Éditeur(s) : Elsevier Science Bv
Résumé : During the Echolag cruise (13 February-8 March 2007), the effect of 16-30 knot trade winds on abundance, community structure and dynamics of phytoplankton was investigated in the southern part of the New Caledonian coral reefs and surrounding oceanic waters. In this area, the coral reefs form two horn-like structures (hereinafter referred to as 'horn reefs'), oriented south-east, and separated by a relatively deep valley. Three repeated samplings at one week intervals of a 32 station array showed that trade winds induce surface water cooling and significant enrichment of mid- and bottom waters above the reef shelf. This enrichment appeared as the result of a general rise of the oceanic thermocline and nitracline due to the combination of trade winds and tidally-generated internal waves between the horn reefs. It was accompanied by a factor of 1.5 and 2.3 mean increase for the chlorophyll concentration and picoplankton-nanoplankton cell number, respectively. From diel variations of in vivo chlorophyll a fluorescence and hourly sampling, phytoplankton gross growth rate was estimated to be 1-1.35 divisions per day and was quasi balanced with phytoplankton mortality for a 24 h period.
Journal Of Marine Systems (0924-7963) (Elsevier Science Bv), 2010-09 , Vol. 82 , N. 4 , P. 230-244

Droits : 2010 Elsevier B.V. All rights reserved.
http://archimer.ifremer.fr/doc/00013/12437/9258.pdf
DOI:10.1016/j.jmarsys.2010.05.010
http://archimer.ifremer.fr/doc/00013/12437/

Éditeur(s) : HAL CCSD Elsevier [Commercial Publisher]
Résumé : International audience
BACKGROUND: Pneumocystis jiroveci pneumonia in HIV-negative immunocompromised patients is associated with high mortality rates. Although trimethoprim-sulfamethoxazole (TMP-SMX) provides a very effective prophylaxis, pneumocystosis still occurs and may even be emerging, due to sub-optimal characterization of patients most at risk, hence precluding targeted prophylaxis. METHODS: We retrospectively analyzed all cases of documented pneumocystosis in HIV-negative patients admitted in our institution, a referral center in the area, from January 1990 to June 2010, and extracted data on their underlying condition(s). To estimate incidence rates within each condition, we estimated the number of patients followed-up in our area for each condition, by measuring the number of patients admitted with the corresponding international classification diagnostic code, through the national hospital discharge database (PMSI). RESULTS: From 1990 to 2010, 293 cases of pneumocystosis were documented, of whom 154 (52.6%) tested negative for HIV. The main underlying conditions were hematological malignancies (32.5%), solid tumors (18.2%), inflammatory diseases (14.9%), solid organ transplant (12.3%), and vasculitis (9.7%). Estimated incidence rates could be ranked in three categories: i) high risk (incidence rates extgreater 45 cases per 100,000 patient-year): polyarteritis nodosa, granulomatosis with polyangiitis, polymyositis/dermatopolymyositis, acute leukemia, chronic lymphocytic leukemia, and non-Hodgkin lymphoma; ii) intermediate risk (25-45 cases per 100,000 patient-year): Waldenström macroglobulinemia, multiple myeloma, and central nervous system cancer; and iii) low risk ( extless 25 cases per 100,000 patient-year): other solid tumors, inflammatory diseases, and Hodgkin lymphoma. CONCLUSIONS: These estimates may be used as a guide to better target pneumocystosis prophylaxis in the groups most at risk.
ISSN: 0002-9343

hal-01063911
https://hal.archives-ouvertes.fr/hal-01063911
https://hal.archives-ouvertes.fr/hal-01063911/document
https://hal.archives-ouvertes.fr/hal-01063911/file/1-s2.0-S0002934314005907-main.pdf
DOI : 10.1016/j.amjmed.2014.07.010

Éditeur(s) : HAL CCSD
Résumé : Atmospheric carbon dioxide records indicate that the land surface has acted as a strong global carbon sink over recent decades, with a substantial fraction of this sink probably located in the tropics, particularly in the Amazon. Nevertheless, it is unclear how the terrestrial carbon sink will evolve as climate and atmospheric composition continue to change. Here we analyse the historical evolution of the biomass dynamics of the Amazon rainforest over three decades using a distributed network of 321 plots. While this analysis confirms that Amazon forests have acted as a long-term net biomass sink, we find a long-term decreasing trend of carbon accumulation. Rates of net increase in above-ground biomass declined by one-third during the past decade compared to the 1990s. This is a consequence of growth rate increases levelling off recently, while biomass mortality persistently increased throughout, leading to a shortening of carbon residence times. Potential drivers for the mortality increase include greater climate variability, and feedbacks of faster growth on mortality, resulting in shortened tree longevity. The observed decline of the Amazon sink diverges markedly from the recent increase in terrestrial carbon uptake at the global scale, and is contrary to expectations based on models.
ISSN: 1476-4687

hal-01204223
https://hal.archives-ouvertes.fr/hal-01204223
DOI : 10.1038/nature14283
PRODINRA : 294797
PUBMED : 25788097

