Éditeur(s) : ESPE de Martinique : Ecoles Supérieures du Professorat et de l'Education
Extrait de : "Lutte contre les discriminations dans l'éducation" : journée d'étude, le 4 juin 2015. Université des Antilles et de la Guyane
Description : Le travail est sexué, les savoirs et les compétences sont sexués, donc l'orientation est sexuée. (Françoise Vouillot ? Travail, genre et sociétés n°18). De ce fait nous assistons à une auto censure des filles et des garçons vers des orientations professionnelles. Les filles dans les services et les garçons dans la production et le technique. Suite à un état des lieux de la répartition filles /garçons dans l'orientation en Martinique, notre communication consistera à démonter les mécanismes qui génèrent cette massification des filles et des garçons dans certains secteurs professionnels. Nous considérerons le concept du genre ? comme élément normatif du masculin et de féminin. Le genre assignant des rôles et hiérarchisant ces derniers, prend une grande part, à la construction des stéréotypes qui nous gouvernent tous. Il s'agira d'expliquer, la construction identitaire et ses conséquences dans les choix des jeunes scolaires. Nous aborderons l'échec de la mixité à l'école (loi Haby 1975) qui n'a jusqu'à nos jours pas endiguer les inégalités entre filles et Garçons, car nombreux sont les acteurs de notre institution, eux mêmes sous l'emprise des stéréotypes de sexes. Considérant les conséquences de ces inégalités, dans le statut social et économique de ceux qui se projettent à l'adolescence vers leur projet professionnel, nous énoncerons l'importance de nos conduites et d'un changement de nos orientations, nos représentations pour permettre aux filles et garçons de ne pas limiter leur champ des possibles pour un avenir professionnel meilleur.
Siècle(s) traité(s) : 21
Droits : CC-BY-NC-ND - Attribution - Pas d'utilisation commerciale - Pas de modification
Permalien : http://www.manioc.org/fichiers/V15231
V15231

Éditeur(s) : AFEC : Association Française d'Education Comparée
Extrait de : "Inégalités entres sexes dans la famille, à l'école et au travail : approches comparées" : 12e colloque international, le 28 octobre 2014. Université des Antilles et de la Guyane
Description : Discussion

Droits : CC-BY-NC-ND - Attribution - Pas d'utilisation commerciale - Pas de modification
Permalien : http://www.manioc.org/fichiers/V15056
V15056

Éditeur(s) : Institut de Ciències del Mar de Barcelona, CSIC
Résumé : The main characteristics of the biology of bigeye scad were studied from commercial fishery catches around Reunion Island. Biometric relationships were calculated. The monitoring of size distribution, aggregated by month, allowed us to estimate the theoretical growth equation using the ELEFAN software. The von Bertalanffy growth parameters were adjusted with a seasonal modulation: L8 = 265 mm; K = 1.64 year-1; c = 0.068; ? = 0.38. The growth of the cohort was quite high during the austral summer (November-April) and decreased during the austral winter (May-October). The arrival of a new cohort with homogeneous small sizes (65 to 90 mm) in the fishery in November coincided with the disappearance of large individuals. A feature of the reproductive biology was that the sex ratio remained constant month by month and that there was no predominance of male or female even in the larger size classes. Fish were mature by April and the proportion of mature fish progressively increased until November, when the gonad-indices were the highest. The size at first maturity (L50) was reached at 215 mm (fork length). The largest specimens observed were 255 mm long (fork length). After reproduction, massive mortality occurred and few individuals survived.
Scientia Marina (0214-8358) (Institut de Ciències del Mar de Barcelona, CSIC), 2007-03 , Vol. 71 , N. 1 , P. 137-144

Droits : 2007 CSIC
http://archimer.ifremer.fr/doc/2007/publication-2335.pdf
http://archimer.ifremer.fr/doc/00000/2335/

