Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
BACKGROUND: The potential interest of antifungal treatment of non-immunocompromized patients with sepsis, extra-digestive Candida colonization and multiple organ failure is unknown. It represents three-quarters of antifungals prescribed in Intensive Care Units. It may allow early treatment of invasive fungal infection in the incubation phase but expose patients to unnecessary antifungal treatments with subsequent cost and fungal selection pressure. As early diagnostic tests for invasive candidiasis are still considered to be insufficient, the potential interest in this strategy needs to be demonstrated. METHODS: This prospective multicenter, double blind, randomized-controlled trial is conducted in 23 French Intensive Care Units. All adult patients, mechanically ventilated for more than four days with sepsis of unknown origin and with at least one extradigestive fungal colonization site and multiple organ failure are eligible for randomization. Patients with proven invasive candidiasis are not included. After a complete mycological screening, patients are allocated to receive micafungin 100 mg intravenously once a day or placebo for 14 days. We plan to enroll 260 patients. The main objective is to demonstrate that micafungin increases survival of patients without invasive candidiasis at day 28 as compared to placebo. Other outcomes include day 28 and 90 survival and organ failure evolution. Additionally, pharmacokinetics of micafungin in enrolled patients will be measured and evolution of fungal biomarkers and susceptibility profiles of infecting fungi will also be followed. DISCUSSION: This study will help to provide guidelines for treating non-immunocompromized patients with fungal colonization multiple organ failure and sepsis of unknown origin.Trial registration: Clinicaltrials.gov number NCT01773876.
ISSN: 1745-6215

inserm-00913515
http://www.hal.inserm.fr/inserm-00913515
http://www.hal.inserm.fr/inserm-00913515/document
http://www.hal.inserm.fr/inserm-00913515/file/1745-6215-14-399.pdf
PUBMED : 24261608

Éditeur(s) : HAL CCSD IOS Press
Résumé : International audience
Because of the metabolic changes induced by a physical activity, the hemorheological properties of patients with sickle cell anemia could be further impaired and increase the risks for vaso-occlusive complications. However, few studies suggest that moderate physical activity could be beneficial rather than harmful in patients with sickle cell anemia (SCA). However, the definition of what can be considered as a moderate physical activity in SCA patients is imprecise. The present study tested the effects of a short incremental cycling exercise test conducted until the first ventilatory threshold on different biomarkers. Hematological and hemorheological parameters were compared between 8 patients with SCA and 13 healthy subjects (CONT) before, immediately after the end of the exercise and at 12, 36 and 60 hours after the exercise. We observed no significant hematological or hemorheological alteration induced by the exercise in the two groups. However, the exercise resulted in a delayed improvement of the red blood cell disaggregation threshold at 36 and 60 hrs after exercise in the SCA group which was paralleled to the decrease in the platelet count in this group. The present study suggests that such an exercise might be beneficial for microcirculatory blood flow.
ISSN: 1386-0291

hal-01137567
https://hal.univ-antilles.fr/hal-01137567

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

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

Éditeur(s) : HAL CCSD Oxford University Press (OUP)
Résumé : Publication Inra prise en compte dans l'analyse bibliométrique des publications scientifiques mondiales sur les Fruits, les Légumes et la Pomme de terre. Période 2000-2012. http://prodinra.inra.fr/record/256699
Background and Aims Plastic tree-shelters are increasingly used to protect tree seedlings against browsing animals and herbicide drifts. The biomass allocation in young seedlings of deciduous trees is highly disturbed by common plastic tree-shelters, resulting in poor root systems and reduced diameter growth of the trunk. The shelters have been improved by creating chimney-effect ventilation with holes drilled at the bottom, resulting in stimulated trunk diameter growth, but the root deficit has remained unchanged. An experiment was set up to elucidate the mechanisms behind the poor root growth of sheltered Prunus avium trees. Methods Tree seedlings were grown either in natural windy conditions or in tree-shelters. Mechanical wind stimuli were suppressed in ten unsheltered trees by staking. Mechanical stimuli (bending) of the stem were applied in ten sheltered trees using an original mechanical device. Key Results Sheltered trees suffered from poor root growth, but sheltered bent trees largely recovered, showing that mechano-sensing is an important mechanism governing C allocation and the shoot-root balance. The use of a few artificial mechanical stimuli increased the biomass allocation towards the roots, as did natural wind sway. It was demonstrated that there was an acclimation of plants to the imposed strain. Conclusions This study suggests that if mechanical stimuli are used to control plant growth, they should be applied at low frequency in order to be most effective. The impact on the functional equilibrium hypothesis that is used in many tree growth models is discussed. The consequence of the lack of mechanical stimuli should be incorporated in tree growth models when applied to environments protected from the wind (e.g. greenhouses, dense forests).
ISSN: 0305-7364