Résumé : L’objet de cette thèse est de présenter les spécificités épidémiologiques, étiologiques et thérapeutiques de la pathologie neurovasculaire dans la population noire spécifique que constitue la population martiniquaise. En 1998, l’étude ERMANCIA I a permis de mettre en évidence une surincidence des accidents vasculaires cérébraux (AVC) en Martinique d’environ 40% par rapport à la métropole avec une haute prévalence de l’hypertension artérielle et du diabète. Ces résultats ont participé à la création en 2003 de la 1ère unité neurovasculaire aux Antilles. Le suivi à 5 ans des patients ERMANCIA I a révélé que la moitié était décédée et que 50% des survivants présentaient une démence vasculaire (soit le double des cohortes métropolitaines), probablement favorisé par une microangiopathie cérébrale sous-jacente souvent sévère amplifiant l’impact cognitif de l’AVC. Ce suivi a également permis d’identifier les faiblesses de la prévention secondaire en Martinique avec près de 80% des hypertendus qui restent mal équilibrés justifiant la création en 2006 d’un réseau de prévention. L’efficacité de ce réseau a été évaluée montrant un taux élevé de bon contrôle tensionnel (74% vs 39%, p=0,01) et une morbi-mortalité vasculaire moindre à 2,5 ans (8,3% vs 24%, p<0,001) que chez les patients contrôles. En 2012, ERMANCIA II a permis de révéler une diminution majeure (en moyenne 30%) de l’incidence des AVC dans la population martiniquaise et de la mortalité à 1 mois pour les patients ≤55 ans (20% vs 8%, p=0,03) probablement en raison d’une meilleure implémentation des mesures de prévention primaire et de la prise en charge en UNV respectivement. Nos données ont également permis de décrire certaines spécificités étiologiques des AVC chez les Martiniquais : grande fréquence de l’athérome intracrânien (pour lequel nous apportons des arguments en faveur d’une nouvelle classification), infarctus choroïdiens antérieurs dont nous décrivons le profil évolutif particulier, infarctus lacunaires multiples sévères. Deux étiologies plus « classiques » comme la drépanocytose et les IC sur morsure de serpent sont devenues anecdotiques. En revanche, une dysplasie carotidienne focale, étiologie déjà décrite mais supposée rare , pourrait être responsable d’un tiers des infarctus carotidiens d’origine indéterminée chez les Afro-Caribéens ≤55 ans exposant à un risque élevé de récidive sous traitement antiagrégant (28% à 14 mois), contre aucun pour les patients traités par endartériectomie. Sur le plan thérapeutique, nos résultats sont en faveur d’un surrisque hémorragique de la thrombolyse standard chez les patients martiniquais les plus âgés, probablement en rapport avec un cumul de lésions microangiopathiques plus important. En l’absence de neuroradiologie interventionnelle en Martinique, nos travaux montrent que certains patients avec occlusion artérielle proximale résistante à la thrombolyse IV standard peuvent bénéficier d’un complément de thrombolytique (0,1mg/Kg de tenecteplase). Une étude randomisée est prévue afin de mieux mesurer le potentiel thérapeutique de cette stratégie. Pour conclure, l’intérêt de ces données est que la population martiniquaise partage très probablement beaucoup de ses « particularités » avec d’autres populations noires encore peu décrites et pour lesquelles l’occidentalisation progressive du mode de vie risque d’accentuer le fardeau représenté par les AVC.
Our work presented herein aimed to describe the epidemiological, etiological and therapeutic features of the stroke pathology in the Martinican Afro-Caribbean population. In 1998, the first population-based epidemiological study, ERMANCIA I, showed a 40% greater firstever stroke incidence in Martinique compared to those observed in continental France, with a high prevalence of hypertension and diabetes. These results contributed to the creation, in 2003, of the first stroke unit in the Caribbean area. In the 5_year follow-up study, we found that half of the patients had died and that 50% of survivors were affected from vascular dementia (twice compared with continental French cohorts): this figure was probably favored by severe underlying cerebral microangiopathy that amplified the cognitive impact of stroke. We also identified a failure in the secondary prevention in Martinique, certified by nearly 80% of hypertensive patients still insufficiently controlled. As a result, in 2006, we developed a well-structured stroke prevention network. The efficiency of this network was attested by the high rate of good blood pressure control (74% vs. 39%, p=0.01) and the reduced vascular morbidity and mortality rate (8.3% vs. 24%, p <0.001) after a 30-month period of activity, in comparison with control “historic” patients. In 2012, ERMANCIA II study revealed a 30% reduction of first-ever stroke incidence and a reduced mortality rate at 1 month for patients ≤55 years (8% vs. 20%, p = 0.03), compared to these observed in ERMANCIA I, likely due to improvement of primary stroke prevention and the best stroke unit management at the acute phase, respectively. Based on our etiological data, we underline: 1) the relatively high frequency of symptomatic intracranial atherosclerosis, for which we propose a new definition; 2) the clinic-radiological features of stroke in the anterior choroidal artery; 3) the atypical picture of “malignant” multilacunar syndrome. On the other hand, stroke due to sickle cell disease or “trigonocephale” snakebite were only anecdotal. However, we found that carotid-bulb atypical fibromuscular dysplasia (CAFD), a very unusual previously described cause of stroke, could be responsible for up to the third of carotidterritory stroke of so-called undetermined etiology among patients ≤55 years. In addition, the relatively high rate of recurrence under antiplatelet (28% at 14 months), was dramatically reduced by endarterectomy in patients with CAFD. From a therapeutic point of view, our results showed an excess rate of post-thrombolysis symptomatic intracerebral hemorrhages in older patients, a figure probably linked to the severe underlying hypertension-triggered cerebral microangiopathy. Owing to the lack of neurointerventionnal option in Martinique, we tested a new therapeutic strategy in patients with a proximal arterial occlusion not responsive to standard IV thrombolysis, consisting in an additional administration of IV tenecteplase, 0.1mg/kg. Our preliminary results were promising, leading us to plan a randomized study. Finally, most of the characteristics of stroke in this Afro-Caribbean population are probably shared by the majority of black people. Thus, our results could have a universal impact in the understanding of stroke burden in blacks.

http://www.theses.fr/2015AGUY0909/document

Résumé : The New-Caledonian shrimp industry is based on the controlled reproduction of the shrimp Litopenaeus stylirostris, a species which was introduced in the 80s. The major difficulty to which the industry has been faced for 10 years is the occurrence of the "syndrome 93", which corresponds to mortality phases when the temperature falls down in April-May-June. This mortality is associated to the pathogenic bacteria Vibrio penaecida and is expressed at different levels which are variable from year ta year and from pond to pond. No resistance to this pathology has been developed spontaneously. This is likely due to the protocole used to rear spawners, which does not allow to implement an efficient selective pressure at each generation An experimental selection on the criteria of survival after picks of syndrome 93 has been conducted at the Laboratoire Aquacole de Calédonie. The 3rd selected generation demonstrates survival rates improved by 20% during experimental infections with V. penaeicida in comparison with a non selected control population of same genetic origin. The comparison of the correlated responses on the level of expression of 5 genes which are potentially implicated in immunity phenomena (Peneidins, lysozyme, transglutaminase. profiline, annexine) shows that the selected population has a level of expression in lyzozyme twice higher than the control population. This result suggests that the lysozyme could be a genetic marker which could be used in a selective breeding program to he developed in relation with the private hatcheries.
La filière crevette de Nouvelle-Calédonie repose sur la maîtrise de la reproduction contrôlée de la crevette Litopenaeus stylirostris, espèce introduite dans les années 80. La difficulté majeure que rencontre la filière depuis une dizaine d'années est la récurrence du « syndrome 93 », qui correspond à des épisodes de mortalités lors des baisses de température en avril-mai-juin. Ces mortalités sont associées à la bactérie pathogène Vibrio penaeicida et s'expriment à des niveaux d'intensité variable d'une année à l'autre et d'un bassin à l'autre. Aucune résistance vis-à-vis de cette pathologie ne s'est développée spontanément. Ceci est vraisemblablement lié au protocole employé pour l'élevage des géniteurs qui ne permet pas d'exercer une pression de sélection efficace à chaque génération. Une expérience de sélection sur un critère de survie à des épisodes de syndrome 93 a été menée au Laboratoire Aquacole de Calédonie. La 3ème génération sélectionnée montre des survies améliorées de l'ordre de 20% lors d'infections expérimentales à V. penaeicida par rapport à une population témoin non sélectionnée de même origine génétique. La comparaison des réponses corrélées sur le niveau d'expression de 5 gènes potentiellement impliqués dans les phénomènes de défense immunitaire (penaeidine, lysozyme, transglutaminase, profiline, annexine) montre que la population sélectionnée a un niveau d'expression en lysozyme deux fois plus élevé que la population témoin. Ce résultat suggère que le lysozyme pourrait être un marqueur génétique utilisable dans un programme de sélection à développer en relation avec les écloseries de production.