Éditeur(s) : Elsevier Science Bv
Résumé : The main objective of this work was to establish the influence of sex, maturity and reproduction on the contamination of the demersal fish Merluccius merluccius by organochlorine compounds. Polychlorinated biphenyls (PCBs) and p,p'DDE were quantified in muscle, liver and gonads of female and male hakes collected in the Gulf of Lions in 2004 and 2005. Observed levels appeared higher than the population of the Bay of Biscay and lower than the population of the Thyrrenian Sea. Contaminant fingerprints were roughly constant whatever the studied organ and the hake biological condition. Concentrations varied significantly according to the sex and maturity of hakes. Mature specimens were more contaminated than immature, and males presented higher levels than females. This sex effect can be linked to a lower growth rate of males, and a contaminant elimination during female spawning. Gonadal contamination depends on the importance of lipid content and increases with the maturation degree. Although the main organ of energy and PCB storage is the liver, muscle appears as the main contributor to the gonad contamination. (C) 2009 Elsevier B.V. All rights reserved.
Science Of The Total Environment (0048-9697) (Elsevier Science Bv), 2009-12 , Vol. 408 , N. 2 , P. 304-311

Droits : 2009 Elsevier B.V. All rights reserved.
http://archimer.ifremer.fr/doc/00000/11129/9317.pdf
DOI:10.1016/j.scitotenv.2009.10.004
http://archimer.ifremer.fr/doc/00000/11129/

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

Éditeur(s) : Université des Antilles Études caribéennes
Résumé : This paper examines the changing fortunes of Durban as a tourist city from the apartheid to the post apartheid eras. Durban has long earned its prime position as one of South Africa’s most popular year‑round tourist destination. In keeping with the dictates of apartheid, the city catered largely for the needs of the white minority, while that of the black majority was largely ignored. With political changes and shifts in both the international and domestic markets, an effort had to be made to reposition tourism in the city. In order to successfully promote its tourism opportunities, Durban attempted to enhance its image and appeal by promoting its sports, convention and cultural attractions. The democratic transition of the 1990s provided many challenges, the most enduring of which was the need to cater for the emerging black tourist market. There was also an urgency to address problems of crime and grime, disparities in the distribution of labour market opportunities, especially in terms of race and gender within the tourism sector. A serious threat to tourism in Durban is unemployment and alienation of the majority of African people from the industry.
Ce document examine l'évolution des dynamiques touristiques de la ville de Durban dans un contexte post-apartheided. La ville de Durban s’est imposée comme l'une des destinations touristiques les plus populaires d’'Afrique du Sud. En accord avec les diktats de l'apartheid, pour satisfaire les souhaits d’une minorité blanche, l’organisation de la ville avait ignoré les besoin de la majorité noire. Aujourd’hui la ville de Durban se repositionne sur l’échiquier touristique, portée par les changements politiques intérieurs et les opportunités des marchés touristiques internationaux et nationaux. Afin de se positionner avec succèssur ce marché, la ville de Durban renforce son image autour de la promotion son front de mer, des sports nautiques, du tourisme de congrés, et des animations culturelles. La transition démocratique des années 1990 a fourni de nombreux défis et oppportunités dans la première sur le plan touristique fut de se positionner sur le nouveau marché touristique noir. Cal passe aussi par les urgence à résoudre sur le plan de la criminalité, de l’hygiène et de la résorption des disparités sur le marché du travail, en particulier en termes de race et de l'égalité des sexes dans le secteur du tourisme. Les plus sérieuses limites pour le tourisme à Durban sont le chômage et la marginalisation de la majorité des African people.
Afrique du Sud
Durban

Droits : info:eu-repo/semantics/openAccess
urn:doi:10.4000/etudescaribeennes.1192
http://journals.openedition.org/etudescaribeennes/1192

