Éditeur(s) : HAL CCSD
Résumé : International audience
The aim of this study is to suggest an automated technique for distributed decision. It is based on protocol population deployed on Wireless Sensor Networks (WSN). This approach is able to help medical staff to detect earlier than usual some diseases on patients. It could be easily adapted for many other fields (fire monitoring, environment supervising, ...) In this context, a patient is equipped with health parameter transducers which are connected to a WSN. This WSN will perform some computations and raise an alarm when some diseases are suspected. The algorithm is distributed, i.e., the decision may be done by any mote dealing with the disease detection. The experimentations show promising results.
a venir
Denver, Colorado, United States

hal-00519597
https://hal.archives-ouvertes.fr/hal-00519597

Éditeur(s) : HAL CCSD
Résumé : International audience
We present a study on the optimasation of the number of messages for medical diagnosis over wireless sensors networks (WSNs). We suggest distributed algorithms to diagnosis some diseases while monitoring a patient. Then, we compare the number of messages needed to make a decision between the algorithms. In our approach, each sensor will make some computations in order to participate to the decision. Indeed, some computation and collaboration tasks are performed over the sensors and the final diagnosis is performed in a distributed way. During the experimentation of our algorithms, we used a real data flow extracted from hospital monitoring.
Proceedings of the 14th IEEE Symposium on Computers and Communications (ISCC 2009), July 5-8, Sousse, Tunisia
Sousse, Tunisia

hal-00519593
https://hal.archives-ouvertes.fr/hal-00519593

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
Background: The evaluation of geographical healthcare accessibility in residential areas provides crucial information to public policy. Traditional methods - such as Physician Population Ratios (PPR) or shortest travel time - offer only a one-dimensional view of accessibility. This paper developed an improved indicator: the Index of Spatial Accessibility (ISA) to measure geographical healthcare accessibility at the smallest available infra-urban level, that is, the Ilot Regroupe pour des Indicateurs Statistiques. Methods: This study was carried out in the department of Nord, France. Healthcare professionals are geolocalized using postal addresses available on the French state health insurance website. ISA is derived from an Enhanced Two-Step Floating Catchment Area (E2FCA). We have constructed a catchment for each healthcare provider, by taking into account residential building centroids, car travel time as calculated by Google Maps and the edge effect. Principal Component Analyses (PCA) were used to build a composite ISA to describe the global accessibility of different kinds of health professionals. Results: We applied our method to studying geographical healthcare accessibility for pregnant women, by selecting three types of healthcare provider: general practitioners, gynecologists and midwives. A total of 3587 healthcare providers are potentially able to provide care for inhabitants of the department of Nord. On average there are 92 general practitioners, 22 midwives and 21 gynecologists per 100,000 residents. The composite ISA for the three types of healthcare provider is 39 per 100,000 residents. A comparative analysis between ISA and physician-population ratios indicates that ISA represents a more even distribution whereas the physician-population ratios show an 'all-or-nothing' approach. Conclusion: ISA is a multidimensional and improved measure, which combines the volume of services relative to population size with the proximity of services relative to the population's location, available at the smallest feasible geographical scale. It could guide policy makers towards highlighting critical areas in need of more healthcare providers, and these areas should be earmarked for further knowledge-based policy making.
ISSN: 1475-9276

hal-01359567
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01359567
DOI : 10.1186/s12939-016-0411-z
PUBMED : 27485740

Éditeur(s) : HAL CCSD Springer Verlag
Résumé : International audience
A feasibility study of glulam was carried out in French Guiana using local wood species. The aim was to determine gluing parameters affording satisfactory behaviour to manufactured glulam in a tropical climate. Three abundant wood species, with special properties, were selected for the study and Resorcinol-Phenol-Formaldehyde resin was used for bonding. Three industrial parameters were considered: adhesive spread rate, closed assembly time and gluing pressure. Delamination and shearing tests were carried outin accordance with European Standards. The tests revealed the influence of wood properties and manufacturing parameters on joint resistance. In fact, the results showed that specific gravity and the shrinkage coefficientgreatly influenced the gluing step. Indeed, wood with a medium specific gravity needed more adhesive and more pressure than wood with a high specific gravity. In addition, planning and lamella thicknesswere found to affect glue joint resistance.
ISSN: 0018-3768

hal-00856933
https://hal.archives-ouvertes.fr/hal-00856933
https://hal.archives-ouvertes.fr/hal-00856933/document
https://hal.archives-ouvertes.fr/hal-00856933/file/Feasibility_glued_laminated_timber_Bourreau_al.pdf