Droits : 2003 Ifremer
http://archimer.ifremer.fr/doc/00109/22020/19643.pdf
http://archimer.ifremer.fr/doc/00109/22020/

Éditeur(s) : HAL CCSD Paris, Masson et Cie
Résumé : National audience
Decreased frequency of pulmonary exacerbations, mainly related to immunomodulatory effects of macrolide antibiotics, has been demonstrated in bronchiectasis and chronic obstructive pulmonary diseases (COPD). Due to its tolerance, azithromycin is the antibiotic of choice for maintenance therapy at the dose of 250 mg per day or 500 mg × 3 per week (for body weight >55 kg). Maintenance therapy with macrolide could be proposed in selected patients with bronchiectasis or COPD with more than 3 acute exacerbations in the previous year or decreased lung function despite compliance with optimum treatment. The risk of sudden cardiac death with azithromycin is rare and controversial. It should be avoided in patients with a high baseline risk of cardiovascular disease, QT>450 msec, pulse rate>100 bpm and potential drug interactions, particularly those known to cause QT prolongation. It is recommended to search for hearing deficit (audiometry) and sputum culture positive for mycobacteria. Patients must also be aware that it can rapidly lead to macrolide resistance in commensal or pathogenic flora. Follow-up evaluation every 3 month can be proposed with medical history (hearing deficit) and electrocardiography. After one year, the treatment should be stopped in the absence of reduction in the frequency of exacerbations.
Points essentielsLes macrolides administrés au long cours permettent, grâce en partie à leurs propriétés anti-inflammatoires, de diminuer la fréquence des exacerbations dans la DDB et la BPCO.Du fait de sa tolérance, l’azithromycine est le macrolide de choix, pouvant être utilisé à la dose de 250 mg/j ou 500 mg 3 fois par semaine chez les patients de plus de 55 kg.Un traitement par macrolides au long cours pourrait être proposé à des patients atteints de DDB ou de BPCO ayant eu plus de 3 exacerbations l’année précédente ou ayant une dégradation de leur fonction respiratoire malgré un traitement de fond bien conduit.Du fait d’un risque rare et controversé de mort subite d’origine cardiaque, il ne doit pas être proposé en cas de pathologie cardiovasculaire évoluée, d’intervalle QT > 450 ms, de traitement pouvant allonger l’intervalle QT, de tachycardie > 100/min.Il est recommandé de s’assurer de l’absence de troubles auditifs (audiogramme) et de mycobactérie atypique dans les cultures des expectorations. Les patients doivent aussi être informés du risque d’apparition de résistance aux macrolides de la flore commensale et pathogène.Une surveillance clinique, avec en particulier la recherche de troubles auditifs et électrocardiographique, peut être proposée tous les 3 mois. L’absence de diminution de la fréquence des exacerbations, lors du bilan annuel, justifie l’arrêt du traitement.
ISSN: 0032-7867

hal-01073027
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01073027
DOI : 10.1016/j.lpm.2013.08.006
PUBMED : 24631048

Éditeur(s) : HAL CCSD Public Library of Science
Résumé : International audience
Outbreaks of the corallivorous crown-of-thorns seastar Acanthaster planci (COTS) represent one of the greatest disturbances to coral reef ecosystems in the Indo-Pacific, affecting not only coral reefs but also the coastal communities which rely on their resources. While injection approaches are increasingly used in an attempt to control COTS densities, most of them display severe drawbacks including logistical challenges, high residual environmental impacts or low cost-effectiveness. We tested a new alternative control method based upon acidic injections of cheap, 100% natural products. We investigated the lethal doses, intra-and inter-specific disease transmission and immune responses of COTS when injected with fresh lime juice (extracted from local Citrus arantifolia) and white spirit vinegar. High COTS mortality was achieved with small volumes: 10–20 ml per seastar induced death in 89%/ 97% of injected specimens after an average 34.3 h/29.8 h for lime juice and vinegar respectively. Highest efficiency was reached for both solutions with double shots of (2 × 10 ml) in two different areas on the body: 100% mortality occurred within 12–24 h, which is similar or faster compared with other current injection methods. Multiple immune measures suggested that death was very likely caused by pH stress from the acidic solutions rather than a bacterial infection. Contagion to either conspecifics or a variety of other reef species was not observed, even at COTS densities 15 times higher than the highest naturally reported. 10 to 20 l lime juice/vinegar could kill up to a thousand COTS at a cost of less than 0.05 USD per specimen; no permits or special handling procedures are required. We conclude that injections of lime juice and vinegar offer great advantages when compared to current best practises and constitute a cheap and natural option for all reefs affected by COTS.
ISSN: 1932-6203

Droits : http://creativecommons.org/licenses/by/
hal-01208272
https://hal-univ-perp.archives-ouvertes.fr/hal-01208272
https://hal-univ-perp.archives-ouvertes.fr/hal-01208272/document
https://hal-univ-perp.archives-ouvertes.fr/hal-01208272/file/journal.pone.0137605.pdf
DOI : 10.1371/journal.pone.0137605