Éditeur(s) : EDP Sciences
Résumé : Monitoring the abundance of green turtles (Chelonia mydas) is necessary to assess population trends and risks of collapse. This note presents a study aimed at comparing three techniques for the direct estimation of green turtle numbers in their foraging habitats (seagrass beds and reef flats). The experiment was carried out at Mayotte Island, Western Indian Ocean. The techniques involved were surveys by snorkel, and aerial surveys using a microlight aircraft and a paramotor. Each technique had shortcomings and advantages. While each technique provided estimations of turtle numbers only surveys by snorkel permitted identification of species and sex, whenever visibility and turtle behaviour permitted. Along the shorelines, and over foraging areas, the paramotor was found to be most suitable for direct estimations of turtle numbers. The major advantage of this technique lied in its capability to obtain a synoptic snapshot of turtle distribution over foraging areas. Linear surveys from a microlight aircraft are better suited to monitor foraging areas located further away from the shore.
Le suivi de l'abondance de tortues vertes (Chelonia mydas) est nécessaire pour évaluer l'évolution et éventuellement, le risque d'extinction des populations. L'objectif de cette expérience est de comparer trois techniques d'observation permettant l'évaluation directe de l'abondance totale de tortues vertes sur les aires d'alimentation (herbiers et platiers récifaux). L'étude a été conduite à l'île de Mayotte (ouest de l'océan Indien). Les techniques testées sont le comptage sous-marin et les comptages aériens à partir d'un ultra léger motorisé (ULM) et d'un paramoteur. Les limites de chaque technique utilisée ont été mises en évidence. L'abondance totale des tortues a été estimée par les trois techniques. Seuls, les comptages sous-marins ont permis de préciser des caractéristiques biologiques tels que l'espèce et le sexe, lorsque les conditions de visibilité et le comportement des tortues le permettaient. Le paramoteur paraît le plus adapté pour une estimation directe de l'abondance sur les aires d'alimentation situées à proximité immédiate de la côte. Cette technique permet de disposer d'un état de la répartition des tortues sur les aires d'alimentation à un moment donné. Pour les zones d'alimentation plus éloignées de la côte, l'usage de l'ULM est nécessaire pour réaliser les comptages à partir de transects linéaires.
Aquatic Living Resources (0990-7440) (EDP Sciences), 2005-04 , Vol. 18 , N. 2 , P. 193-198

Droits : EDP Sciences, IFREMER, IRD 2005
http://archimer.ifremer.fr/doc/2005/publication-432.pdf
DOI:10.1051/alr:2005021
http://archimer.ifremer.fr/doc/00000/432/

Éditeur(s) : HAL CCSD Nature Publishing Group
Résumé : International audience
EXOSC10 is a catalytic subunit of the exosome that processes biologically active transcripts, degrades aberrant mRNAs and targets certain long non-coding RNAs (lncRNAs). The yeast orthologue Rrp6 is required for efficient growth and gametogenesis, and becomes unstable during meiosis. However, nothing is known about the localization, stability and function of EXOSC10 in the rodent male germline. We detect the protein in nucleoli and the cytoplasm of mitotic and meiotic germ cells, and find that it transiently associates with the XY body, a structure targeted by meiotic sex chromosome inactivation (MSCI). Finally, EXOSC10 becomes unstable at later stages of gamete development. To determine Exosc10's meiotic function, we inactivated the gene specifically in male germ cells using cre recombinase controlled by Stra8 or Ddx4/Vasa promoters. Mutant mice have small testes, show impaired germ cell differentiation and are subfertile. Our results demonstrate that EXOSC10 is post-translationally regulated in germ cells, associate the protein with epigenetic chromosome silencing, and reveal its essential role in germ cell growth and development.
ISSN: 2045-2322

hal-01647082
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01647082
DOI : 10.1038/s41598-017-14643-y
PUBMED : 29118343

Éditeur(s) : CRPLC : Centre de Recherche sur les Pouvoirs Locaux dans la Caraïbe
Extrait de : "Représentations, pratiques, déconstruction du genre dans les sociétés caribéennes" : journée d'étude, le 14 novembre 2016. Université des Antilles
Description : Le contexte de cette recherche se situe autour d'une enquête réalisée sur la délinquance et intitulée « Histoire sociale de la délinquance dans les établissements pénitentiaires en Martinique du XIXe au XXI siècle ». L'enquête de Christine Benavides sur les demandes de dispenses relatives au mariage a été conduite à partir des archives du Conseil privé de la Martinique. Ces demandes portent soit sur l'âge des impétrants, soit sur leurs liens de parenté. Dans un premier temps la chercheuse développe son propos sur les différentes périodes, en prenant en compte les différents textes législatifs : le Code civil, le Code de la Martinique et les Codes noirs. Enfin dans un deuxième temps, elle procède à l'analyse qualitative des demandes de dispenses présentées au conseil privé et des arguments apportés.
Siècle(s) traité(s) : 21
Droits : CC-BY-NC-ND - Attribution - Pas d'utilisation commerciale - Pas de modification
Permalien : http://www.manioc.org/fichiers/V16336
V16336