Éditeur(s) : HAL CCSD Oxford University Press (OUP)
Résumé : International audience
OBJECTIVES: To better select for patients who most likely will benefit from cardiac surgery among those with infective endocarditis (IE), we aimed to identify preoperative markers associated with poor outcome after cardiac surgery for IE, and to evaluate the accuracy of European System for Cardiac Operative Risk Evaluation (EuroSCORE) II to predict mortality. METHODS: We enrolled all adult patients who underwent cardiac surgery during the acute phase of definite IE (Duke Criteria) in two referral centres for cardiac surgery. Patients were identified through intensive care unit (ICU) electronic databases, and data were collected from medical charts on standardized questionnaire. RESULTS: Between 2002 and 2013, 149 patients (117 males), with a median age of 64 years [interquartile range 52-73], fulfilled the inclusion criteria. Main complications before surgery were left ventricular dysfunction (23%), central nervous system symptomatic events (34%) and septic shock (24%). Most patients (95%) presented with valve regurgitation, and 49% had perivalvular abscess. Surgery was performed with a median delay of 12 days [5-24] after IE diagnosis, and mean EuroSCORE II was 15.8 (13.4-18.1). In-hospital mortality was 21%. Preoperative variables associated with mortality in multivariate analysis were obesity [odds ratio (OR) 3.67 [1.10-12.19], P = 0.03], vegetation extgreater15 mm (OR 6.72 [1.46-30.98], P = 0.01), septic shock (OR 4.87 [1.67-14.28], P = 0.004) and mechanical prosthetic valve IE (OR 4.99 [1.72-28.57], P = 0.007). EuroSCORE II underestimated mortality in patients with predicted mortality over 10%. CONCLUSION: Factors independently predictive of mortality after cardiac surgery for IE are obesity, septic shock, large vegetation and a mechanical prosthetic valve IE. EuroSCORE II underestimates post-cardiac surgery mortality in patients with IE
ISSN: 1010-7940

hal-01169802
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01169802
DOI : 10.1093/ejcts/ezv223
PUBMED : 26116921

Éditeur(s) : HAL CCSD
Résumé : National audience
Objectives To define the different stages of spontaneous labour. To determine the indications, modalities of use and the effects of administering synthetic oxytocin. And to describe undesirable maternal and perinatal outcomes associated with the use of synthetic oxytocin. Method A systematic review was carried out by searching Medline database and websites of obstetrics learned societies until March 2016. Results The 1st stage of labor is divided in a latence phase and an active phase, which switch at 5 cm of cervical dilatation. Rate of cervical dilatation is considered as abnormal below 1 cm per 4 hour during the first part of the active phase, and blow 1 cm per 2 hours above 7 cm of dilatation. During the latent phase of the first stage of labor, i.e. before 5 cm of cervical dilatation, it is recommended that an amniotomy not be performed routinely and not to use oxytocin systematically. It is not recommended to expect the active phase of labor to start the epidural analgesia if patient requires it. If early epidural analgesia was performed, the administration of oxytocin must not be systematic. If dystocia during the active phase, an amniotomy is recommended in first-line treatment. In the absence of an improvement within an hour, oxytocin should be administrating. However, in the case of an extension of the second stage beyond 2 hours, it is recommended to administer oxytocin to correct a lack of progress of the presentation. If dynamic dystocia, it is recommended to start initial doses of oxytocin at 2 mUI/min, to respect at least 30 min intervals between increases in oxytocin doses delivered, and to increase oxytocin doses by 2 mUI/min intervals without surpassing a maximum IV flow rate of 20 mUI/min. The reported maternal adverse effects concern uterine hyper-stimulation, uterine rupture and postpartum haemorrhage, and those of neonatal adverse effects concern foetal heart rate anomalies associated with uterine hyper-stimulation, neonatal morbidity and mortality, neonatal jaundice, weak suck/poor breastfeeding latch and autism. Conclusion The widespread use of oxytocin during spontaneous labour must not be considered as simply another inoffensive prescription without any possible deleterious consequences for mother or foetus. Conditions for administering the oxytocin must therefore respect medical protocols. Indications and patient consent have to be report in the medical file. © 2016 Elsevier Masson SAS
Revue Sage - Femme

hal-01467543
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01467543
DOI : 10.1016/j.sagf.2016.11.006