hal-01032056
https://hal.archives-ouvertes.fr/hal-01032056
DOI : 10.1093/aob/mcn054

Éditeur(s) : Elsevier
Résumé : Foraminifera and ostracods have been quantitatively studied in core MD01-2472, from the upper continental slope (at water depth of 501 m), to evaluate their relationship with bottom water condition variability and decipher the control of the Levantine Intermediate Water (LIW) current on benthic faunas. The occurrence of reworked ostracod species (originating from the continental shelf) and, the presence of shallow water Elphidium/Ammonia benthic foraminifera are used to estimate the degree of along-slope transport at the core site. This has revealed two intervals of along-slope transport also associated with coarse-grained contourite deposits, deposited during the YD and HS2 episodes. Planktonic-benthic foraminiferal and ostracod assemblages reflect climate oscillations. Peaks of the polar planktonic Neogloboquadrina pachyderma (left-coiling S) may be used to identify Heinrich Events. Interstadials are marked by abundant ostracod species such as Paracypris sp., Argilloecia acuminata, and Cytheropteron alatum and the presence of benthic foraminifera like Bulimina marginata, Bulimina costata and Gyroidina altiformis. The B–A and Holocene are characterized by abundant warm water species of planktonic foraminifera and by the ostracod species Polycope sp. We hypothesize that there is relationship between LIW intensification during cold rapid climate events and benthic fauna assemblage variations due to changes in: 1) bottom water ventilation; and 2) the export of nutrients and/or sediment particles by bottom currents.
Quaternary International (1040-6182) (Elsevier), 2015-01 , Vol. 357 , P. 295-313

Droits : 2014 Elsevier Ltd and INQUA. All rights reserved.
http://archimer.ifremer.fr/doc/00245/35648/34208.pdf
DOI:10.1016/j.quaint.2014.11.038
http://archimer.ifremer.fr/doc/00245/35648/

Éditeur(s) : HAL CCSD Human Kinetics
Résumé : International audience
Purpose: Postexercise alveolar-capillary membrane-diffusing capacity (DLco) often decreases in highly trained endurance athletes and seems linked to their training status. To test the hypothesis that training status influences postexercise DLco, 13 male and 2 female triathletes (20.2 ± 4.4 y old, 175.2 ± 6.7 cm tall; weight in a range of 66.6 ± 7.4 kg to 67.4 ± 7.8 kg during the 1-y study) were randomized into experimental (n = 7) and control (n = 8) groups and performed VO2max cycle tests and simulated cycle-run successions (CR) of 30 min + 20 min after 3 periods in the competitive season. Methods: Both groups were tested before (pre- HTP) and after a 30-wk high-training period (HTP) with high training volume, intensity, and frequency. The experimental group was then also tested after a 6-wk low-training period (LTP) with low training volume, intensity, and frequency, while the control group continued training according to the HTP schedule for these 6 wk. Ventilatory data were collected continuously. DLco testing was performed before and 30, 60, and 120 min after the CR trials. Results: Whatever the period or group, DLco was significantly decreased 30 min after CR, with a significantly greater decrease in the experimental group than the control group in LTP (–15.7% and –9.3% of DLco, respectively). Conclusions: Six weeks of low training volume and intensity were sufficient to reverse the effects of high training volume and intensity on the alveolar-capillary membrane after a CR succession in competitive triathletes.
ISSN: 1555-0265

hal-01163434
https://hal.univ-antilles.fr/hal-01163434

Éditeur(s) : HAL CCSD
Résumé : National audience
Lors d’une EABPCO, on peut observer une altération des échanges gazeux (déséquilibres ventilation/perfusion ± hypoventilation alvéolaire) qui peut aboutir à une hypoxémie...
Revue Des Maladies Respiratoires

hal-01560282
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01560282
DOI : 10.1016/j.rmr.2017.03.031
PUBMED : 28502369