Éditeur(s) : Université des Antilles Études caribéennes
Résumé : Tourism has been an important component of Caribbean island economy for more than three decades. The business model is based largely on the deployment of low-wage workers in destination surroundings which mimic the past colonial plantation era. Moreover, mass tourism has resulted in stretching the carrying capacity of some smaller island states to the limiting end. Large trans-national tourism corporations operating cruise ships and/or hotels are coercing sovereign governments to offer ever more fiscal concessions as incentives for business continuation. Additionally as the competition for tourism revenue is heightened by destinations outside the Caribbean, regional states are struggling to find new means to maintain and expand the tourism trade. Alternative tourism venues such as sex, gambling, tax evasion, medical, sports, culture and ecology are being implemented. Some of these offerings are indeed degrading to the people and their cultural tradition. And they do not improve the economic well-being of the people satisfactorily. A new strategy to replace classical as well as alternative tourism is urgently needed.
Le tourisme est une activité essentielle dans l'économie des îles de la Caraïbe depuis plus de trois décennies. Le modèle économique repose en grande partie sur la présence d'une main-d'œuvre insulaire peu coûteuse qui s'inscrit dans le prolongement des économies coloniales construites sur les plantations. Le tourisme de masse rencontre des limites en matière de capacité de charge sur les plus petits Etats insulaires. Les grandes sociétés transnationales de tourisme qui contrôlent les bateaux de croisières ou les hôtels contraignent les gouvernements souverains à faire toujours plus de concessions fiscales. La concurrence entre les destinations de la Caraïbe est exacerbée par la concurrence internationale autour des revenus du tourisme. Les Etats de la région peinent à trouver de nouvelles ressources pour maintenir et développer le secteur du tourisme. Les offres alternatives, entre le sexe, le jeu, l'évasion fiscale, le médical, le sport, la culture et l'écologie sont mises en œuvre. Certaines de ces offres sont, en effet, dégradantes pour les personnes et leur tradition culturelle et n'améliorent pas le bien-être économique de la population de manière satisfaisante. Une nouvelle stratégie pour remplacer le tourisme balnéaire classique ainsi que le tourisme alternative du moment s'impose d'urgence.
Caraïbes

Droits : info:eu-repo/semantics/openAccess
urn:doi:10.4000/etudescaribeennes.7524
http://journals.openedition.org/etudescaribeennes/7524

