Éditeur(s) : HAL CCSD Wiley
Résumé : International audience
Painful vaso-occlusive crisis, a hallmark of sickle cell anaemia, results from complex, incompletely understood mechanisms. Red blood cell (RBC) damage caused by continuous endogenous and exogenous oxidative stress may precipitate the occurrence of vaso-occlusive crises. In order to gain insight into the relevance of oxidative stress in vaso-occlusive crisis occurrence, we prospectively compared the expression levels of various oxidative markers in 32 adults with sickle cell anaemia during vaso-occlusive crisis and steady-state conditions. Compared to steady-state condition, plasma levels of free haem, advanced oxidation protein products and myeloperoxidase, RBC caspase-3 activity, as well as the concentrations of total, neutrophil- and RBC-derived microparticles were increased during vaso-occlusive crises, whereas the reduced glutathione content was decreased in RBCs. In addition, natural anti-band 3 autoantibodies levels decreased during crisis and were negatively correlated with the rise in plasma advanced oxidation protein products and RBC caspase-3 activity. These data showed an exacerbation of the oxidative stress during vaso-occlusive crises in sickle cell anaemia patients and strongly suggest that the higher concentration of harmful circulating RBC-derived microparticles and the reduced anti-band 3 autoantibodies levels may be both related to the recruitment of oxidized band 3 into membrane aggregates.
ISSN: 0007-1048

hal-01668325
https://hal.univ-antilles.fr/hal-01668325
DOI : 10.1111/bjh.14476

Éditeur(s) : HAL CCSD MDPI
Résumé : International audience
Marine micro-and macroorganisms are well known to produce metabolites with high biotechnological potential. Nearly 40 years of systematic prospecting all around the New Caledonia archipelago and several successive research programs have uncovered new chemical leads from benthic and planktonic organisms. After species identification, biological and/or pharmaceutical analyses are performed on marine organisms to assess their bioactivities. A total of 3582 genera, 1107 families and 9372 species have been surveyed and more than 350 novel molecular structures have been identified. Along with their bioactivities that hold promise for therapeutic applications, most of these molecules are also potentially useful for cosmetics and food biotechnology. This review highlights the tremendous marine diversity in New Caledonia, and offers an outline of the vast possibilities for natural products, especially in the interest of pursuing collaborative fundamental research programs and developing local biotechnology programs.
EISSN: 1660-3397

Droits : http://creativecommons.org/licenses/by/
hal-01292225
http://hal.upmc.fr/hal-01292225
http://hal.upmc.fr/hal-01292225/document
http://hal.upmc.fr/hal-01292225/file/marinedrugs-14-00058.pdf
DOI : 10.3390/md14030058

Résumé : The document, fifth edition of a collection which has started in 1997, presents a survey of marine-related activities in France. The commercial sector includes exploitation and extraction of marine resources , manufacturing industry, private services. In this new edition, a special effort is devoted to the analysis of maritime ports related industries. The non-commercial sector includes public services, among which the Navy, state services, education, safety, marine and coastal environment protection, marine sciences. Each activity of the commercial sector is described by key figures (turnover, value added, employment). The non-commercial sector includes data on running costs, in particular personnel costs. In addition to indicators, qualitative information is provided on the recent developments and future prospects of industries
Le document, cinquième édition d'une série lancée en 1997, présente un panorama des activités liées à la mer en France. Le secteur marchand comprend l'exploitation et l'extraction des ressources marines, l'industrie manufacturière, les services privés. Dans cette nouvelle édition, un effort particulier est consacré à l'analyse de l'activité portuaire. Le secteur non marchand est constitué des services publics, dont la Marine nationale, les services de l'État, l'enseignement, la sécurité, la protection de l'environnement littoral et marin, la recherche scientifique. Chaque activité du secteur marchand est décrite par des chiffres-clés (chiffre d'affaires, valeur ajoutée, emploi). Sur le secteur non marchand sont fournies des données de coûts, dont les coûts de personnel. Tous ces indicateurs sont accompagnés d'informations qualitatives sur l'évolution récente et les perspectives des branches d'activité.