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 John Libbey Eurotext
Résumé : National audience
The most recent data on prevalence of chronic hepatitis B and C in the French Overseas Territories (FOT) show great variability among these territories with a prevalence rising from 0.46 to 3.4% for HBs Antigen and from 0.02 to 0.67%for anti HCV antibodies. The modes of transmission rely mainly for HBV on sexual or materno-fetal exposure, especially among people from non-French border endemic areas, and for HCV on blood or nosocomial route. Good adhesion of the treating physicians and pediatricians to vaccination has significantly reduced the prevalence of HBV in the ten past years, with an estimated coverage of 75 to 85%depending on the territories. Although there is still a high prevalence of HBV in some FOT, the screening policy and management are based on those carried out inmetropolitan France, which seems insufficient and inadequate to the situation of these territories. Regarding the therapeutic management of HCV, the means attributed to FOT have been identical to those of metropolitan France but the small number of specialist practitioners and remoteness contributed to provision of new molecules later in certain territories. Medical pluridisciplinary sessions have been implemented and based on the universitary or regional hospitals. Copyright © 2017 John Libbey Eurotext.
ISSN: 2115-3310

hal-01485859
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01485859
DOI : 10.1684/hpg.2016.1379

Éditeur(s) : HAL CCSD American Geophysical Union
Résumé : International audience
Rheological properties of mantle minerals and rocks at temperatures (T) appropriate to much of Earth's lithosphere have remained poorly constrained, even though past experimental studies on olivine single crystals and polycrystalline aggregates have quantified the high-temperature creep mechanisms (T > 1200 degrees C). Consequently, we have performed deformation experiments on crystals of San Carlos olivine at lower temperatures, from 900 degrees to 1200 degrees C, in triaxial compression along the [101](c) direction. The experiments were carried out at a confining pressure of 300 MPa in a high-resolution gas-medium mechanical testing apparatus at differential stresses of 100 to 500 MPa. Several samples were deformed at constant displacement rate and others at constant load, in order to provide insight into possible effects of work-hardening. Under the deformation conditions investigated, little evidence of work-hardening was observed. The data follow a power-law dependence on stress, as in previous high-temperature deformation studies. The samples were, however, considerably weaker than predicted by the experimentally determined high-temperature constitutive equation for olivine crystals of this orientation from the study of Bai et al. (1991). The mechanical behavior correlates instead with the weaker of the two mechanisms (flow laws) that contribute to the high-temperature constitutive equation. Thus, our experiments demonstrate that published high-temperature constitutive equations overestimate the strength of lithospheric mantle and that the transition to low-temperature creep occurs at lower temperatures than previously inferred. Citation: Demouchy, S., S. E. Schneider, S. J. Mackwell, M. E. Zimmerman, and D. L. Kohlstedt (2009), Experimental deformation of olivine single crystals at lithospheric temperatures, Geophys. Res. Lett., 36, L04304, doi: 10.1029/2008GL036611.
ISSN: 0094-8276

hal-00420070
https://hal.archives-ouvertes.fr/hal-00420070
DOI : 10.1029/2008GL036611

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Recent research has linked early life exposure to selective serotonin reuptake inhibitor medications (SSRIs) to modifications of social behaviors in children. Serotonin is a key regulator of neurodevelopment, social behaviors and mental health, and with the growing use of SSRIs to treat maternal affective disorders during the perinatal period, questions have been raised about the benefits and risks of perinatal SSRI exposure on the developing child. This review will highlight how perinatal SSRIs affect maternal care and neurodevelopmental outcomes related to social affiliative behaviors in offspring; such as play behaviors, social interactions, reproductive behaviors, and maternal care of the next generation. We will also review how early life exposure to SSRIs can alter related neurobiology, and the epigenome. Both clinical research and findings from animal models will be discussed. Understanding the impact of perinatal SSRIs on neurobehavioral outcomes will improve the health and well-being of subsequent generations.
ISSN: 0149-7634

hal-01619303
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01619303
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01619303/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01619303/file/Perinatal%20selective%20serotonin%20reuptake%20inhibitor%20medication_revised.pdf
DOI : 10.1016/j.neubiorev.2017.04.023