Éditeur(s) : HAL CCSD International Federation of Sports Medicine
Résumé : International audience
To study the exercise-induced arterial hypoxaemia (EIAH) kinetics in a world class Ironman triathlete at ventilatory threshold (TH vent), the authors simulated the cycle-run succession (CR, 20 min + 20 min) and a 20-min isolated run (R). Although 'moderate EIAH' was noted during CR, the SpO 2 kinetics of the isolated R reflected 'severe EIAH' from minutes 7 to 15 with a nadir of 85 % SpO 2 that stabilised at 90 % SpO 2 from minute 15 on. The physiological processes involved in these responses are discussed. These data indicate a systematic 'moderate EIAH' in a world class Ironman champion during CR and R at TH vent and a temporary 'severe EIAH' during R, which was attenuated when running was successive to cycling. The physiological significance of this phenomenon remains unclear, however, and further experiments are needed.
ISSN: 1528-3356

hal-01152346
https://hal.univ-antilles.fr/hal-01152346

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Two in situ concrete/claystone interfaces were sampled at the laboratory level in the Andra Meuse/Haute Marne (France) Underground Research Laboratory (URL) in order to study five years of interactions between Callovian-Oxfordian (COx) claystone and two cementitious materials (concrete bottom slab and shotcrete on the walls of the main gallery), with a specific focus on sulfur. Combined mineralogical, chemical and sulfur isotopic investigations were carried out to define the degree of the perturbation of the sulfur system in the claystone and in both the cementitious materials. At both interfaces, results show that the main perturbation on the claystone side is the formation of scarce μm-sized gypsum, the sulfur content of which is essentially derived from pyrite oxidation. The distribution of gypsum is highly correlated with the fissure network of the damaged zone due to excavation of the gallery. Its presence is also often associated with a loss of cohesion of the concrete/claystone interface. Due to the small amounts of gypsum and its μm-size, measurements were performed by ion microprobe. Adaptations were needed on account of the reactivity of gypsum and sulfates in general under the beam. The use of ion microprobe analysis provided evidence of high local isotopic heterogeneity that could be attributed to kinetic fractionation effects. Some analyses suggest a minor contribution of dissolved sulfates in pore water of claystone and possibly of concrete. The perturbation on the concrete side is marked by a significant increase in the bulk sulfur content within three millimeters of the interface with the claystone, showing a sulfur gradient from claystone to concrete. The main objective of this work was to define the extent of the chemical and mineralogical perturbations, taking into account in situ URL conditions, i.e. hydrodynamic conditions (shotcrete sprayed on the gallery walls and subjected to ventilation of the galleries), damaged zone of claystone induced by excavation and multi-scale heterogeneity. This identifies the relevant parameters to better constrain predictive reactive transport models of concrete/claystone interactions at a realistic scale.
ISSN: 0079-1946

hal-01055790
https://hal-brgm.archives-ouvertes.fr/hal-01055790
DOI : 10.1016/j.pce.2014.01.003