Droits : 2004 Ifremer
http://archimer.ifremer.fr/doc/00117/22855/20667.pdf
http://archimer.ifremer.fr/doc/00117/22855/

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
PURPOSE: The authors had for aim to describe the characteristics of listeriosis encephalitis patients enrolled in a national study. METHODS: Listeria monocytogenes was identified as the forth etiology of encephalitis, in a prospective study in France, in 2007. We analyzed 12 cases with confirmed listeriosis (seven with rhombencephalitis, five with encephalitis) and compared them with encephalitis of other etiologies and with listeriosis encephalitis, mandatorily notified during the same year. RESULTS: L. monocytogenes strains were genoserotyped as IVb (n=6), IIa (n=3), and IIb (n=3). Cerebrospinal fluid (CSF) median protein level was 2.5g/L and the median WBC counts was 367cells/mm(3). Among twelve patients, seven patients had ongoing comorbidities. The case fatality rate during hospitalization was 50%. Patients presenting with listeriosis enrolled in the study did not differ from those reported to the mandatory surveillance system according to their demographical characteristics and comorbidities. They were older, presented more frequently with cancer, or were more often under corticosteroid treatment than patients presenting with encephalitis due to other etiologies. CONCLUSIONS: Neurolisteriosis has a poor prognosis, thus it should be considered early in patients presenting with encephalitis to improve its management.
ISSN: 0399-077X

hal-00875242
https://hal.archives-ouvertes.fr/hal-00875242
PUBMED : 22036519
DOI : 10.1016/j.medmal.2011.07.009

Éditeur(s) : HAL CCSD
Résumé : International audience
Background: In French Guiana, a recent study has shown that a major part of the histoplasmosis incidence temporal fluctuations could be explained by climatic factors and thus postulated that disseminated histoplasmosis cases could be in a large proportion due to new infections. The description of the seasonal pattern of histoplasmosis could potentially help to test this new hypothesis. Patients and methods: A study using prospective data from the French Hospital Database for HIV was conducted in order to determine seasonal variations of the incidence of first cases of disseminated histoplasmosis in HIV persons in Cayenne, French Guiana. Single failure Cox proportional hazards models were used. Results: After adjusting for CD4 counts and antiretroviral treatment, the incidence of disseminated histoplasmosis was significantly higher during the Short Wet Season-Long Dry Season than during the Short Dry Season-Long Wet Season (Adjusted Hazard ratio 1.7 (1.1-2.5), P= 0.01). Conclusion: This result gives both valuable epidemiologic information to clinicians and a supplementary argument in favour of the hypothesis that an important proportion of cases were due to recent exposure. Therefore, the use of a primary prophylaxis must be discussed in French Guiana.
J AIDS Clinic Res

Droits : info:eu-repo/semantics/OpenAccess
inserm-00915009
http://www.hal.inserm.fr/inserm-00915009
http://www.hal.inserm.fr/inserm-00915009/document
http://www.hal.inserm.fr/inserm-00915009/file/2012_Hanf_-_Disseminated_Histoplasmosis_seasonal_incidence_variations_a_supplementary_argument_for_recent_infection.pdf
DOI : 10.4172/2155-6113.1000175