Éditeur(s) : HAL CCSD Wiley
Résumé : absent
ISSN: 0014-3820

hal-01032044
https://hal.archives-ouvertes.fr/hal-01032044

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
Résumé : National audience
Introduction-objectifsBien que la prise en charge de personnes vivant avec le VIH (PVVIH) s’améliore globalement en Guyane, les disparités régionales et communautaires restent importantes. L’objectif est ici de décrire pour la première fois les caractéristiques épidémiologiques, spatiales et cliniques des PVVIH suivies en zones isolées. Matériels et MéthodesLes données présentées sont issues du suivi clinique réalisé en Centres Délocalisés de Prévention et de Soins (CDPS) de janvier 2014 à novembre 2015. Ces données ont été analysées et comparées aux données des PVVIH suivis dans les 3 centres hospitaliers de Guyane issues du logiciel Nadis®.Résultats 174 PVVIH ont étés pris en charge en CDPS et comparés à 2143 patients suivis sur le littoral. L’évolution du taux annuel de découvertes de séropositivité VIH montre une arrivée plus tardive mais particulièrement active en zones isolées par rapport au littoral, notamment chez les patients d’origine brésilienne (p<0,005). L’âge médian est de 43,8 ans, le sex ratio homme/femme est de 0,98. En zone isolées comme sur le littoral 1/3 des PVVIH sont dépistés tardivement (<200 CD4/mm3). Le succès virologiques après 6 mois de traitement est de 80% vs 88% sur le littoral (p=0,135), la moyenne des derniers CD4 (424 vs 569/mm3) est plus basse que sur le littoral (p<0,005) enfin la charge virale moyenne est plus élevée que sur le littoral (8960 vs 5317 copies /mL) (p<0,005). L’histoplasmose est la première cause d’infection opportuniste retrouvée. La répartition spatiale des patients suivis montre une incidence et prévalence de cas particulièrement élevée dans les villes frontalières charnières que constituent Maripasoula et Saint Georges de l’Oyapock. ConclusionLe caractère particulièrement actif et original de l’épidémie et les indicateurs de suivi moins bons que sur le littoral rappellent l’importance de compléter les moyens de la prise en charge des PVVIH en zones isolées en Guyane.
SFLS 2016 - XVIIème Congrès de la Société française de lutte contre le sida
Montpellier, France

inserm-01475954
http://www.hal.inserm.fr/inserm-01475954
http://www.hal.inserm.fr/inserm-01475954/document
http://www.hal.inserm.fr/inserm-01475954/file/2016%2C%20Mosnier%20-%20Les%20p%C3%A9riph%C3%A9ries%20de%20l%27%C3%A9pid%C3%A9mie%20de%20VIH%20en%20Guyane.pdf

Éditeur(s) : HAL CCSD Springer Verlag
Résumé : International audience
Pituitary adenomas are currently classified by histological, immunocytochemical and numerous ultrastructural characteristics lacking unequivocal prognostic correlations. We investigated the prognostic value of a new clinicopathological classification with grades based on invasion and proliferation. This retrospective multicentric case-control study comprised 410 patients who had surgery for a pituitary tumour with long-term follow-up. Using pituitary magnetic resonance imaging for diagnosis of cavernous or sphenoid sinus invasion, immunocytochemistry, markers of the cell cycle (Ki-67, mitoses) and p53, tumours were classified according to size (micro, macro and giant), type (PRL, GH, FSH/LH, ACTH and TSH) and grade (grade 1a: non-invasive, 1b: non-invasive and proliferative, 2a: invasive, 2b: invasive and proliferative, and 3: metastatic). The association between patient status at 8-year follow-up and age, sex, and classification was evaluated by two multivariate analyses assessing disease- or recurrence/progression-free status. At 8 years after surgery, 195 patients were disease-free (controls) and 215 patients were not (cases). In 125 of the cases the tumours had recurred or progressed. Analyses of disease-free and recurrence/progression-free status revealed the significant prognostic value (p < 0.001; p < 0.05) of age, tumour type, and grade across all tumour types and for each tumour type. Invasive and proliferative tumours (grade 2b) had a poor prognosis with an increased probability of tumour persistence or progression of 25- or 12-fold, respectively, as compared to non-invasive tumours (grade 1a). This new, easy to use clinicopathological classification of pituitary endocrine tumours has demonstrated its prognostic worth by strongly predicting the probability of post-operative complete remission or tumour progression and so could help clinicians choose the best post-operative therapy.
ISSN: 0001-6322

hal-00875723
https://hal.archives-ouvertes.fr/hal-00875723
DOI : 10.1007/s00401-013-1084-y
PUBMED : 23400299

