± 0.7°C after running. Body mass significantly declined during the race by 3.7 ± 1.9 kg (4.8 ± 2.4%; p < 0.05), whereas urine osmolarity significantly increased from 491.6 ± 300.6 to 557.9 ± 207.9 mosm·L-1 (p < 0.05). Changes in body mass were not related to finishing TC or urine osmolarity. Ad libitum fluid intake appears applicable to athletes acclimatized to tropical climate, when performing a half Ironman triathlon in a warm and humid environment.
ISSN: 1303-2968

hal-01136698
https://hal.univ-antilles.fr/hal-01136698
https://hal.univ-antilles.fr/hal-01136698/document
https://hal.univ-antilles.fr/hal-01136698/file/Baillot%2C%20Hue%20-%202015%20-%20Hydration%20and%20Thermoregulation%20during%20a%20Half-Ironman%20Performed%20in%20Tropical%20Climate.pdf

Éditeur(s) : HAL CCSD Bureau de recherches géologiques et minières
Résumé : National audience
Les tremblements de Terre sont sans doute l’un des phénomènes les plus catastrophiques associés à la dynamique de notre planète. Leur occurrence peut être associée d’une part au chargement lent et progressif des failles dû au mouvement des plaques tectoniques, mais également à la proximité d’autres séismes qui peuvent localement provoquer une déstabilisation du milieu. Les séismes sont classiquement interprétés dans le cadre de la théorie du cycle sismique (Fig. 1). La période asismique, correspondant au chargement séculaire des contraintes sur le plan des failles, est appelée période inter-sismique. Sa durée, entre 50 et 1000 ans, dépend du contexte géodynamique et notamment de la vitesse de chargement. La phase co-sismique correspond au séisme, i.e. à la phase de nucléation et de propagation de la rupture sismique. La période de temps associée est extrêmement courte et varie suivant les séismes entre quelques secondes à plusieurs minutes pour les méga-tremblements de terre comme celui de Sumatra en 2004 ou plus récemment celui du Japon en 2011. Enfin, suite à la rupture sismique, on considère une phase post-sismique qui correspond à un réajustement mécanique rapide du milieu qui peut s’effectuer sur plusieurs semaines, mois ou même années. La courte échelle de temps des observations sismologiques ou géodésiques (<100 ans) par rapport à la durée d’un cycle sismique (plusieurs centaines d’années) est un facteur limitant. Ainsi, aucun cycle sismique complet n’a pour l’instant pu être documenté.
ISSN: 0292-8477

insu-00913121
https://hal-insu.archives-ouvertes.fr/insu-00913121
https://hal-insu.archives-ouvertes.fr/insu-00913121/document
https://hal-insu.archives-ouvertes.fr/insu-00913121/file/geochronique_cattinetal.pdf

Éditeur(s) : HAL CCSD
Résumé : International audience
Fish is a rich source of essential nutrients for fetal development, but in contrast, it is also a well-known route of exposure to environmental pollutants. We assessed whether fish intake during pregnancy is associated with fetal growth and the length of gestation in a panel of European birth cohort studies. The study sample of 151,880 mother-child pairs was derived from 19 population-based European birth cohort studies. Individual data from cohorts were pooled and harmonized. Adjusted cohort-specific effect estimates were combined by using a random- and fixed-effects meta-analysis. Women who ate fish >1 time/wk during pregnancy had lower risk of preterm birth than did women who rarely ate fish (≤ 1 time/wk); the adjusted RR of fish intake >1 but <3 times/wk was 0.87 (95% CI: 0.82, 0.92), and for intake ≥ 3 times/wk, the adjusted RR was 0.89 (95% CI: 0.84, 0.96). Women with a higher intake of fish during pregnancy gave birth to neonates with a higher birth weight by 8.9 g (95% CI: 3.3, 14.6 g) for >1 but <3 times/wk and 15.2 g (95% CI: 8.9, 21.5 g) for ≥ 3 times/wk independent of gestational age. The association was greater in smokers and in overweight or obese women. Findings were consistent across cohorts. This large, international study indicates that moderate fish intake during pregnancy is associated with lower risk of preterm birth and a small but significant increase in birth weight.
The American Journal of Clinical Nutrition

hal-01118513
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01118513
PUBMED : 24335057
DOI : 10.3945/ajcn.113.067421