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
BACKGROUND: In the context of recent guidelines on invasive candidiasis (IC), how French intensive care units (ICUs) are managing IC? METHODS: This is a prospective observational multicenter cohort study. During 1 year (2012-2013), 87 French ICUs enrolled consecutive patients with suspected or proven IC (SIC or PIC) and receiving systemic antifungal therapy (SAT). Data were collected up to 28 days after inclusion. RESULTS: We studied 835 patients, 291 with PIC and 544 with SIC. At SAT initiation, patients with SIC were significantly more severe (SAPS II 50.1 ± 18.7 vs. 46.2 ± 18.0). Severe sepsis or septic shock prompted to initiate empiric SAT in 70 % of SIC. Within 4 days in median, the initial SAT was modified in 49 % of patients with PIC vs. 33 % patients with SIC. Modifications were most often motivated by mycological results, and de-escalation was the most frequent change. Regarding compliance to IC management guidelines, echinocandin was used for 182 (62.5 %) patients with PIC, and 287 (52.7 %) of those with SIC; central venous catheter was removed in 87 (54.3 %) of patients with candidaemia, and 43 of the remaining patients received echinocandin; and de-escalation was undertaken after 5 days of SAT in 142 patients, after 10 days in 13 patients. As 20.6 % of SIC were secondarily documented, 403/835 (48 %) patients had finally a proven IC. Candida albicans was the main pathogen (65.3 %), then Candida glabrata (15.9 %). The 28-day mortality rates were 40.0 % in candidaemia, 25.4 % in cIAI, and 26.7 % in deep-seated candidiasis. In the overall population of patients with proven IC, four independent prognostic factors were identified: immunosuppression (Odds Ratio (OR) = 1.977: 1.03-3.794 95 % confidence interval (CI), p = 0.04), age (OR = 1.035; 1.017-1.053 95 % CI; p  extless 0.001), SAPS extgreater46 on ICU admission (OR = 2.894; 1.81-4.626 95 % CI; p  extless 0.001), and surgery just before or during ICU stay (OR = 0.473; 0.29-0.77 95 % CI; p  extless 0.001). CONCLUSION: When SAT is initiated in French ICUs, the IC is ultimately proven for 48 % of patients. Empiric SAT is initiated in severely ill ICU patients. The initial SAT is often adapted, with de-escalation to fluconazole when possible. Mortality rate remains high
ISSN: 2110-5820

hal-01259216
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01259216
DOI : 10.1186/s13613-015-0103-7
PUBMED : 26743881

Éditeur(s) : HAL CCSD Wiley
Résumé : International audience
The contamination of indoor environments with chemical compounds released by materials and furniture, such as semi-volatile organic compounds (SVOCs) is less documented in schools than in dwellings - yet children spend 16% of their time in schools, where they can also be exposed. This study is one of the first to describe the contamination of the air and dust of 90 classrooms from 30 nursery and primary schools by 55 SVOCs, including pesticides, phosphoric esters, musks, polycyclic aromatic hydrocarbons (PAHs), polychlorobiphenyls (PCBs), phthalates and polybromodiphenylethers (PBDEs). Air samples were collected using an active sampling method, and dust samples were collected via two sampling methods (wiping and vacuum cleaning). In air, the highest concentrations (median extbackslashtextgreater 100 ng/m(3) ) were measured for diisobutyl-phthalate (DiBP), dibutyl-phthalate (DBP), diethyl-phthalate (DEP), bis(2-ethylhexyl)-phthalate (DEHP) and galaxolide. In dust, the highest concentrations (median extbackslashtextgreater 30 μg/g) were found for DEHP, diisononyl-phthalate (DiNP), DiBP and DBP. An attempt to compare two floor dust sampling methods using a single unit (ng/m²) was carried out. SVOC concentrations were higher in wiped dust, but frequencies of quantification were greater in vacuumed dust.
ISSN: 0905-6947

hal-01286254
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01286254
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01286254/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01286254/file/Semi-volatile%20organic%20compounds%20in%20the%20air%20and%20dust_accepted.pdf
DOI : 10.1111/ina.12288