Éditeur(s) : HAL CCSD
Résumé : The ovary is not solely the unique source of oocytes necessary for fertilization but also a crucial conductor of endocrine regulations of the reproductive system. In the fetal ovary, oocytes grouped in clusters are surrounded by somatic pre-granulosa cells, altogether delineated by a basement membrane and constituting ovarian cords. The formation of the definitive ovarian functional units requires their fragmentation into follicles formed by a single oocyte surrounded by granulosa cells and delineated by a basement membrane. This partitioning occurs within a tiny period and is dependent on the correct timing of the meiotic process, on an apoptotic wave that specifically targets oocytes and the remodelling of the basement membrane. Follicle formation is a crucial event of ovarian development because the follicle stock formed at the end of this process is non-renewable. Therefore, any disturbance of this process can lead to reproductive abnormalities in adulthood. Recent data on endocrine disruptors displaying estrogenic activity have involved the fragile estrogenic homeostasis in the process. We aimed at better understanding how the endogen estrogen 17b-estradiol (E2) contributes to follicle formation. To assess it, Sprague-Dawley rats were treated with E2 at different doses during follicle formation, /i.e./ in the 3 days following birth. We show that although this treatment impairs the development of the hepatic and ovarian detoxification systems, the female neonate is able to increase its estrogen clearance capabilities. Nevertheless, E2 treatment within this critical period triggers a dose-dependent decrease of oocyte number per ovary. Regardless of the E2 dose, puberty is advanced. All treated females are at least transiently fertile, yet these reproductive capabilities rapidly decline. A high (10 µg/day) dose of E2 leads to a secondary infertility characterized by anovulation that probably result from a dysfunction of the whole reproductive tract. By contrast, a lower (0.1 µg/day) dose of E2, that does not significantly modify neonatal oocyte survival, leads to a progressive reproductive senescence likely due to ovarian failure. Long-term troubles may originate from precocious E2 impact on the ovary since it disturbs ovarian transcriptome and produces many lesions on ovarian cell DNA.
L'ovaire est au cœur de la physiologie de la reproduction féminine. Il est à la fois à l'origine des ovocytes nécessaires à la fécondation et acteur des régulations endocrines du système reproducteur. Les ovocytes de l'ovaire fœtal sont groupés en amas bordés de cellules somatiques et d'une membrane basale, formant les cordons ovariens. Ces cordons ovariens se fragmentent pour former les follicules ovariens: un ovocyte bordé de cellules somatiques et d'une membrane basale. Cette fragmentation se déroule sur une courte période (/in utero/ chez la femme et juste après la naissance chez les rongeurs) et fait intervenir une vague de mort cellulaire programmée touchant les ovocytes pendant leur méiose et un remodelage de la membrane basale. La formation des follicules est une période cruciale du développement ovarien puisque le stock de follicules formés à l'issue de ce processus est non renouvelable. Son altération peut donc être à l'origine de troubles de la fonction de reproduction chez le futur adulte. Il existe une fragile homéostasie œstrogénique en place au moment de la formation folliculaire: chez la femme, l'ovaire se développe /in utero/, sous l'influence des œstrogènes circulants maternels et la production ovarienne fœtale. Chez les rongeurs, les follicules se forment lors de la levée de l'imprégnation hormonale maternelle au moment de la naissance. Nous avons souhaité comprendre comment le 17b-œstradiol (E2), œstrogène endogène, pouvait contribuer à la mise en place des follicules. Pour cela, des rattes Sprague-Dawley ont été traitées pendant la période de formation des follicules avec de l'E2 à différentes doses entre 0.01 et 10 µg/jour. Nos travaux démontrent que le traitement de rattes par des œstrogènes entre leur naissance et 3 jours induit une réduction dose-dépendante de leur nombre d'ovocytes. Bien que le traitement entrave le développement normal du système de détoxication hépatique et ovarien, l'animal est capable d'accroître ses capacités d'élimination des œstrogènes. Ces capacités sont toutefois insuffisantes pour bloquer les effets du traitement. Quelle que soit la dose d'E2 utilisée (0.1 ou 10 µg/jour), la puberté est plus précoce chez les femelles exposées mais toutes sont fertiles, au moins transitoirement. Cependant le traitement induit une dégradation rapide des capacités reproductives. L'E2 modifie la dynamique folliculaire chez l'adulte, longtemps après l'arrêt du traitement. Si une forte dose d'E2 réduit la survie des ovocytes lors de la formation des follicules et conduit à une infertilité secondaire due à un dysfonctionnement général du tractus reproducteur, une dose faible n'affecte pas la survie des ovocytes à court terme mais conduit à une sénescence reproductive précoce vraisemblablement d'origine ovarienne. L'origine de ces troubles pourrait résider dans les effets précoces de l'exposition à E2 : cette molécule altère le transcriptome ovarien et induit de nombreuses lésions de l'ADN des cellules ovariennes.
https://tel.archives-ouvertes.fr/tel-00953657

NNT : 2013REN1S107
tel-00953657
https://tel.archives-ouvertes.fr/tel-00953657
https://tel.archives-ouvertes.fr/tel-00953657/document
https://tel.archives-ouvertes.fr/tel-00953657/file/CHALMEY_Clementine.pdf

Éditeur(s) : Elsevier
Résumé : in this study we evaluated the effects of the probiotic Pediococcus acidilactici MA18/5M on shrimp, Litopenaeus stylirostris (also called Penaeus stylirostris), first on antioxidant defences and secondly on the oxidative stress status in the shrimps' haemolymph and digestive gland. We conducted two experiments with the same protocol in which shrimps were fed two diets for three weeks: a control diet and a probiotic diet containing 1 g of live P. acidilactici MA18/5M kg(-1). In the first experiment, the shrimps were found to be healthy over the trial period; no mortalities and non-detectable signs of infection were recorded. These resulted in high final survival rates (above 90% in both treatments). On the other hand, during the second trial, carried out at a period of increased risk for an outbreak of the summer syndrome, higher mortalities were recorded, associated with high V. nigripulchritudo prevalence and loads in the shrimp haemolymph. In healthy shrimps (trial 1), no detectable response of the antioxidant defence system and of oxidative stress bio-indicators were observed. However, feeding the probiotic significantly increased the total antioxidant status (TAS) and glutathione peroxidase activity, while all other parameters remained significantly unchanged. In the shrimps exposed to V nigripulchritudo (trial 2), the antioxidant response was characterized by higher antioxidant enzyme activities (superoxide dismutase and catalase) and higher oxidative stress level in the digestive gland (higher oxidized/reduced glutathione ratio, higher malonclialdehyde and carbonyl protein contents) compared to levels found in trial 1. However, shrimps fed the probiotic diet exhibited (i) significantly higher final survival rates (67 +/- 3%) compared to the control (47 +/- 4%) and (ii) a lower prevalence of V nigripulchritudo throughout the trial. Moreover, the antioxidant response and the oxidative stress level recorded in the digestive gland with shrimps submitted to the probiotic diet were lower. In the light of these results, we confirm that P acidilactici enrichment in shrimps' diet seems an effective way of reducing the susceptibility of shrimps to bacterial pathogens. (c) 2009 Elsevier B.V. All rights reserved.
Aquaculture (0044-8486) (Elsevier), 2009-09 , Vol. 294 , N. 3-4 , P. 306-313