Résumé : L’ingénierie agroécologique vise à produire des savoirs actionnables, pour concevoir des systèmes de cultures économiquement et écologiquement performants, par la valorisation de régulations naturelles. Notre problématique est centrée sur la santé des cultures, et plus particulièrement sur la bactérie phytopathogène Ralstonia solanacearum, agent du flétrissement bactérien alors qu’une souche extrêmement agressive menace la production de tomates en plein champ en Martinique. La nécessité d’explorer et de développer des alternatives aux méthodes conventionnelles de protection des plantes (variétés résistantes, pesticides), actuellement inefficaces, invite à la mise en œuvre d’une démarche de conception innovante. Nos travaux montrent que la mobilisation d’une barrière rhizosphérique est une stratégie de régulation biologique alternative. Différents processus y contribuent, telle que la mycorhization, symbiose entre racines et champignons mycorhiziens à arbuscules, présents dans la plupart des sols. Nous montrons que la mobilisation de réseaux de mycorhizes indigènes à partir d’un sol agricole permet une mycorhization précoce de la tomate. De plus, l’association de plantes aux propriétés mycorhizotrophes et assainissantes en conditions contrôlées montre des effets bioprotecteurs partiels et ouvre de nouvelles perspectives de combinaisons entre processus. Ces combinaisons sont mobilisables par des leviers d’actions multi-scalaires. Nous avons produit une grille d’analyse générique de ces leviers d’action pour la conception, par des trajectoires d’innovation multidirectionnelles, de « systèmes de culture bioprotégés ». Dans le contexte agricole martiniquais, une démarche d’apprentissage permet en effet l’émergence d’une dynamique de co-conception de systèmes de cultures recourant aux plantes mycorhizotrophes. Nos travaux proposent des outils pour une exploration collective de nouvelles stratégies de gestion durable de la santé des cultures.
Agroecological engineering aims to produce actionable knowledge to design economically and environmentally efficient cropping systems, based on the exploitation of natural regulation mechanisms. Our issue is centered on crop health, especially on the plant pathogenic bacterium Ralstonia solanacearum (bacterial wilt agent), of which an extremely aggressive strain threatens field tomato production in Martinique. The need to explore and develop alternatives to conventional methods of plant protection (resistant varieties, pesticides), ineffective in our case, calls for the implementation of an innovative design approach. Our work shows that the protection of the roots via the formation of a self-sustaining rhizospheric barrier may be an alternative biological control strategy. Different processes contribute, such as mycorrhizal symbiosis between roots and arbuscular mycorrhizal fungi, which are present in most soils. We show that the mobilization of indigenous mycorrhizal networks from an agricultural soil allows early mycorrhization of tomatoes. In addition, the association of plants with mycorrhizal and sanitizing properties in controlled conditions showed partial bioprotective effects and opens up new prospects for combinations between processes. These combinations may be exploited in various ways. We produced a generic analysis grid of key levers to design "healthy cropping systems " through multi-directional innovation trajectories. In Martinique's agricultural context, a learning process allows the emergence of a dynamic co-design of cropping systems using mycorrhizal plants. Our work thus provides tools for collective exploration of new sustainable management strategies for crop health.

http://www.theses.fr/2015AGUY0828/document

Éditeur(s) : HAL CCSD Royal Society of Chemistry
Résumé : Fluorescence is a remarkable property of many natural products in addition to their medicinal and biological values. Herein, we provide a review on these peculiar secondarymetabolites to stimulate prospecting of them as original fluorescent tracers, endowed with unique photophysical properties and with applications in most fields of biology. The compounds are spectrally categorized (i.e. fluorescing from violet to the near infra-red) and further structurally classified within each category. Natural products selected for their high impact in modern fluorescence-based biological studies are highlighted throughout the article. Finally, we discuss aspects of chemical ecology where fluorescent natural products might have key evolutionary roles and thus open new research directions in the field.
ISSN: 0265-0568

hal-01604139
https://hal.archives-ouvertes.fr/hal-01604139
DOI : 10.1039/c6np00111d
PRODINRA : 391732
PUBMED : 28125109

Résumé : In the aim of diversification for small fisheries, a survey has been conducted in 2000 by the Regional Fisheries Committee and the French Institute for Exploitation of the Sea (Ifremer) between 200 and 600 m deep, in the West of Reunion Island. Potential commercial fish stocks have been found out. Numerous professional and recreational fishermen have bought equipment in order to exploit this resource (electric winches). But deep demersal fish is a fragile resource due mainly to low growth and late sexual maturation. Face to this increasing pressure upon a fragile resource, a new survey has been carried out by Ifremer in 2011, with use of the same fishing sites, material and method than in 2000. Results displayed in this report are compared to those of 2000. It turned out that yields of commercial species have decreased in an alarming way (over 90%) together with the fish sizes, data which exhibit a stock overfishing. The only catches of the non commercial species (small squale "Zépine" Squalus megalops) appear comparable to 2000. This survey has now to be confirmed all around Reunion Island.
Dans la perspective de diversifier la petite pêche réunionnaise, une campagne de prospection a été réalisée en 2000 par le Comité Régional des Pêches Maritimes (CRPM) et l'Institut Français de Recherche pour L'Exploitation de la Mer (Ifremer) sur des fonds de 200 à 600 m, dans l'ouest de l'île de La Réunion. Elle a montré l'existence de stocks commercialement intéressants. De nombreux pêcheurs, professionnels et plaisanciers se sont équipés en moulinets électriques pour exploiter ces ressources. Cependant les poissons démersaux profonds représentent une ressource fragile du fait, notamment, de leur croissance lente et de leur reproduction tardive. Face à cette augmentation de la pression de pêche sur une ressource fragile, une nouvelle campagne expérimentale a été menée en 2011 par l'Ifremer, en utilisant les mêmes sites de pêche, le même matériel et la même méthodologie qu’en 2000. Les résultats présentés dans ce rapport sont comparés avec ceux de la campagne de 2000. Il s’avère que les rendements en espèces commerciales ont diminué de façon très nette (plus de 90%) ainsi que la taille des poissons capturés, données caractéristiques d'une surexploitation des stocks. Seules les captures de requins zépines (Squalus megalops) non commercialisées à La Réunion restent comparables à celles de 2000. Il convient maintenant de valider ces résultats tout autour de l'île de La Réunion.