Éditeur(s) : HAL CCSD Springer Verlag
Résumé : We present a preliminary probabilistic tsunami hazard assessment of Canadian coastlines from local and far-field, earthquake, and large submarine landslide sources. Analyses involve published historical, palaeotsunami and palaeoseismic data, modelling, and empirical relations between fault area, earthquake magnitude, and tsunami run-up. The cumulative estimated tsunami hazard for potentially damaging run-up (≥1.5 m) of the outer Pacific coastline is ~40-80 % in 50 years, respectively one and two orders of magnitude greater than the outer Atlantic (~1-15 %) and the Arctic (<1 %). For larger run-up with significant damage potential (≥3 m), Pacific hazard is ~10-30 % in 50 years, again much larger than both the Atlantic (~1-5 %) and Arctic (<1 %). For outer Pacific coastlines, the ≥1.5 m run-up hazard is dominated by far-field subduction zones, but the probability of run-up ≥3 m is highest for local megathrust sources, particularly the Cascadia subduction zone; thrust sources further north are also significant, as illustrated by the 2012 Haida Gwaii event. For Juan de Fuca and Georgia Straits, the Cascadia megathrust dominates the hazard at both levels. Tsunami hazard on the Atlantic coastline is dominated by poorly constrained far-field subduction sources; a lesser hazard is posed by near-field continental slope failures similar to the 1929 Grand Banks event. Tsunami hazard on the Arctic coastline is poorly constrained, but is likely dominated by continental slope failures; a hypothetical earthquake source beneath the Mackenzie delta requires further study. We highlight areas susceptible to locally damaging landslide-generated tsunamis, but do not quantify the hazard.
ISSN: 0921-030X

hal-00963614
https://hal.archives-ouvertes.fr/hal-00963614
DOI : 10.1007/s11069-013-0809-5

Éditeur(s) : HAL CCSD Springer Verlag
Résumé : International audience
The objective of this study is to assess the association of clinical manifestations of systemic sclerosis (SSc) with the absolute count of circulating blood monocyte subpopulations according to their membrane expression of CD16. Forty-eight consecutive patients fulfilling the 2013 ACR/EULAR classification criteria for SSc were included in this cross-sectional study. CD16+ monocyte absolute count was defined by flow cytometry and confronted to the clinical characteristics of SSc patients. Twenty-three healthy donors (HD) were randomly selected for comparison. SSc patients had an increased number of total circulating blood monocytes compared to HD (p < 0.001). The CD16- subpopulation absolute count was increased in SSc patients compared to HD (p < 0.001) but was similar in limited SSc (lSSc) and diffuse SSc (dSSc). On the contrary, the CD16+ population absolute count was increased in dSSc compared to both HD and lSSc patients (dSSc 0.071 Giga/L (+/- 0.034) vs HD 0.039 Giga/L (+/- 0.030), p < 0.01, and dSSc 0.071 Giga/L (+/- 0.034) vs lSSc 0.048 Giga/L (+/- 0.024), p < 0.05). The CD16+ monocyte subpopulation absolute count was significantly correlated with the severity of skin fibrosis evaluated by the modified Rodnan skin score (p < 0.001). The CD16+ monocyte subpopulation was also associated with pulmonary fibrosis (p < 0.05), with the severity of the restrictive ventilatory defect evaluated by total lung capacity (p < 0.05) and with the pulmonary function impairment reflected by diffusing capacity of the lungs for carbon monoxyde measures (p < 0.01). These results suggest that CD16+ monocytes are associated with the main fibrotic manifestations of SSc and their role in the pathogenesis of fibrosis in this autoimmune disorder should therefore be further considered.
ISSN: 0770-3198

hal-01560150
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01560150
DOI : 10.1007/s10067-017-3597-6
PUBMED : 28293753