Droits : 2009 Elsevier B.V. All rights reserved.
http://archimer.ifremer.fr/doc/2009/publication-6780.pdf
DOI:10.1016/j.aquaculture.2009.06.016
http://archimer.ifremer.fr/doc/00000/6780/

Éditeur(s) : ICES-CM-1982/B:14
Résumé : The survival rate of Nephrops escaping through the cod-end was recently studied in the Bay of Biscay. Over the 45mm meshed cod-end was put a 15mm meshed net in order to retain the Nephrops escaping though, the cod-end. Soon after hauling escaped Nephrops were returned on the sea-bed into cages. After an inversion of 60-78 hours, the average survived rate was about 70 %. However it was found increasing with the size of individuals. The value obtained, which is only a result of- the action oh several factors, may be lower than the true value. I he evolution, of this biological parameter according to the mesh size is discussed in the scope of assessments
Le taux de survie des langoustines s'échappant à travers les mailles d'un cul de chalut a été étudié dans le Golfe de Gascogne. Sur le cul de chalut muni d'un maillage de 45 mm a été ajoutée une double-pêche en un maillage de 15mm: afin de recueillir les langoustines échappées. Les langoustines ainsi retenues ont été ré immergées dans des casiers. Après une immersion de 60-78 heures, le taux ce survie moyen était de l'ordre de 70%- Le taux de survie augmente avec la taille ces individus. Le taux de survie moyen obtenu n'est qu'une résultante de divers facteurs. Cette résultante pourrait dans le cas présent, être un minorant. L'évolution de ce paramètre biologique en fonction de la taille des vailles est, en outre, discutée.

Droits : info:eu-repo/semantics/openAccess
http://archimer.ifremer.fr/doc/1982/acte-2339.pdf
http://archimer.ifremer.fr/doc/00000/2339/

Éditeur(s) : Elsevier
Résumé : The "Summer Syndrome", a septicemic vibriosis caused by Vibrio nigripulchritudo, is responsible for one of the two main seasonal mortalities which affect shrimp aquaculture in New Caledonia. It was identified for the first time in December 1997 in an intensive shrimp farm (called farm DF) and has been enzootic ever since. The "Summer syndrome" affects shrimp during warm-season growout. Although the geographic area concerned is limited, it is a potential threat for the industry in that the disease could spread. Analysis of grow out data from 1991 to 2002 in this farm was carried out in order to characterize the disease and the environmental conditions in relation to mortality. Results of farm DF were compared to data from farms not affected by the disease (called farms HC). The "Summer syndrome" occurs during the warm season which is characterized by an increase in water temperature and sunny duration. This disease is characterized by simultaneously highest densities and weakest drying duration between crops in the farms studied. Between 1991 and 2002, the increase of feed input and nitrogen rate in feed has led to a significant increase of the growth rate over the years in farm DF. At the same time, water management has not changed and has induced an increase in environmental waste production. In consequence, an early eutrophication of water is observed, which is concomitant with the beginning of the mortality outbreaks. This could play a role by inducing directly or indirectly a stress for shrimp and/or a growth and/or virulence factors of the pathogen.
Aquaculture (0044-8486) (Elsevier), 2006-08 , Vol. 261 , N. 3 , P. 1039-1047

Droits : 2006 Elsevier
http://archimer.ifremer.fr/doc/2006/publication-1868.pdf
DOI:10.1016/j.aquaculture.2006.08.036
http://archimer.ifremer.fr/doc/00000/1868/

Éditeur(s) : Elsevier
Résumé : The consequences of handling stress (fishing, transfer, eyestalk ablation) on shrimp broodstock are poorly documented. The weakness of farmed shrimp, Litopenaeus stylirostris, during winter is a major problem in New Caledonia, because of seasonal climate (tropical-sub-temperate). The transfer of broodstock in winter from earthen outdoor ponds to indoor maturation tanks in the hatchery (T=20 degrees C, Salinity=35 parts per thousand, fed shrimp) usually leads, after 48 h, to high mortality (up to 70%). Eyestalk ablation to induce ovarian maturation in females leads to further mortality. Starting from a background analysis of physiological disturbances (initial osmoregulatory imbalance) associated with handling stress (Wabete, N., Chim, L., Lernaire, P., Massabuau, J.-C., 2004. Caracterisation de problemes de physiologie respiratoire et d'echanges ioniques associes A la manipulation chez la crevette peneide Litopenaeus stylirostris a 20 degrees C. Styli 2003. Trente ans de crevetticulture en Nouvelle-Caledonie. Ed. Ifremer. Actes Colloq. 38, 75-84.), we developed aprotocol using a soft technology, based on modifications of water salinity, temperature and feeding regime. The aim was to minimize problems of osmoregulatory imbalance and associated mortalities. The protocol we developed, called the LSD OT protocol (Low Salinity and Diet, Optimal Temperature), was first evaluated on sub-adult shrimp (20-25 g) and then applied to broodstock. Survival after transfer and following eyestalk ablation, as well as reproductive achievement (spawning rate, nauplii number) was considerably improved when shrimps were transferred under "physiological comfort" i.e. warmed isosmotic water (26 degrees C and 26 parts per thousand) and unfed for 3 d. This new handling protocol, based on a better control of salinity, temperature and feeding conditions, has been transferred successfully to private hatcheries and already contributes to an increased profitability of New-Caledonian shrimp industry. (c) 2006 Elsevier B.V. All rights reserved.
Aquaculture (0044-8486) (Elsevier), 2006-09 , Vol. 260 , N. 1-4 , P. 181-193

Droits : 2006 Elsevier
http://archimer.ifremer.fr/doc/2006/publication-1880.pdf
DOI:10.1016/j.aquaculture.2006.06.041
http://archimer.ifremer.fr/doc/00000/1880/