Éditeur(s) : HAL CCSD Oxford University Press (OUP)
Résumé : International audience
AIM: To describe the main characteristics and the treatment of cryptococcosis in patients with sarcoidosis. DESIGN: Multicenter study including all patients notified at the French National Reference Center for Invasive Mycoses and Antifungals. METHODS: Retrospective chart review. Each case was compared with two controls without opportunistic infections. RESULTS: Eighteen cases of cryptococcosis complicating sarcoidosis were analyzed (13 men and 5 women). With 2749 cases of cryptococcosis registered in France during the inclusion period of this study, sarcoidosis accounted for 0.6% of all the cryptococcosis patients and for 2.9% of the cryptococcosis HIV-seronegative patients. Cryptococcosis and sarcoidosis were diagnosed concomitantly in four cases; while sarcoidosis was previously known in 14/18 patients, including 12 patients (67%) treated with steroids. The median rate of CD4 T cells was 145 per mm(3) (range: 55-1300) and not related to steroid treatment. Thirteen patients had cryptococcal meningitis (72%), three osteoarticular (17%) and four disseminated infections (22%). Sixteen patients (89%) presented a complete response to antifungal therapy. After a mean follow-up of 6 years, no death was attributable to cryptococcosis. Extra-thoracic sarcoidosis and steroids were independent risk factors of cryptococcosis in a logistic regression model adjusted with the sex of the patients. CONCLUSIONS: Cryptococcosis is a significant opportunistic infection during extra-thoracic sarcoidosis, which occurs in one-third of the cases in patients without any treatment; it is not associated to severe CD4 lymphocytopenia and has a good prognosis.
ISSN: 1460-2725

hal-00873410
https://hal.archives-ouvertes.fr/hal-00873410
DOI : 10.1093/qjmed/hct052
PUBMED : 23515400

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
Background. An association with cancer is described in 17–32% of cases of dermatomyositis (DM) and in 5–16% of cases of anti-synthetase syndrome (ASS). The literature contains very few studies involving Afro-Caribbean patients with DM or ASS. The aim of our retrospective study was to determine the prevalence of cancer in a series of patients with DM or ASS at the University Hospital of Pointe-à-Pitre between 1st January 2000 and 31st December 2012. The secondary objective was to review the clinical and laboratory features as well as the course of DM/ASS in these patients.Patients and methods. The inclusion criteria were as follows: Afro-Caribbean origin; age >15 years; patient living in Guadeloupe; screening for malignancy.Results. Twenty-two patients were included (15 DM, 7 ASS). Only one case of cancer was diagnosed in the entire study population at a mean follow-up of 6±4 years (prevalence: 6.7%, CI95% [1.7–31.9]). Of the 15 patients presenting DM (sex ratio F/M: 4, mean age: 45±14 years), 6 (40%) had associated connective tissue disease.Conclusion. Our study suggests a weak association between DM and cancer in Afro-Caribbean patients. These results may be explained by the features of the disease seen in these patients (female gender, young age at onset, associated connective tissue disease) and the low prevalence in the Caribbean region of cancers typically associated with DM.
Introduction. Dix-sept à 32 % des cas de dermatomyosite (DM) et 5 à 16 % des cas de syndrome des anti-synthétases (SAS) sont associés à un cancer. Les séries de patients afro-caribéens atteints de DM ou de SAS sont exceptionnellement rapportées dans la littérature. Le but de notre étude rétrospective était d’estimer la prévalence des cancers dans une série de patients guadeloupéens atteints de DM ou de SAS. L’objectif secondaire était de préciser les caractéristiques cliniques, biologiques et évolutives de la maladie chez ces patients.Patients et méthode. Les critères d’inclusion étaient les suivants : patient afro-caribéen ; âge >15ans ; patient vivant en Guadeloupe ; réalisation d’un bilan d’extension à la recherche d’une néoplasie.Résultats. Vingt-deux patients ont été inclus (15 atteints de DM, 7 de SAS). Un seul cancer a été diagnostiqué, avec une durée moyenne de suivi de 6±4ans sur l’ensemble de la série (prévalence de 6,7 % ; IC 95 % [1,7 ; 31,9]). Parmi les 15 patients atteints de DM (sex-ratio H/F=1/4 ; âge moyen : 45±14ans), 6 (40 %) avaient une connectivite associée.Conclusion. Notre étude suggère une faible association entre DM et cancer chez les patients afro-caribéens. Ces résultats s’expliquent principalement par les caractéristiques de la maladie chez ces patients (sexe féminin, jeune âge, connectivite associée) et la faible prévalence, aux Antilles, des cancers classiquement associés aux DM.
ISSN: 0151-9638