Droits : info:eu-repo/semantics/openAccess
http://archimer.ifremer.fr/doc/00050/16100/13643.pdf
http://archimer.ifremer.fr/doc/00050/16100/

Éditeur(s) : HAL CCSD American College of Physicians
Résumé : International audience
BACKGROUND: Most clinical guidelines recommend that AIDS-free, HIV-infected persons with CD4 cell counts below 0.350 × 10(9) cells/L initiate combined antiretroviral therapy (cART), but the optimal CD4 cell count at which cART should be initiated remains a matter of debate. OBJECTIVE: To identify the optimal CD4 cell count at which cART should be initiated. DESIGN: Prospective observational data from the HIV-CAUSAL Collaboration and dynamic marginal structural models were used to compare cART initiation strategies for CD4 thresholds between 0.200 and 0.500 × 10(9) cells/L. SETTING: HIV clinics in Europe and the Veterans Health Administration system in the United States. PATIENTS: 20, 971 HIV-infected, therapy-naive persons with baseline CD4 cell counts at or above 0.500 × 10(9) cells/L and no previous AIDS-defining illnesses, of whom 8392 had a CD4 cell count that decreased into the range of 0.200 to 0.499 × 10(9) cells/L and were included in the analysis. MEASUREMENTS: Hazard ratios and survival proportions for all-cause mortality and a combined end point of AIDS-defining illness or death. RESULTS: Compared with initiating cART at the CD4 cell count threshold of 0.500 × 10(9) cells/L, the mortality hazard ratio was 1.01 (95% CI, 0.84 to 1.22) for the 0.350 threshold and 1.20 (CI, 0.97 to 1.48) for the 0.200 threshold. The corresponding hazard ratios were 1.38 (CI, 1.23 to 1.56) and 1.90 (CI, 1.67 to 2.15), respectively, for the combined end point of AIDS-defining illness or death. Limitations: CD4 cell count at cART initiation was not randomized. Residual confounding may exist. CONCLUSION: Initiation of cART at a threshold CD4 count of 0.500 × 10(9) cells/L increases AIDS-free survival. However, mortality did not vary substantially with the use of CD4 thresholds between 0.300 and 0.500 × 10(9) cells/L.
ISSN: 0003-4819

hal-00875307
https://hal.archives-ouvertes.fr/hal-00875307
PUBMED : 21502648
DOI : 10.7326/0003-4819-154-8-201104190-00001