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
BackgroundMalaria is endemic in French Guiana, an overseas territory of France on the Guiana Shield. Since 2005, notified malaria cases are decreasing. However, new data show that malaria affects many Brazilian gold miners working illegally in French Guiana, the majority of whom are not counted in official data. In addition, one major concern is the usual practice of improper self-treatment in this mining population, raising fear of the development of antimalarial resistance. This prospective study, conducted in 2015, aimed to estimate the prevalence of Plasmodium spp. in illegal gold miners working in French Guiana. MethodsThe recruitment of gold miners was carried out in resting sites along the French Guiana-Suriname border, where they go for supplies, medical care or leisure. After recording agreement, three malaria diagnostic methods were performed: rapid diagnostic test, microscopy and PCR,ResultsAmong 421 persons recruited in the study, malaria prevalence, detected by nested-PCR, was 22.3% (CI=[18.3-26.3], n=94/421) of which 84% were asymptomatic. ConclusionThis significant malaria reservoir in a mobile and illegal population with difficult access to a health care system raises the threat of artemisinin resistance and puts the population of the Guiana Shield at risk of new transmission foci while countries of the region aim at malaria elimination. Even though French legislation may hamper dealing with this population, France must face the reality of malaria in illegal gold miners in order to meet its commitment to malaria elimination.
ISSN: 1475-2875

hal-01346800
https://hal.archives-ouvertes.fr/hal-01346800
https://hal.archives-ouvertes.fr/hal-01346800/document
https://hal.archives-ouvertes.fr/hal-01346800/file/2016%2C%20Douine%20-%20Prevalence%20of%20Plasmodium%20spp.%20in%20illegal%20gold%20miners%20in%20French%20Guiana%20in%202015.pdf
DOI : 10.1186/s12936-016-1367-6

Éditeur(s) : HAL CCSD American Physical Society
Résumé : International audience
This is the second of two papers investigating the mechanical response of cemented granular materials by means of contact dynamics simulations. In this paper, a two-dimensional polydisperse sample with high void ratio is sheared in a load-controlled simple shear numerical device until the stress state of the sample reaches the yield stress. We first study the stress transmission properties of the granular material in terms of the fabric of different subsets of contacts characterized by the magnitude of their normal forces. This analysis highlights the existence of a peculiar force carrying structure in the cemented material, which is reminiscent of the bimodal stress transmission reported for cohesionless granular media. Then, the evolution of contact forces and torques is investigated trying to identify the micromechanical conditions that trigger macroscopic yielding. It is shown that global failure can be associated to the apparition of a group of particles whose contacts fulfill at least one of the local rupture conditions. In particular, these particles form a large region that percolates through the sample at the moment of failure, evidencing the relationship between macroscopic yielding and the emergence of large-scale correlations in the system.
ISSN: 1539-3755

hal-00523451
https://hal.archives-ouvertes.fr/hal-00523451
DOI : 10.1103/PhysRevE.82.011304

Éditeur(s) : HAL CCSD
Résumé : International audience
Metamorphic soles correspond to m to 500 m thick highly strained metamorphic rock units found beneath myloniticbanded peridotites at the base of large-scale ophiolites, as exemplified in Oman. Metamorphic soles aremainly composed of metabasalts deriving from the downgoing oceanic lithosphere and metamorphosed up togranulite-facies conditions by heat transfer from the mantle wedge. Pressure–temperature peak conditions areusually estimated at 1.00.2 GPa and 800100ºC. The absence of HP–LT metamorphism overprint implies thatmetamorphic soles have been formed and exhumed during subduction infancy. In this view, metamorphic soleswere strongly deformed during their accretion to the mantle wedge (corresponding, now, to the base of the ophiolite).Therefore, metamorphic soles and banded peridotites are direct witnesses of the dynamics of early subductionzones, in terms of thermal structure, fluid migration and rheology evolution across the nascent slab interface.Based on fieldwork and EBSD analyses, we present a detailed (micro–) structural study performed on samplescoming from the Sumeini window, the better-preserved cross-section of the metamorphic sole of Oman. Largedifferences are found in the deformation (CPO, grain size, aspect ratio) of clinopyroxene, amphibole and plagioclase,related to mineralogical changes linked with the distance to the peridotite contact (e.g., hardening due to theappearance of garnet and clinopyroxene).To model the incipient slab interface in laboratory, we carried out 5 hydrostatic annealing and simple-shear experimentson Griggs solid-medium apparatus. Deformation experiments were conducted at axial strain rates of 10-6s-1. Fine-grained amphibolite was synthetized by adding 1 wt.% water to a (Mid-Ocean Ridge) basalt powder asa proxy for the metamorphic sole (amphibole + plagioclase + clinopyroxene garnet assemblage). To synthetizegarnet, 2 experiments were carried out in hydrostatic conditions and with deformation at 800C with confiningpressure of 2 GPa. Another simple-shear experiment has been carried out at 800C and 1 GPa with fined-grainednatural garnet. With the aim of mimicking the early slab interface (between the metamorphic sole and bandedperidotites at the base of the ophiolite), 2 simple-shear deformation experiments with 2 layers have been carriedout at 800C and confining pressure of 1 GPa. The bottom layer was made of hydrated basalt powder and the toplayer was made of olivine.Fined-grained garnet-free amphibolite is significantly weaker than dunite but the appearance of harder mineralsin the amphibolite (garnet and clinopyroxene) has major implications on its rheological evolution. These resultsallow liking field observations of strain localization at the interface to the metamorphic sole formation
European Geosciences Union General Assembly 2016
Vienne, Austria