Éditeur(s) : HAL CCSD
Résumé : Correspondance : Dupraz@supagro.inra.fr
En conduite agroforestière, durant leurs premières années de croissance les arbres sont protégés par des abris individuels plastiques ventilés (disponibilité du C02, limitation de l'augmentation de temperature). Les arbres conduits en abri ont une croissance en biomasse totale comparable à celle des arbres sans abris (Dupraz, 1997b), mais présentent une croissance en hauteur plus importante,une croissance en diamètre inferieure (Bergez and Dupraz, 2000) et une biomasse racinaire plus faible de 17% (Dupraz, 1997a). Des études (Bergez and Dupraz, 2000 ; Dupraz and Bergez, 1999) ont conduit à éliminer la responsabilité des facteurs microclimatiques pour expliquer ces diffférences. Il restait un facteur explicatif : I'absence de sollicitation mécanique des arbres dans les abris. En effet, les sollicitations mécaniques telles que le vent induisent des mouvements des axes de plantes. Il a été démontré que les plantes ne perçoivent pas les forces auxquelles elles sont soumises mais leur état de déformation (Coutand and Moulia, 2000). Celle mécano-perception engendre des modifications de la croissance en dimension (Larson, 1954; Coutand et al., 2000) et de l'allocation de la biomasse des vegetaux (Niklas, 1998). Cette expérimentation avait donc pour but de voir si des arbres en abri soumis à des sollicitations mécaniques artificielles retrouvaient une croissance en dimensions et une répartition de la biomasse semblables à celle des arbres de plein vent. L'expérimentation a été conduite sur des merisiers d'un an et comportait 4 traitements : Abri, Abri+flexion artificielles, Sans Abri+vent, Sans abri+tuteurage. Les résultats ne montrent aucune différence de biomasse totale produite entre les 4 traitements. Par contre, les sollicitations mécaniques (naturelles ou artificielles) réduisent la croissance en hauteur (d'environ 60%), stimulent la croissance radiale d'environ 30% et induisent une allocation de la biomasse en faveur des racines. L'absence de sollicitations mécaniques est donc le facteur responsable des différences entre arbres en abri et arbres au vent.Quantitativement, les flexions artificielles n'étaient pas équivalentes à celles induites par le vent et n'ont pas mimé complètement les effets du vent. Reproduire les effets mécaniques du vent dans l'abri nécessite de parvenir à quantifier les variations d'état mécanique induites par le vent sur les axes des arbres. Ceci suppose donc d'abord de comprendre le couplage fluide-structure. Ce type de travail a été initié sur un couvet de luzerne, il explique les couplages vent-mouvements des tiges à la surface du couvert (Py, 2005). Ce type de travail pourrait servir de base à la prolongation de ce travail.
L'arbre isolé
Montpellier, France

hal-01032058
https://hal.archives-ouvertes.fr/hal-01032058

Éditeur(s) : HAL CCSD American Medical Association (AMA)
Résumé : International audience
IMPORTANCE Although frequently used in treating intensive care unit (ICU) patients with sepsis, empirical antifungal therapy, initiated for suspected fungal infection, has not been shown to improve outcome. OBJECTIVE To determine whether empirical micafungin reduces invasive fungal infection (IFI)-free survival at day 28. DESIGN, SETTING, AND PARTICIPANTS Multicenter double-blind placebo-controlled study of 260 nonneutropenic, nontransplanted, critically ill patients with ICU-acquired sepsis, multiple Candida colonization, multiple organ failure, exposed to broad-spectrum antibacterial agents, and enrolled between July 2012 and February 2015 in 19 French ICUs. INTERVENTIONS Empirical treatment with micafungin (100mg, once daily, for 14 days) (n = 131) vs placebo (n = 129). MAIN OUTCOMES AND MEASURES The primary end pointwas survival without proven IFI 28 days after randomization. Key secondary end points included new proven fungal infections, survival at day 28 and day 90, organ failure, serum (1-3)-beta-D-glucan level evolution, and incidence of ventilator-associated bacterial pneumonia. RESULTS Among 260 patients (mean age 63 years; 91 [35%] women), 251 (128, micafungin group; 123, placebo group) were included in the modified intent-to-treat analysis. Median values were 8 for Sequential Organ Failure Assessment (SOFA) score, 3 for number of Candida-colonized sites, and 99 pg/mL for level of (1-3)-beta-D-glucan. On day 28, there were 82 (68%) patients in the micafungin group vs 79 (60.2%) in the placebo group who were alive and IFI free (hazard ratio [HR], 1.35 [95% CI, 0.87-2.08]). Results were similar among patients with a (1-3)-beta-D-glucan level of greater than 80 pg/mL (n = 175; HR, 1.41 [95% CI, 0.85-2.33]). Day-28 IFI-free survival in patients with a high SOFA score (> 8) was not significantly different when compared between the micafungin vs placebo groups (HR, 1.69 [95% CI, 0.96-2.94]). Use of empirical micafungin decreased the rate of new invasive fungal infection in 4 of 128 patients (3%) in the micafungin group vs placebo (15/123 patients [12%]) (P =.008). CONCLUSIONS AND RELEVANCE Among nonneutropenic critically ill patients with ICU-acquired sepsis, Candida species colonization at multiple sites, and multiple organ failure, empirical treatment with micafungin, compared with placebo, did not increase fungal infection-free survival at day 28.
ISSN: 0098-7484