Éditeur(s) : HAL CCSD Lippincott, Williams & Wilkins
Résumé : PURPOSE OF REVIEW: Malaria represents one of the most important selective factors affecting human populations. Several inherited diseases of red blood cells lead to resistance at the erythrocytic stage. Among patients who experience hereditary elliptocytosis related to mutations of erythrocyte membrane proteins, molecular studies have shown the prevalence of particular spectrin mutations in patients from black ethnic extraction, leading one to question the selection of new malaria-resistant genes. RECENT FINDINGS: Prospective epidemiological and molecular studies in West Africa have confirmed the prevalence (between 0.6 and 1.6%) of particular spectrin mutations related to hereditary elliptocytosis. These studies have also revealed the frequency of alpha-spectrin chain polymorphisms, associated in cis with elliptocytogenic spectrin mutations and defining particular spectrin allele haplotypes. Culture studies of Plasmodium falciparum in elliptocytes bearing such elliptocytogenic alleles of spectrin showed that these alleles are supplementary genetic factors of malaria resistance in vitro. SUMMARY: Certain instances of spectrin mutations or polymorphisms have not yet been shown to constitute new factors of innate resistance to malaria in vivo. Epidemiological surveys of hereditary elliptocytosis and parasite culture studies, however, have argued that the relationships between parasite and spectrin-based skeleton should be examined more closely and the molecular interactions between parasite ligands and particular spectrin chain domains should be characterized.
ISSN: 1065-6251

inserm-00128119
http://www.hal.inserm.fr/inserm-00128119
http://www.hal.inserm.fr/inserm-00128119/document
http://www.hal.inserm.fr/inserm-00128119/file/Dhermy_et_al_figures.pdf
DOI : 10.1097/MOH.0b013e3280d21afd

Éditeur(s) : HAL CCSD Wiley
Résumé : International audience
Varicella zoster virus (VZV) is a leading cause of acute viral encephalitis but little is known about its clinical, biological and imaging features. Furthermore, the most favourable treatment regimen has not been determined. We studied a prospective cohort of 20 HIV-negative patients presenting with acute VZV encephalitis caused by primary infection or reactivation. VZV was identified in 16 of 20 cases by PCR detection of the DNA in the cerebrospinal fluid. The four remaining cases occurred during or soon after a VZV rash. The median age of the 17 adults was 76 (19-86) years; the three other patients were children (0.5-5 years). Three patients were immunocompromised. Nine adult patients presented with a rash. Eighteen patients presented with fever and an acute encephalitic syndrome: diffuse brain dysfunction, focal neurological signs, seizures and cranial nerve palsies. Three patients presented with either ventricular or subdural haemorrhage, one with myelitis, and one with asymptomatic stenosis of the middle cerebral artery. The imaging was either normal or revealed non-specific abnormalities such as cortical atrophy but no evidence of stroke. All patients were given acyclovir at various dosages and durations but the case fatality rate remained high (15%) and sequelae were frequently observed either at discharge or at follow-up 3 years later.
ISSN: 1198-743X

hal-00875232
https://hal.archives-ouvertes.fr/hal-00875232
PUBMED : 22085160
DOI : 10.1111/j.1469-0691.2011.03705.x

Éditeur(s) : HAL CCSD
Résumé : International audience
OBJECTIVE: To assess sperm production and aneuploidy in Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL) before and after treatments. DESIGN: Multicenter, prospective, longitudinal study of lymphoma patients analyzed before treatment and after 3, 6, 12, and 24 months. SETTING: University hospitals. PATIENT(S): Forty-five HL and 13 NHL patients were investigated before and after treatment. Treatment regimens were classified in two groups: ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine) with or without (+/-) radiotherapy, and CHOP (doxorubicin, cyclophosphamide, vincristine, prednisone)/MOPP-ABV (mechlorethamine, oncovin, procarbazine, prednisone-doxorubicin, bleomycin, vinblastine). A control group of 29 healthy men was also studied. INTERVENTION(S): Semen analyses and aneuploidy study by FISH were performed at each time point. MAIN OUTCOME MEASURE(S): Comparison of mean sperm characteristics and percentage of sperm aneuploidy rates before and after treatment. RESULT(S): Before treatment, HL and NHL men had altered semen characteristics and higher sperm aneuploidy rates (median 0.76 [interquartile range 0.56-0.64]) than the control group (0.54 [0.46-0.74]). After treatment, sperm production was significantly lowered 3 and 6 months after ABVD +/- radiotherapy or CHOP/MOPP-ABV. After ABVD +/- radiotherapy, the aneuploidy rate increased significantly only at 3 months, and values obtained 1 or 2 years later were lower than pretreatment values. In contrast, in the CHOP/MOPP-ABV treatment group, semen characteristics and aneuploidy rate did not return to normal levels until 2 years after treatment. CONCLUSION(S): Lymphoma itself has consequences on sperm aneuploidy frequency before treatment. Moreover, lymphoma treatments have deleterious effects on sperm chromosomes related to treatment type and time since treatment. Patient counseling is essential concerning the transient but significant sperm aneuploidy induced by lymphoma and its treatments.
Fertility and sterility

hal-01477204
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01477204
DOI : 10.1016/j.fertnstert.2016.10.001
PUBMED : 27810161