Éditeur(s) : HAL CCSD Lippincott, Williams & Wilkins
Résumé : International audience
Purpose of review Toxoplasmosis in immunocompromised patients is associated with a high mortality rate. Molecular techniques are important tools to diagnose acute disease in immunocompromised patients, but there are various methods with variable efficiency. Some of them have been validated for the diagnosis of congenital toxoplasmosis, but the impact of their use has not been evaluated in immunocompromised patients. Recent findings Toxoplasmosis is of increasing importance in non-HIV immunocompromised patients. In addition, the picture of disease shows greater severity in South America, both in immunocompetent study participants and in congenitally infected infants. These epidemiological differences could influence the sensitivity of diagnostic methods. This review analyzes recent data on molecular diagnosis and compares them with older ones, in light of progress gained in molecular techniques and of recent epidemiological findings. Most recent studies were conducted in South America and used PCR targeting the B1 gene. PCR on blood could allow diagnosing a significant proportion of patients with ocular toxoplasmosis in Brazil. Summary Quantitative PCR methods with specific probes should be used to improve sensitivity and warrant specificity. Performance of quantitative PCR targeting the repeated 529 bp sequence for the diagnosis of toxoplasmosis in immunocompromised patients needs evaluation in field studies in South America and in western countries.
ISSN: 0951-7375

hal-01390970
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01390970
DOI : 10.1097/QCO.0000000000000275
PUBMED : 27191201

Éditeur(s) : Universite Montpellier II
Résumé : Since 1980, the expansion of a green macro-alga: Valonia aegagropila (C Agardh) is observed in Salses-Leucate lagoon (France). It is currently distributed in the north of the lagoon with important biomasses (40 gDW/m²) eroding the cover of Zostera noltii. The free form of the alga can be transported with the surface or bottom currents depending on seasons. It multiplies mainly by vegetative reproduction. There are few studies on the ecophysiological capacities of V. aegagropila. This work tries to answer why (physiological adaptation) and how (mechanical process of transport) the alga invaded the lagoon, with an approach including observations, experiments in controlled environment and biological and hydrodynamic models. The growth capacities depend on temperature and light intensities, the nutrients absorption rates and internal nitrogen and phosphorus internal quotas were measured and modelled using a Droop model based on internal quota. Vertically transport was studied with laboratory experiments and measurements of biomass transport were made into the lagoon. The biological model (growth, vertical transport, mortality) was coupled to the MARS 3D hydrodynamic model with a meshgrid of 160m. The results show an adaptation of the alga to low availability of phosphorus and an annual growth of biomass controlled by the availability of nutrient during winter. The alga seems to occupy the whole zones where growth is optimal and the risk of invasion of the southern part of the lagoon is limited. This work opens on research prospects on an ecological model (confronting physiological capacities and competition of V. aegagropila, Zostera noltii, green algae and primary production), new physiological experiments, ecological observations and potential valorisation of V. aegagropila.
Depuis 1980, est observée dans l'étang de Salses-Leucate l'expansion d'une macro-algue verte : Valonia aegagropila (C. Agardh). En 2004, elle était présente sur la presque totalité de la moitié nord de la lagune avec des biomasses importantes (jusqu'à 600 gPS/m²). L'algue envahit et érode également la couverture d'herbiers garant de la biodiversité, de la productivité et de la stabilité de l'écosystème. V. aegagropila se reproduit essentiellement de manière végétative (fragmentation des thalles) et possède la particularité de retenir de l'oxygène de la photosynthèse dans sa structure sphérique. Cet oxygène piégé lui donne la possibilité de mouvement sur la verticale et d'être transportée dans le domaine par les courants. Les conditions physico-chimiques de l'étang présentent de fortes variations saisonnières en salinité, en température et en turbidité, ainsi que des apports nutritifs faibles : la production primaire est principalement limitée par le phosphore. Il existe malheureusement peu d'informations sur V. aegagropila ainsi que trop peu de connaissances sur son écophysiologie. Elle semble vivre dans des milieux plutôt oligotrophe dans des régions tropicales à sub-tropicales. Ce travail basé sur une approche d'observations de terrain, d'expérimentations en milieu contrôlé (en laboratoire) et de modélisation des processus, a permis d'une part d'explorer les capacités adaptatives physiologiques de V. aegagropila aux conditions environnementales de l'étang et d'autre part de mettre à jour les modes de fonctionnement de la dynamique spatio-temporelle de la population. Les capacités de croissance ont été mesurées sur un large spectre de température et de lumière. Les capacités d'absorption des sels nutritifs dans l'eau et les facultés de l'algue à stocker l'azote et le phosphore dans ses tissus ont également été étudiées. D'autre part, un modèle de dynamique des populations a été conceptualisé puis développé. Les processus pris en compte dans ce modèle sont la croissance de l'algue (modèle à quota interne), la flottabilité de l'algue et la mortalité par surdensité. Ces processus ont été paramétrés en majeure partie par des expérimentations réalisées en laboratoire. Ce modèle 0D a par la suite était couplé au modèle hydrodynamique MARS3D (modèle Ifremer) mis en place sur la lagune de Salses-Leucate, utilisant deux grilles de calcul (160m ou de 80m de résolution). Les simulations réalisées permettent d'appréhender les capacités spatio-temporelles de la croissance de l'algue dans l'étang, le turnover annuel de la biomasse totale et les attracteurs de biomasse du système sous différents évènements météorologiques. Ces résultats sont comparés avec les répartitions cartographiques de la population observées in situ en 1999 et 2004 et des flux de biomasses mesurés au cours d'observations de terrain entre juin 2003 et septembre 2004. L'ensemble des résultats montre d'une part une adaptation de l'algue à évoluer dans un milieu pauvre en phosphore et d'autre part une croissance annuelle de la biomasse totale qui est principalement contrôlée par les apports hivernaux en sels nutritifs dans la lagune. Les résultats des simulations montrent également que V. aegagropila semble occuper à présent la majeure partie des zones favorables à sa croissance. Il est également montré que si sa capacité de mouvement peut favoriser la dispersion d'individus dans la lagune et accélérer la croissance de la population pour de faibles biomasses initiales, cette même capacité de mouvement joue plutôt un rôle de régulation de la population lorsque la biomasse totale devient importante. On peut penser que le risque de colonisation de l'herbier à zostère de la partie sud de la lagune (bassin de Salses) est limité. Ce travail ouvre enfin des perspectives de recherche sur l'amélioration du modèle de dynamique des populations de l'espèce, sur de nouvelles expérimentations à réaliser ou encore sur la surveillance écologique du milieu. Des propositions sont faites pour concevoir un modèle écologique confrontant les capacités physiologiques des macrophytes (algues vertes, Valonia et zostères) afin d'apréhender les phénomènes de compétitions et les modes de fonctionnement du réseau trophique de la lagune de Salses- Leucate. Des pistes sur la valorisation de la matière algale de V. aegagropila sont enfin proposées.