hal-01405822
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01405822
DOI : 10.1001/jama.2016.14655
PUBMED : 27706483

Éditeur(s) : HAL CCSD Elsevier Science
Résumé : International audience
Some anthropogenic noise is now considered pollution, with evidence building that noise from human activities such as transportation, construction and exploration can impact behaviour and physiology in a broad range of taxa. However, relatively little research has considered the effects of repeated or chronic noise; extended exposures may result in habituation or sensitisation, and thus changes in response. We conducted a field-based experiment at Moorea Island to investigate how repeated exposure to playback of motorboat noise affected a coral reef fish (Dascyllus trimaculatus). We found that juvenile D. trimaculatus increased hiding behaviour during motorboat noise after two days of repeated exposure, but no longer did so after one and two weeks of exposure. We also found that naïve individuals responded to playback of motorboat noise with elevated ventilation rates, but that this response was diminished after one and two weeks of repeated exposure. We found no strong evidence that baseline blood cortisol levels, growth or body condition were affected by three weeks of repeated motorboat-noise playback. Our study reveals the importance of considering how tolerance levels may change over time, rather than simply extrapolating from results of short-term studies, if we are to make decisions about regulation and mitigation.
ISSN: 0013-9327

Droits : http://creativecommons.org/licenses/by/
hal-01357915
https://hal-univ-perp.archives-ouvertes.fr/hal-01357915
https://hal-univ-perp.archives-ouvertes.fr/hal-01357915/document
https://hal-univ-perp.archives-ouvertes.fr/hal-01357915/file/1-s2.0-S0269749116304468-main.pdf
DOI : 10.1016/j.envpol.2016.05.058

Éditeur(s) : HAL CCSD Human Kinetics
Résumé : International audience
The aim of this study was to determine the physiological profile of young triathletes who began triathlon competition as their first sport. Twenty-nine male competitive triathletes (23 regionally and nationally ranked triathletes and 6 elite, internationally ranked triathletes) performed two tests, one on a cycle ergometer (CE VO2max) and one on a treadmill (TM VO2max). Results showed (a) no difference between CE VO2max and TM VO2max in the triathletes (69.1 +/- 7.2 vs. 70.2 +/- 6.2 mL x kg(-1) x min(-1), respectively), (b) values of CE VO2max and TM VO2max in elite triathletes (75.9 +/- 5.2 and 78.5 +/- 3.6 mL x kg(-1) x min(-1), respectively) that were comparable to those reported in elite single-sport athletes in these specialities, and (c) although the ventilatory threshold (Th(vent)) was similar in CE and TM, TM Th(vent) was consistently lower for triathletes than TM Th(vent) usually reported for runners.
ISSN: 1066-7814

hal-00720566
https://hal.univ-antilles.fr/hal-00720566
https://hal.univ-antilles.fr/hal-00720566/document
https://hal.univ-antilles.fr/hal-00720566/file/CJAP.pdf