Éditeur(s) : HAL CCSD CERAMAC
Résumé : International audience
Nous présentons les résultats de la mise en œuvre du " jeu de territoire " réalisé par des élèves-ingénieurs dans le cadre de la révision du plan stratégique menée par les acteurs du Témiscamingue (Québec, Canada). Trois phases de réflexion et d'argumentation favorisant une élaboration collaborative : la constitution d'un portait du territoire et d'un diagnostic des enjeux, l'élaboration de scénarios d'évolution prospective à 15 ans et l'énoncé de premières pistes d'orientation pour le prochain plan stratégique. Nous discutons les apports du jeu comme dispositif d'apprentissage collectif pour la mobilisation et le partage des connaissances et comme dispositif de production iconographique pour la construction de représentations partagées et leur appropriation collective. Nous mettons en évidence l'intérêt d'une hybridation des compétences et des savoirs, entre recherche, formation et action, pour faciliter la mobilisation des acteurs dans les démarches participatives de conception de projets de territoire.
Développement durable des territoires : de la mobilisation des acteurs aux démarches participatives
Clermont-Ferrand, France

hal-00982919
https://hal-agroparistech.archives-ouvertes.fr/hal-00982919

Éditeur(s) : HAL CCSD
Résumé : International audience
To assess prognostic factors for survival and describe Model for End-Stage liver disease (MELD) dynamics in human immunodeficiency virus+/hepatitis C virus+ (HIV+/HCV+) patients after an initial episode of hepatic decompensation.An HIV+/HCV+ cohort of patients experiencing an initial decompensation episode within the year preceding enrollment were followed prospectively. Clinical and biological data were collected every 3 months. Predictors for survival were identified using Kaplan-Meier curves and Cox models. A 2-slope-mixed linear model was used to estimate MELD score changes as a function of survival.Sixty seven patients were included in 32 centers between 2009 and 2012 (72% male; median age: 48 years [interquartile ratio (IQR):45-52], median follow-up: 22.4 months [range: 0.5-65.3]). Overall survival rates were 86%, 78%, and 59% at 6, 12, and 24 months, respectively. Under multivariate analysis, the MELD score at initial decompensation was predictive of survival, adjusted for age, type of decompensation, baseline CD4 counts, and further decompensation during follow-up as a time-dependent variable. The adjusted hazard ratio of death was 1.32 for a score 3 points higher (95% CI: [1.06-1.63], P = 0.012). MELD score kinetics within the 6 months after initial decompensation differed significantly between non-deceased and deceased patients, with a decreased (-0.49/month; P = 0.016), versus a flat (+0.06/month, P = 0.753) mean change in score.MELD is an effective tool to predict survival in HIV+/HCV+ patients with decompensated cirrhosis. A non-decreasing MELD score within 6 months following this initial decompensation episode may benefit from privileged access to liver transplantation in this poor prognosis population
Medicine

hal-01205351
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01205351
DOI : 10.1097/MD.0000000000001239
PUBMED : 26222860

Éditeur(s) : HAL CCSD International Association for Energy Economics
Résumé : International audience
In this paper we propose to determinate and to test a set ofstatistical parameters (20)to estimate the predictability of the global horizontal irradiation time series and thereby propose a new prospective tool indicating the expected error regardlessthe forecasting methodsa modeller can possibly implement. The mean absolute log return, which is a tool usually used in econometry, proves to be a very good estimator. Some examples of the use of this tool are exposed, showing the interest of this statistical parameter in concrete cases of predictions or optimizations.
ISSN: 0195-6574

hal-01180041
https://hal.archives-ouvertes.fr/hal-01180041
https://hal.archives-ouvertes.fr/hal-01180041/document
https://hal.archives-ouvertes.fr/hal-01180041/file/discriminent_param.pdf