inserm-01110999
http://www.hal.inserm.fr/inserm-01110999
http://www.hal.inserm.fr/inserm-01110999/document
http://www.hal.inserm.fr/inserm-01110999/file/2014%2C%20Tersiguel%20-%20Epid%C3%A9miologie%20de%20la%20dermatomyosite%20et%20du%20syndrome%20des%20anti-synth%C3%A9tases%20en%20population%20afro-carib%C3%A9enne.pdf
PUBMED : 25288059

Éditeur(s) : HAL CCSD
Résumé : poster presentation, 22nd European Meeting on Hypertension and Cardiovascular protection, London,26-29 April 2012
OBJECTIVE: Several studies demonstrate that the perception of overweight is associated with attempts at weight control in overweight subjects. Our objective is to describe the factors associated with the perception of overweight in an adult Caribbean population, and in particular, to assess the relationship between the perception of overweight and previous medical diagnosis of overweight. METHOD AND DESIGN: Consant was a cross-sectional study carried out in 2007 on a representative sample of the adult Guadeloupean population. Included were 1,005 subjects aged 25-74 years, drawn from stratified random sampling, and interviewed at home. The perception of overweight was evaluated by the question: "Do you consider yourself to be overweight?" with a binary response. RESULTS: Among overweight subjects (Body Mass Index ≥ 25 kg/m2, n = 576), 38.6% provided an incorrect assessment of their weight status. This proportion falls to 17.4% in those who stated to have previously received a medical diagnosis of overweight. However, only 48.8% of overweight subjects stated to have received such a diagnosis. A logistic regression shows that the underestimation of weight status is associated with the absence of previous diagnosis for overweight (OR: 5.35 - p < 10-3), as well as an age greater than or equal to 55 years (OR: 2.91 - p < 10-3), a BMI of less than 30 kg/m² (OR: 2.26 - p: 0.001), the male sex (OR: 1.86 - p: 0.004), and a low income level (OR: 1.62 - p: 0.030), but not a lack of awareness regarding the role of weight control in the prevention of cardiovascular diseases. Similar results are observed if waist circumference is taken as a factor instead of BMI. CONCLUSION: In this population, the lack of medical diagnosis of overweight was the leading factor associated with misperception of overweight. Screening for overweight therefore appears to be one of the preconditions to weight management, and remains a fundamental but often unused element in the fight against obesity.
https://hal.univ-antilles.fr/hal-00739785

Droits : info:eu-repo/semantics/OpenAccess
hal-00739785
https://hal.univ-antilles.fr/hal-00739785
https://hal.univ-antilles.fr/hal-00739785/document
https://hal.univ-antilles.fr/hal-00739785/file/The_lacksur screening_is_the_leading_factor_associated_with_the_misperceptionsur overweight_cor.pdf

Éditeur(s) : Gauthier-Villars
Résumé : Multichannel seismic reflection profiling has revealed that the basalt layer on the Outer Voring Plateau is underlain in places by steeply dipping layered reflectors. Two opposing theories have been considered for the origin of the layered reflectors: (1) They are Mesozoic sediments deposited before the Tertiary opening of the Norwegian Sea. (2) They are Tertiary deposits formed during the early stage of opening of the Norwegian Sea by seafloor spreading. The authors find that: (a) magnetic anomaly 24 can be traced continuously from the Lofoten Basin on to the Voring Plateau, associated with the oldest seafloor generated in the opening of the Norwegian Sea; (b) the layered reflectors form a characteristically shaped wedge that coincides with anomaly 24; (c) the material comprising the wedge possesses seismic velocities which increase from about 2.6 km/sec. in the upper part to about 6.4 km/sec. in the lower part. The above observations strongly support a Tertiary age for the material comprising the wedge, which consists of basalic flows and volcanogenic sediments and which is associated with sea floor created a few million years after the start of spreading.
Oceanologica Acta, Special issue (0399-1784) (Gauthier-Villars), 1981