Droits : info:eu-repo/semantics/openAccess
http://archimer.ifremer.fr/doc/2006/these-2453.pdf
http://archimer.ifremer.fr/doc/00000/2453/

Éditeur(s) : HAL CCSD John Libbey Eurotext
Résumé : International audience
In mainland France, as in most Western countries, prostate cancer is the most frequent cancer in men. However, the incidence of this cancer is highly variable, depending on the region of the world. This variability is largely accounted for by differences in access to care, but also by environmental conditions and the ethnogeographic origins of the populations. The French West Indies--the archipelago of Guadeloupe and the island of Martinique--are unique in terms of their geography, environment and the lifestyle and origins of their populations. We report the incidence and mortality rates for prostate cancer in the French West Indies and also provide the first description of the major clinical and anatomical characteristics of this disease in this region.
ISSN: 0007-4551

hal-00671140
https://hal.archives-ouvertes.fr/hal-00671140
DOI : 10.1684/bdc.2008.0811
PUBMED : 19258223

Éditeur(s) : HAL CCSD
Résumé : International audience
Objective: In order to determine how risk factors of death among HIV-infected patients in French Guiana interact with one another and to define high risk population segments, an alternative statistical method to Cox proportional hazards models was used. Patients and methods: Data from HIV+ patients followed in the three main hospitals of French Guiana were used. Data were extracted from the prospective French Hospital Database for HIV (FHDH). To examine the nature of the relationships between time of death since the first consultation and a set of predictor variables (age at enrolment, gender, nationality, CD4 count at enrolment, presence or absence of HAART at enrolment, a declared addiction, and mode of acquisition of the virus) a survival tree analysis was used. Survival rates at 5 years and 10 years and their 95% confidence interval were also calculated. Results: This analysis permitted to reveal a new specific subgroup of HIV+ patients particularly at risk in French Guiana not already mentioned in the literature: the HIV+ female patients with a declared addiction. Conclusions: Prevention and care in this vulnerable segment of the HIV+ population identified by this methodology should be reinforced.
J AIDS Clinic Res

Droits : info:eu-repo/semantics/OpenAccess
inserm-00914956
http://www.hal.inserm.fr/inserm-00914956
http://www.hal.inserm.fr/inserm-00914956/document
http://www.hal.inserm.fr/inserm-00914956/file/2012_Hanf_-_Hierarchysur Determinants_Underlying_Death_among_HIV-Infected_patients_in_French_Guiana.pdf
DOI : 10.4172/2155-6113.1000172

Éditeur(s) : Academic Press Ltd- Elsevier Science Ltd
Résumé : Ensuring the sustainability of fish resources necessitates understanding their interaction with coastal habitats, which is becoming ever more challenging in the context of ever increasing anthropogenic pressures. The ability of coastal lagoons, exposed to major sources of disturbance, to provide resources and suitable habitats for growth and survival of juvenile fish is especially important. We analysed three lagoons with different ecological statuses and habitat quality on the basis of their eutrophication and ecotoxicity (Trix test) levels. Fish abundances were sampled using fishing and horizontal beaming acoustic surveys with the same protocols in the same year. The relative abundance of Anguilla anguilla, Dicentrarchus labrax or the Mugilidae group was not an indicator of habitat quality, whereas Atherina boyeri and Sparus aurata appeared to be more sensitive to habitat quality. Fish abundance was higher in the two lagoons with high eutrophication and ecotoxicity levels than in the less impacted lagoon, while fish sizes were significantly higher in the two most severely impacted lagoons. This leads us to suggest low habitat quality may increase fish growth rate (by the mean of a cascading effect), but may reduce lagoon juvenile abundance by increasing larval mortality. Such a hypothesis needs to be further validated using greater investigations which take into account more influences on fish growth and recruitment in such variable environments under complex multi-stressor conditions.
Estuarine Coastal And Shelf Science (0272-7714) (Academic Press Ltd- Elsevier Science Ltd), 2013-07 , Vol. 126 , P. 1-6

Droits : 2013 Elsevier Ltd. All rights reserved
http://archimer.ifremer.fr/doc/00148/25963/24083.pdf
DOI:10.1016/j.ecss.2013.03.011
http://archimer.ifremer.fr/doc/00148/25963/