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Before attaining the mantle wedge, where they trigger partial melting, volatiles released from dehydration reactions in the slab have to migrate across a relatively cold (<750 degrees C), peridotite-layer above the incoming slab. In order to unravel the mechanisms allowing for this initial stage of fluid transport, we performed a detailed field and microstructural study of metamorphic prograde peridotites in the Cerro del Almirez ultramafic massif (Betic Cordillera, Spain), where evidences of one of the most important dehydration reactions in subduction zones, the high-pressure antigorite breakdown (P = 1.6-1.9 GPa and T approximate to 680 degrees C), can be mapped in the field. This reaction led to arborescent growth of centimeter-size olivine and orthopyroxene, producing a chlorite-harzburgite with a spinifex-like texture. Microstructural observations and crystal preferred (CPO) mapping show no evidences of solid-state deformation during the prograde growth of olivine and orthopyroxene at the expenses of antigorite. However, a few tens to a hundred meters away from the reaction front, the metamorphic texture is partially obliterated by grain-size reduction in roughly planar conjugate zones, a few mm to meters wide. Grain size reduction zones (GSRZ) are characterized by (1) sharp contacts with undeformed spinifex-like texture domains, (2) important reduction of the olivine grain size (60-250 mu m), (3) olivine color change from brownish to colorless, (4) decrease in the modal amount of orthopyroxene, and (5) at the mm- to cm-scale, irregular shapes and abrupt terminations. Field and microstructural observations exclude that relative displacement took place across these GSRZ. Changes in modal composition imply reactions with fluids undersaturated in silica. Analysis of olivine crystal-preferred orientations (CPO) in GSRZ shows patterns similar, but more dispersed, than those in neighboring spinifex-like domains. It also reveals mm- to cm-scale discrete domains with rather homogeneous crystallographic orientations suggesting inheritance from the preexisting spinifex-like olivines in the host peridotite. Misorientation angles between neighboring grains in the GSRZ show peaks at similar to 5-10 degrees and similar to 20 degrees, but rotations are not crystallographically controlled. Based on these observations, we rule out the formation of the GSRZ by dynamic recrystallization during dislocation creep and propose that they record brittle deformation (microcraking) of the spinifex-like chlorite-harzburgite, probably induced by hydrofracturing at high pressure and relative low temperature conditions (680-710 degrees C). High-pressure hydrofracturing can, thus, be invoked as an efficient mechanism for fluid flow across the cold top-slab mantle layer, hence allowing the slab-derived fluids to ingress in the wedge.
ISSN: 0012-821X

hal-00534035
https://hal.archives-ouvertes.fr/hal-00534035
DOI : 10.1016/j.epsl.2010.06.029

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
BACKGROUND: In Guadeloupe and Martinique, two French Overseas Departments, colorectal cancer (CRC) has become an essential public health issue. However, little is known about CRC characteristics and the p53 status in these populations, particularly in Guadeloupe, whereas certification of a cancer registry has been recently validated. METHODS: This was a descriptive retrospective study of 201 patients who, between 1995 and 2000, underwent surgery for CRC in the Guadeloupe Teaching Hospital (GlpeTH; 83 patients) and in the Martinique Teaching Hospital (MqueTH; 118 patients). The clinicopathological features and the p53 expression, evaluated with immunohistochemistry, were compared at the time of diagnosis. A relationship between these parameters and the p53 expression was also studied. Data were analysed, using the SPSS computer software version 17.0. RESULTS: No statistical difference was found between the two groups of patients regarding age (p = 0.60), percentage of young patients (<=50 years; p = 0.94)), sex (p = 0.47), histological type (p = 0.073) and tumour sites (p = 0.65), although the GlpeTH patients were diagnosed with more distal colon cancers (54.2%) than the Mque TH patients (47.4%). By contrast, a significant difference was found regarding the tumour grade (p < 0.0001), the pTNM stage (p = 0.045) and the pT stage (p < 0.0001). Regarding p53 expression, solely for the MqueTH patients, nuclear expression was associated with pTNM, the percentage of p53 negative tumours increasing with the progression of the pTNM stages (p = 0.029). CONCLUSIONS: For the first time, this study reveals discrepancies in clinicopathological features and in the p53 status between the two groups of patients. The GlpeTH patients were diagnosed with more moderated CRCs but with few CRCs at pTNM IV stage. By contrast, the MqueTH patients were diagnosed with more differentiated tumours, but with many more CRCs at pTNM IV stage. This paradox may be due to differences in tumour location (distal vs proximal), multiplicity of the genetic profiles of patients, or patients getting treatment elsewhere. Although our study is limited due to its small size, it emphasizes the originality of our results.
ISSN: 1472-6890

inserm-00971313
http://www.hal.inserm.fr/inserm-00971313
http://www.hal.inserm.fr/inserm-00971313/document
http://www.hal.inserm.fr/inserm-00971313/file/1472-6890-14-12.pdf
DOI : 10.1186/1472-6890-14-12