insu-01309394
https://hal-insu.archives-ouvertes.fr/insu-01309394

Éditeur(s) : HAL CCSD IEEE
Résumé : International audience
This paper proposes a novel automated approach for the categorization of cells in fluorescence microscopy images. Our supervised classification method aims at recognizing patterns of unlabeled cells based on an annotated dataset. First, the cell images need to be indexed by encoding them in a feature space. For this purpose, we propose tailored bio-inspired features relying on the distribution of contrast information. Then, a supervised learning algorithm is proposed for classifying the cells. We carried out experiments on cellular images related to the diagnosis of autoimmune diseases, testing our classification method on the HEp-2 Cells dataset of Foggia et al (CBMS 2010). Results show classification precision larger than 96% on average, thus confirming promising application of our approach to the challenging application of cellular image classification for computer-aided diagnosis.
ICPR 2012
Tsukuba, Japan

hal-00958856
https://hal.archives-ouvertes.fr/hal-00958856
https://hal.archives-ouvertes.fr/hal-00958856/document
https://hal.archives-ouvertes.fr/hal-00958856/file/icpr_2012.pdf

Résumé : Aux Antilles, la faible fréquence des coronaropathies pourrait être liée à des facteurs génétiques, ethniques et/ou une distribution spécifique des facteurs de risque cardio-vasculaire (FDRCV). Les propriétés l'ANP (Atrial Natriuretic Peptide) et l'influence de certains polymorphismes de son gène, fréquents dans les populations d'ascendance Africaine pourraient également être en cause. L'analyse des dossiers de 638 patients coronariens consécutifs a mis en évidence une forte prévalence de l'hypertension artérielle et du diabète dans cette population et révélé des différences significatives dans la prévalence des FDRCV entre Afro-Caribéens (AC), Caucasiens et descendants de migrants Indiens. L'analyse angiographique de 420 patients AC a révélé que le diabète était le FDRCV le plus fortement lié à la sévérité des lésions coronaires alors l'obésité apparaissait comme un facteur protecteur. La transfection in vitro, de cellules musculaires lisses artérielles par une construction adénovirale porteuse du gène de l'ANP a entrainé une inhibition de la prolifération et de la migration cellulaire de 31 % et 25% respectivement. In vivo, cet effet s'est traduit par une réduction de 25% de la formation néotimale et de 28% du rapport intima/média dans un modèle d'hyperplasie de carotide de rat. Dans étude transversale incluant 210 sujets diabétiques AC nous avons mis en évidence une association entre le polymorphisme rs5065 (22381>C) du gène de l'ANP et l'existence d'une coronaropatbie. Dans cette étude, l'odds ratio de la présence d'une coronaropathie chez les porteurs de l'allèle mineur de cette mutation (TC/CC) était de 0,50 (0,26- 0,96; P = 0,038).
In Guadeloupe and Martinique, the low frequency ofcoronary artery disease (CAD) could be related to genetic or ethniefactors and/or specifie distribution ofcardiovascular risk factors (CRFs). Atrial Natriuretic Peptide (ANP) properties and influence of sorne of ANP gene polymorphism that are frequent in populations of African descent could also be involved in CAD occurrence. We retrospectively studied 638 consecutive patients with documented CAO and found a high prevalence of hypertension and diabetes in this population. This study also demonstrated significant differences in the prevalence of CRFs between Afro-Caribbean (AC), Caucasians and Indians migrants. The angiographie analysis of420 patients revealed that in AC, diabetes emerged as the strongest CFR related to the severity ofcoronary lesions while obesity appeared as a protective factor. After transfection by an adenoviral construct carrying the ANP gene, vascular smooth muscle cell proliferation stimulated by 10% fetal calf serum was reduced by 31% and migration by 25%. In vivo, in rat carotid artery model ofvascular injury, neointima formation and intima/media ratio was reduced by 25% and 28% respectively. In a cross-sectional study inc1uding 210 AC diabetics we found an association between rs5065 (22381> C) polymorpbism and the presence of coronary artery disease suggesting that the minor allele could have a protective effect against CAD. The odds ratio for the presence ofCAD in carriers ofthe minor allele ofthis mutation (TC / CC) was 0.50 (0.26-0.96, P = 0.038).