Éditeur(s) : Université d'Angers
Résumé : In oyster farming areas, organic matter fluxes toward sediment is increased. Pacific oysters (Crassostrea gigas) reject organic-rich faeces and pseudofaeces as a result of filtration process. Organic matter can be consumed by benthic fauna, but in excess it can entails the reduction of benthic faunal species richness, abundance and biomass. Organic matter degradation also induces hypoxic (or anoxic) conditions in the sediment, and production of ammonia and sulfides in toxic concentrations. The main objective of this study is to assess the effects of oyster farming on benthic intertidal ecosystems in the Pertuis Charentais. Benthic macrofauna, living (stained) foraminifera, and physicochemical characteristics of the water column and sediment were used as indicators to evaluate these effects. A multidisciplinary approach was conducted across the Pertuis Charentais at 3 different spatial scales: an oyster trestle (micro-scale), an oyster culture area (meso-scale) and various sites across the Pertuis Charentais (macro-scale). The study was also realised at 4 different temporal scales: some months for the spatial micro-scale, every two weeks for 2 years at meso-scale and once per season during one year at macro-scale. In this study, I found that oyster farming enriches sediment in fine particles, organic matter (up to 12 %), particulate organic carbon (15-20 µg mg 1) and leads to high microphytobenthic biomass. Moreover, the association of seasonnal warming (during spring and summer), remineralisation of accumulated organic matter and short-term hypoxic conditions leads to sulfides and ammonium production. Consequently, the benthic biodiversity decreases and the population dynamic is disturbed. The population dynamic disturbance is characterised by fast abundance rises followed by high mortality rates. In these conditions, tolerant benthic macrofaunal (Cirratulidae, Spionidae and Capitellidae) and foraminiferal (Ammonia tepida and Cribroelphidium gunteri) species are promoted. AMBI index confirms "medium" ecological quality of oyster farming areas. On the contrary, across the control sites, sensible species are maintained (Amphipods, Rosalina cf. vilardeboana). Comparison of oyster farming techniques shows that on-bottom culture is less disturbing for benthic ecosystem than off-bottom culture. Axial tomodensitometry, an innovative method, was used to describe in 3D the sedimentary column organisation. I show that oyster farming modifies the sedimentary column functioning. Indeed, the macrofaunal diversity decrease leads to the modification of the functional diversity of assemblages. Thus, the vertical distribution of living foraminifera is limited in oyster farming areas, because their distribution is tightly related to macrofaunal bioturbating modes.
Dans les zones ostréicoles, les flux de matière organique sont importants, l'huître Crasssotrea gigas rejetant sous forme de pseudo-fécès et de fécès de grandes quantités de matière organique. De ce fait, bien que cette matière organique puisse être consommée par la faune benthique, sa surabondance peut provoquer une réduction de la richesse spécifique, de l'abondance et de la biomasse et provoquer sur le plan des processus biogéochimiques des déplétions en oxygène et l'apparition de substances comme l'ammonium et les sulfures dont les concentrations peuvent devenir toxiques. L'objectif principal de cette étude était donc de déterminer l'impact de l'ostréiculture, grâce à plusieurs indicateurs, sur le compartiment benthique d'un écosystème littoral comme les pertuis charentais. Pour évaluer ces effets, la macrofaune benthique et les foraminifères vivants benthiques ont été utilisés en association avec des mesures des paramètres physico-chimiques de la colonne d'eau et du sédiment. Une approche pluridisciplinaire a ainsi été menée dans les pertuis charentais à trois échelles spatiales différentes : à l'échelle d'une table ostréicole (micro-échelle), à l'échelle d'un site ostréicole (méso-échelle) et à l'échelle des pertuis charentais (macro-échelle). Dans les trois cas, un suivi dans le temps a été associé à une étude de distribution spatiale, quelques mois à micro-échelle, tous les quinze jours pendant deux années à méso-échelle et une fois par saison pendant une année à macro-échelle. Ces différentes approches ont permis d'avoir une vision pertinente de la dynamique et de la réponse fonctionnelle de la faune benthique aux changements induits par la présence de l'ostréiculture. La présence des cultures ostréicoles dans les pertuis charentais enrichit les sédiments en particules fines, en matière organique (12 %), en carbone organique particulaire (15-20 µg mg-1) et favorise une production microphytobenthique élevée. Pendant la période chaude de l'année printemps-été, la reminéralisation de la matière organique accumulée associée à des hypoxies temporaires a favorisé la production de sulfures et d'ammonium. Dans les stations soumises à l'ostréiculture, la diversité des assemblages diminue. La dynamique des espèces est caractérisée par des augmentations rapides des abondances suivies d'épisodes de mortalité. Les espèces tolérantes de la macrofaune benthique (Cirratulidae, Spionidae et Capitellidae) et des foraminifères vivants benthiques (Ammonia tepida et Cribroelphidium gunteri) sont favorisées. Le calcul de l'indice AMBI confirme la qualité écologique moyenne de ces sites. Au contraire, dans la station témoin, les espèces sensibles sont favorisées (Amphipodes, Rosalina cf. vilardeboana). La comparaison de la technique de culture sur table et de culture à plat a montré que la culture des huîtres à plat est moins perturbante pour le milieu. L'étude de la bioturbation a montré l'influence qui existe entre le mode de bioturbation des différents groupes de la macrofaune et la répartition verticale des foraminifères vivants dans la colonne sédimentaire. La diminution de la diversité des assemblages de la macrofaune dans les zones soumises à l'ostréiculture modifient la diversité fonctionnelle de ces assemblages et affectent le fonctionnement de la colonne sédimentaire, limitant la répartition verticale des foraminifères dans ces zones.

Droits : info:eu-repo/semantics/openAccess
http://archimer.ifremer.fr/doc/2007/these-2582.pdf
http://archimer.ifremer.fr/doc/00000/2582/

Éditeur(s) : HAL CCSD John Libbey Eurotext
Résumé : International audience
The principal gynaecological cancers (breast, ovary, uterus, and cervix) account for over 40% of cancers found in women worldwide. However, large differences exist, in both their incidence and geographical distribution. The French West Indies, through their location, environment, socio-economic development, lifestyle, nutrition and the origins of their populations, constitute territories with a very particular character in the heart of the Caribbean. These characteristics have an impact on public health and can affect the incidence of tumours. We report for the first time the incidence of these major gynaecological cancers in Guadeloupe. Breast, ovary and uterine cancers have lower incidences in Guadeloupe than in mainland France. By contrast, cervical cancer is more frequent in Guadeloupe than in mainland France. The mortality rates associated with breast cancer, ovary and uterine cancer are also lower in Guadeloupe than in mainland France, whereas the opposite pattern is observed for cervical cancer. These observations may be accounted for in part by a difference in the prevalence of established or suspected risk factors for each of these types of cancer.
ISSN: 0007-4551

inserm-00504624
http://www.hal.inserm.fr/inserm-00504624
DOI : 10.1684/bdc.2008.0810
PUBMED : 19258222

Éditeur(s) : HAL CCSD Springer Verlag
Résumé : International audience
We did a systematic review to assess quantitative studies investigating the association between interventions aiming to reduce air pollution, health benefits and equity effects. Three databases were searched for studies investigating the association between evaluated interventions aiming to reduce air pollution and heath-related benefits. We designed a two-stage selection process to judge how equity was assessed and we systematically determined if there was a heterogeneous effect of the intervention between subgroups or subareas. Of 145 identified articles, 54 were reviewed in-depth with eight satisfying the inclusion criteria. This systematic review showed that interventions aiming to reduce air pollution in urban areas have a positive impact on air quality and on mortality rates, but the documented effect on equity is less straightforward. Integration of equity in evidence-based public health is a great challenge nowadays. In this review we draw attention to the importance of considering equity in air pollution interventions. We also propose further methodological and theoretical challenges when assessing equity in interventions to reduce air pollution and we present opportunities to develop this research area.
ISSN: 1661-8556

hal-01118604
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01118604
PUBMED : 25255913
DOI : 10.1007/s00038-014-0608-0