Droits : info:eu-repo/semantics/openAccess
http://archimer.ifremer.fr/doc/00245/35669/34177.pdf
http://archimer.ifremer.fr/doc/00245/35669/

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
Background: HCV treatment uptake has drastically increased in HIV-HCV coinfected patients in France since direct-acting antiviral (DAA) treatment approval, resulting in HCV cure in 63% of all HIV-HCV patients by the end of 2015. We investigated the impact of scaling-up DAA on HCV prevalence in the whole HIV population and in various risk groups over the next 10 years in France using a transmission dynamic compartmental model.Methods: The model was based on epidemiological data from the French Dat’AIDS cohort. Eight risk groups wereconsidered, including high-risk (HR) and low-risk (LR) men who have sex with men (MSM) and male/female heterosexuals,intra-venous drug users, or patients from other risk groups. The model was calibrated on prevalence and incidence dataobserved in the cohort between 2012 and 2015.Results: On January 1, 2016, 156,811 patients were registered as infected with HIV in France (24,900 undiagnosedpatients) of whom 7938 (5.1%) had detectable HCV-RNA (722 undiagnosed patients). Assuming a treatmentcoverage (TC) rate of 30%/year (i.e., the observed rate in 2015), model projections showed that HCV prevalenceamong HIV patients is expected to drop to 0.81% in 2026. Sub-analyses showed a similar decrease of HIV-HCVprevalence in most risk groups, including LR MSM. Due to higher infection and reinfection rates, predicted prevalencein HR MSM remained stable from 6.96% in 2016 to 6.34% in 2026. Increasing annual TC rate in HR MSM to 50/70%would decrease HCV prevalence in this group to 2.35/1.25% in 2026. With a 30% TC rate, undiagnosed patients wouldaccount for 34% of HCV infections in 2026.Conclusions: Our model suggests that DAA could nearly eliminate coinfection in France within 10 years for most riskgroups, including LR MSM. Elimination in HR MSM will require increased TC.
ISSN: 1741-7015

Droits : info:eu-repo/semantics/OpenAccess
inserm-01685739
http://www.hal.inserm.fr/inserm-01685739
http://www.hal.inserm.fr/inserm-01685739/document
http://www.hal.inserm.fr/inserm-01685739/file/2017%2C%20Virlogeux%20-%20Modeling%20HIV-HCV%20coinfection.pdf
DOI : 10.1186/s12916-017-0979-1

Éditeur(s) : HAL CCSD Public Library of Science
Résumé : International audience
The Hedgehog (Hh) family of secreted proteins act as morphogens to control embryonic patterning and development in a variety of organ systems. Post-translational covalent attachment of cholesterol and palmitate to Hh proteins are critical for multimerization and long range signaling potency. However, the biological impact of lipid modifications on Hh ligand distribution and signal reception in humans remains unclear. In the present study, we report a unique case of autosomal recessive syndromic 46,XY Disorder of Sex Development (DSD) with testicular dysgenesis and chondrodysplasia resulting from a homozygous G287V missense mutation in the hedgehog acyl-transferase (HHAT) gene. This mutation occurred in the conserved membrane bound O-acyltransferase (MBOAT) domain and experimentally disrupted the ability of HHAT to palmitoylate Hh proteins such as DHH and SHH. Consistent with the patient phenotype, HHAT was found to be expressed in the somatic cells of both XX and XY gonads at the time of sex determination, and Hhat loss of function in mice recapitulates most of the testicular, skeletal, neuronal and growth defects observed in humans. In the developing testis, HHAT is not required for Sertoli cell commitment but plays a role in proper testis cord formation and the differentiation of fetal Leydig cells. Altogether, these results shed new light on the mechanisms of action of Hh proteins. Furthermore, they provide the first clinical evidence of the essential role played by lipid modification of Hh proteins in human testicular organogenesis and embryonic development.
ISSN: 1553-7390

hal-01063929
https://hal.archives-ouvertes.fr/hal-01063929
DOI : 10.1371/journal.pgen.1004340
PUBMED : 24784881