Éditeur(s) : Cayenne : Société d'études et d'exploitations minières de l'Inini (S.E.E.M.I)
Résumé : Carnet petits carreaux de feuilles calques et croquis
Siècle(s) traité(s) : 20
Droits : Domaine public
Provenance : ORkidé|BRGM Guyane
Permalien : http://www.manioc.org/patrimon/ORK13050
ORK13050

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
IntroductionFever is associated with a poor outcome in severely brain-injured patients, and its control is one of the therapies used in this condition. But, fever suppression may promote infection, and severely brain-injured patients are frequently exposed to infectious diseases, particularly ventilator-associated pneumonia (VAP). Therefore, we designed a study to explore the role of a fever control protocol in VAP development during neuro-intensive care.MethodsAn observational study was performed on severely brain-injured patients hospitalized in a university ICU. The primary goal was to assess whether fever control was a risk factor for VAP in a prospective cohort in which a fever control protocol was applied and in a historical control group. Moreover, the density of VAP incidence was compared between the two groups. The statistical analysis was based on a competing risk model multivariate analysis.ResultsThe study included 189 brain-injured patients (intervention group, n¿=¿98, and historical control group, n¿=¿91). The use of a fever control protocol was an independent risk factor for VAP (hazard ratio 2.73, 95% confidence interval [1.38, 5.38; P¿=¿0.005]). There was a significant increase in the incidence of VAP in patients treated with a fever control protocol (26.1 versus 12.5 VAP cases per 1000 days of mechanical ventilation). In cases in which a fever control protocol was applied for >3 days, we observed a higher rate of VAP in comparison with the rate among patients treated for ¿3 days.ConclusionFever control in brain-injured patients was a major risk factor for VAP occurrence, particularly when applied for >3 days.
ISSN: 1364-8535

hal-01118640
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01118640
PUBMED : 25498970
DOI : 10.1186/s13054-014-0689-4
PUBMEDCENTRAL : PMC4279880

Éditeur(s) : HAL CCSD Wiley
Résumé : International audience
Clin Microbiol Infect ABSTRACT: Atypical Toxoplasma gondii strains, unrelated to archetypal clonal lineages (I, II, III), have been reported more frequently over the last decade in areas other than Europe and North America. A newly described form of toxoplasmosis, 'Amazonian toxoplasmosis' (AT), has been reported since 2002 in French Guiana. It is characterized by severe cases and atypical strains linked to a neotropical forest-based cycle. We report on the cases of AT that required intensive care management. We performed a prospective observational study on hospitalized adults in the Intensive Care Unit (ICU) from 2002 to 2008. Clinical and laboratory data, microbiological findings and outcomes were recorded. Data, including the ICU simplified acute physiology score and the pneumonia severity index, were calculated. Epidemiological risk factors for AT were assessed through questionnaires. Eleven non-immunodeficient patients were admitted to the ICU in Cayenne for life-threatening pneumonia associated with disseminated toxoplasmosis. Mechanical ventilation was necessary in seven patients, four of whom required immediate orotracheal intubation. Cardiac and ophthalmological abnormalities were found in five and four patients, respectively. One patient died from multiple organ failure. The genetic characterization of Toxoplasma DNA using six microsatellite markers revealed unique and atypical genotypes in eight patients. All patients presented epidemiological risk factors for AT. In French Guiana, significant T. gondii-related infectious syndrome associated with the lungs, a high level of LDH activity and the reported risk factors for AT was strongly suggestive of disseminated toxoplasmosis with a possible trend toward life-threatening pneumonia.
ISSN: 1198-743X

hal-00678752
https://hal-unilim.archives-ouvertes.fr/hal-00678752
DOI : 10.1111/j.1469-0691.2011.03648.x
PUBMED : 21958195