http://www.theses.fr/2012AGUY0553/document

Résumé : Seawater, algae, micro-diets and Artemia are the main inputs in shrimp larval rearing. Each of them are potential carriers of pathogenic bacteria in the rearing media and weaken the animal in its early life stages. Daily monitoring of rearing water and larvae showed a bacterial spike after the first live feed meal. Vibrio settlement can be enhancedby giving Artemia with their incubation water where vibrio concentration can reach up to 105 CFU per milliliter. This study showed that simple measures such as rinsing and supplying Artemia with freshwater allowed a significant drop in their bacterial load.
L’élevage larvaire de crevettes nécessite l’utilisation de plusieurs intrants que sont l’eau de mer, les algues, les micro-particules et les Artemia. Chacun de ces intrants peut être une porte d’entrée potentielle de bactéries pathogènes et affaiblir l’animal dans les stades précoces. Des analyses bactériennes de l’eau d’élevage et des larves au quotidien montrent que c’est après l’introduction des proies vivantes que la flambée bactérienne est observée. La présence de vibrio peut être favorisée par la distribution des artémies dans leur eau d’incubation où il a pu être dénombré jusqu’à 105 CFU/ml. Cette fiche biotechnique montre qu’une mesure simple et efficace telle que le rinçage et la distribution des proies vivantes dans l’eau douce permet de réduire significativement la quantité de bactéries apportée par les Artemia.

Droits : 2008 Ifremer
http://archimer.ifremer.fr/doc/00118/22971/20801.pdf
http://archimer.ifremer.fr/doc/00118/22971/

Éditeur(s) : HAL CCSD
Résumé : International audience
Energy is a critical enabler. In tropical countries, access to modern electricity is vital to reducing poverty and improving health, increasing productivity and promoting economic growth. However, the International Energy Agency reported in 2015 more than 1.2 billion people still did not have access to electricity in 2013, around 80% of them live in developing and tropical countries. Then, the same agency report also in 2016 around 6.5 million premature deaths each year can be attributed to air pollution. Therefore, it is time to support appropriate renewable energy developments, particularly the river hydrokinetic developments seems to be a better solution in tropics because of large and powerful rivers in these areas.In French Guiana, 35% of the inland populations are still not connected to the electrical grid (Région Guyane, 2012). This could be ascribed to the fact that extending grid wires hundreds of kilometers through difficult terrain and thick jungles just to serve a small remote village is economically unviable initiative (Ajan et al., 2003; Anyi et al., 2010). As an alternative, French Guiana and most of the tropical countries resort to diesel-powered generators which requires significant imports of expensive fuel, difficult to bring into remote areas (Région Guyane, 2012).This works proposes guidelines to estimate river hydrokinetic fluxes in the vicinity of remote communities in tropics. The method is applied to identify and characterise potential sites along an important reach of the Maroni river in French Guiana. First, a novel method to carry out river terrain elevation model is presented and some results about the Maroni river are reported. It begins from how to conduct ADCP survey, which corrections on them should be made and ends up by interpolating bathymetry over curvilinear profiles which handle the flow lines. That approach involves how mutli-source data (sparse ADCP-cross profiles, incomplete LiDAR tiles and hydroligic data) are merged and combined to estimate local cross section shape, maximum water depth and carry out cross profile in ungauged sites.This is followed by a deep characterisation about time-evolution of hydrokinetic fluxes field in the areas of interest by implementation of a full 2D hydrodynamic model (TELEMAC2D) over an important reach of the Maroni river. To optimise computational cost, river sections outside the areas of interest are modelled as a porous media where only the flows variables up and down stream must fulfil the field data.
CAS
Deshaies, Guadeloupe