Éditeur(s) : ISTPM
Résumé : The "Thalassa" undertook a cruise to measure hydrological parameters between the coasts of Algeria and the 40th parallel. A series of deep-sea samples were taken at successive depths to study zooplankton, which has been little studied in this region (Fig. A)....
La «Thalassa» a procédé en janvier 1961 à une campagne hydrologique entre la côte algérienne et le 40• parallèle. Dans son programme a été incluse une série de pêches profondes, par paliers successifs, qu'il nous a paru intéressant de faire en cette région où le zooplancton n'a été jusqu'ici que très peu étudié (fig. A). Cette opération devait être effectuée avec le filet préconisé par la Commission internationale pour l'Exploration de la Méditerranée, mais la perte de cet engin quelques jours plus tôt obligea à utiliser un filet fermant « Discovery ». De toute manière, les échantillons ainsi prélevés étant comparables entre eux, il nous était possible d'évaluer la richesse relative des différents niveaux prospectés. On ne pouvait s'attendre à trouver dans ce secteur de haute mer une variété et une densité du même ordre que celle des secteurs périphériques, sachant qu'en cette région les courants et autres échanges hydrologiques sont moindres qu'au voisinage des côtes ou dans les golfes comme ceux de Gênes ou du Lion. L'hydrologie faite par J. FURNESTIN et Ch. ALLAIN (1962) est venue renforcer cette opinion. Si les mélanges et les mouvements des eaux de divers types y sont d'un grand intérêt, ils se manifestent surtout en profondeur, au-dessous de 1 000 m et leur résonance en surface est affaiblie; quant à la couche superficielle, elle est, là comme ailleurs, influencée par les dérivations du courant atlantique qui n'y provoquent pas de contrastes aussi nets qu'à la périphérie du Bassin. C'est sans doute, compte tenu de l'imperfection qui s'attache aux pêches profondes avec l'engin de faible rendement qu'est le filet à plancton, la raison pour laquelle l'analyse quantitative du zooplancton aussi bien que celle des groupes particulièrement examinés ici (Copépodes et Chaetognathes) ne nous a apporté que des résulta ts relativement banals, Et ceux-ci seraient en somme assez décevants si, par certaines anomalies de la répartition des espèces, ils ne venaient confirmer la valeur des planctontes en tant qu'indicateurs des phénomènes hydrologiques méditerranéens (courant superficiel et mouvements profonds de convection). (OCR non contrôlé)
Revue des Travaux de l'Institut des Pêches Maritimes (0035-2276) (ISTPM), 1962-09 , Vol. 26 , N. 3 , P. 320-368

Droits : Ifremer
http://archimer.ifremer.fr/doc/1962/publication-4191.pdf
http://archimer.ifremer.fr/doc/00000/4191/

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
There are emerging concerns about potential effects on child health and development of early-life exposure to substances such as brominated flame retardants (BFRs), perfluorinated compounds (PFCs), phthalates and phenols (including bisphenol A (BPA)); pregnancy and birth cohort studies are ideally designed to study such concerns prospectively. As part of the ENRIECO project, we evaluated existing human biomonitoring data for these substances in European birth cohorts and develop recommendations for more harmonized methods that will enable combination and comparison of cohort data in the future. The ENRIECO inventory shows that 20 European birth cohorts have measured or are measuring BFRs (N=10), PFCs (N=11), phthalates (N=16) or phenols (N=8). Generally, samples were collected prenatally or at birth and measurements involved few subjects in each cohort (a few hundred maximum). Biological matrices, timing, and analytical methods of the measurements varied between cohorts. Few cohorts have measured at multiple time points or in children. In European cohorts, levels of BFRs were very low and at least 10-fold lower than in US; levels of PFCs and phthalates have decreased over the last decade since the phasing out of certain of these compounds; concentrations of phenols are comparable to those in the US. Although there is little published data in the cohorts now, many measurements are ongoing and we recommend that cohorts start working towards combined and comparison studies. Specific recommendations for use of existing data include the development of conversion models for the different media used for measurement of persistent chemicals, and inter-laboratory comparisons and calibrations. Recommendations for further data collection include more evaluation of exposure to these chemicals in children; repeated measurements of non-persistent chemicals; validation and harmonisation of questionnaires; and the development of mechanisms for fast European birth cohort response for the detection and prioritisation of new chemicals of concern.
ISSN: 1438-4639

hal-01118579
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01118579
DOI : 10.1016/j.ijheh.2012.05.009
PUBMED : 22795704