hal-01514240
https://hal.archives-ouvertes.fr/hal-01514240

Résumé : Cette étude a pour missions essentielles de comprendre et d’expliquer comment le passage d’une langue à une autre voire le mélange des deux codes langagiers qui se côtoient au sein de la population de la Guadeloupe, département français d’outre-mer, le français et le créole, peuvent, dans le cadre des échanges médicaux éducatifs, influencer la compréhension des mécanismes de la maladie par le patient, son acceptation et sa gestion.La justification de cette étude tient du constat que la prévalence de cette maladie chronique en Guadeloupe, l’asthme bronchique, est relativement importante, que la prise en charge reste perfectible malgré les recommandations de bonnes pratiques édictées par les sociétés savantes, et que certains patients ont du mal à comprendre les termes utilisés en français par leur médecin lors de l’annonce du diagnostic, ainsi que par les éducateurs chargés de leur apporter les outils de bonne gestion de cette maladie, ce qui n’est pas sans incidents en termes de morbidité et de mortalité.L’auteur décompose sa recherche autour de cinq grands thèmes :- La description du territoire d’étude, sur le plan géographico-climatique, historico-économique, sanitaire et social, la naissance d’une ère culturelle nouvelle générant une langue partagée par plus de 95% de la population et transmise au sein des familles et dans la communauté.- La présentation de l’éducation thérapeutique, démarche considérée par la communauté scientifique comme essentielle pour améliorer la prise en charge du patient et l’autogestion de la maladie, les plans gouvernementaux successifs traitant de cette matière.- L’état des connaissances sur l’asthme bronchique en France, dans le monde et en Guadeloupe plus particulièrement.- L’impact de la langue créole dans le processus de compréhension de la maladie à travers la relation soignant-soigné, et ses conséquences chez les natifs bilingues en termes d’acquisitions des outils d’autogestion en comparaison à l’utilisation du français.- La formulation de propositions de contextualisation didactique, tant en termes de formation des professionnels de santé par la préconisation de l’utilisation de la langue créole, par l’adaptation des outils psychopédagogiques au contexte local, que d’encouragement du patient à utiliser sa langue maternelle dans l’expression de ses ressentis.La recherche montre que la langue créole, utilisée autant au cours de la consultation par le médecin traitant et par le malade que pendant les séances d’éducation thérapeutique par les éducateurs et le public, influence les indicateurs de gestion de cette maladie.En conclusion, l’auteur défend l’hypothèse selon laquelle l’utilisation de la langue créole dans les échanges médicaux éducatifs chez les adolescents asthmatiques bilingues français-créole favoriserait la compréhension des mécanismes de la maladie asthmatique, la prise de conscience de sa gravité et la nécessité de se soigner pour éviter les complications, corollaire d’une bonne qualité de vie.
In Guadeloupe, a French Overseas Territory, the population uses French and Creole linguistic codes. The main goals of this thesis are to understand and to explain how a better use of French and Creole, within the framework of educational medical exchanges, can improve the understanding of the mechanisms of the disease by the patient, its acceptance and its management.The bronchial asthma is a chronic disease, which affects an important part of the Guadeloupian population. In spite of the recommendations promulgated by the medical scholars, the care of the patients can be improved in Guadeloupe. Certain patients have difficulty understanding the terms used in French by their doctor during the announcement of the diagnosis, as well as by the educators in charge of bringing them the tools of good management of this disease what is not without incidents in terms of morbidity and mortality.The author elaborates his research around five main themes:- The thorough description of the space studied in this thesis; the geography of the land, the history of the population, the impact of the economic; the presentation of the social and health care infrastructures; and furthermore the birth of a new cultural era generating a language shared by more than 95 % of the population and passed on within families and communities.- The presentation of the therapeutic education, the approach considered by the scientific community as essential to improve the management of the patient and the self-management of the disease, the successive governmental plans dealing with this subject.- The state of the knowledge on the bronchial asthma in France, in the world and in Guadeloupe more particularly.- The impact of the Creole language in the process of understanding of the disease within the healthcare relationships and its consequences at the bilingual natives in terms of acquisitions of the tools of self-management in comparison to the use of French.- The formulation of proposals of didactic contextualization regarding the training of the healthcare professionals; the recommendation to the healthcare workers to use the Creole language; the adaptation of the psycho-pedagogical tools to the local context; the encouragement to the patients to use their native language in the expression of their feelings.- Researches show that the Creole language used during the consultation by the regular doctor, but also during the educational sessions therapeutics by the educators influence the indicators of management of this disease. In conclusion, the author defends the hypothesis according to which, the use of the Creole language in the educational medical exchanges at the bilingual asthmatic teenagers French-Creole would favor the understanding of the mechanisms of the asthmatic disease, the awareness of its gravity and the necessity of looking after oneself to avoid the complications, corollary of a good quality of life.

http://www.theses.fr/2015AGUY0827/document