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : National audience
Introduction L’objectif de cette étude est de disposer de données qualitatives et quantitatives sur la contamination de l’environnement intérieur hospitalier, microbiologique et chimique, afin d’évaluer l’exposition du personnel, des visiteurs et des patients et la variabilité spatio-temporelle de la contamination. Méthodes L’étude s’est déroulée dans différents lieux des CHU de Rennes et de Nancy : hall d’accueil, salle de soins infirmiers, salle de réveil post-opératoire, chambre d’un patient, unité de désinfection des endoscopes, laboratoire de parasitologie et salle de découpe de plâtres. Deux campagnes de prélèvement ont eu lieu en été 2014 et en hiver 2015. Les méthodes de prélèvement étaient nombreuses et complémentaires (Fig. 1). L’analyse des données a été réalisée sous IBM SPSS grâce au test de Mann-Whitney et le coefficient de corrélation de Pearson. Résultats Les concentrations d’aldéhydes, de composés organiques volatils (COV) et semi-volatils étaient faibles à très faibles dans les 2 établissements. Étaient détectables, mais sans différences globales entre les 2 établissements : la contamination fongique (m = 226 UFC/m3 ; p = 0,97) ou bactérienne (m = 352 UFC/m3 ; p = 0,14), les particules PM2,5 (m = 2,1 μg/m3 ; p = 0,97) et PM10 (m = 6,6 μg/m3 ; p = 0,84). Sur le plan saisonnier, la contamination fongique était plus importante en été pour les 2 établissements (p = 0,002). La contamination bactérienne ne varie pas significativement entre les locaux (p = 0,14) contrairement à la contamination fongique (p = 0,02) et particulaires PM2,5 (p = 0,01) ou PM10 (p = 0,01). Cette dernière est plus importante dans le hall (m = 879 UFC/m3), le laboratoire de parasitologie (m = 333 UFC/m3) et la salle de plâtre (m = 310 UFC/m3). Nous ne retrouvons pas de corrélation significative entre le nombre de personnes, le taux de CO2, l’humidité relative et le dénombrement bactérien ou fongique. Néanmoins nous retrouvons une relation forte entre la température du local et la contamination bactérienne (r = 0,7, p = 0,008) ou la contamination fongique (r = 0,56, p = 0,045) d’une part, et entre la contamination fongique et les PM10 (r = 0,52, p = 0,022) d’autre part. Conclusion Notre étude montre une très faible contamination par les aldéhydes, COV et sCOV comparativement à d’autres lieux publics. La forte variabilité spatio-temporelle de la contamination fongique et particulaire est liée à la saison, à l’activité et à la ventilation
ISSN: 1156-5233

hal-01334070
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01334070
DOI : 10.1016/j.mycmed.2016.04.026

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

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

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
After noting the forecast of a La Niña episode, associated with heavy rainfall in French Guiana, we monitored the fate of wasp nests before and during the 2006 short rainy season. The population of the most abundant epiponine wasp species, Polybia bistriata, decreased dramatically during the short rainy season (60.6% of the nests disappeared) then remained low for at least 18 months. Colonies that survived moved from the shelter of large, low leaves (a situation well adapted to the previous dry season) of the most frequent substrate tree, Clusia grandiflora (Clusiaceae), to upper leaves, better ventilated and whose orientation provides good protection from the rain. Therefore, the possibility of moving the nest higher during the first rains following the dry season seems very adaptive as colonies that do not do so are eliminated during the La Niña years, whose frequency will increase with global climate change.
ISSN: 1631-0691

hal-00817397
https://hal.archives-ouvertes.fr/hal-00817397
DOI : 10.1016/j.crvi.2009.10.007
PUBMED : 20176334

Éditeur(s) : HAL CCSD Oxford University Press (OUP)
Résumé : International audience
OBJECTIVES: Invasive fungal disease (IFD) remains a major concern in patients with haematological conditions. We describe diagnoses, therapeutic management and outcomes in unselected consecutive patients from haematological facilities treated for suspected or documented IFD. METHODS: In this observational prospective study, children/adults with haematological conditions or haematopoietic stem cell transplantation (HSCT) were recruited upon start of non-prophylactic systemic antifungal treatment in 37 French haematological facilities (December 2007 to December 2008). IFD episodes were classified according to the 2008 EORTC/MSG criteria. RESULTS: The cohort included 419 patients (298 adults and 121 children): 88% haematological malignancies, 28% HSCT recipients and 68% neutropenic. Patients had 423 IFD episodes: 21% mycologically documented (59% probable/proven aspergillosis, 32% proven candidiasis and 9% probable/proven other IFD) and 20% classified as possible IFD. The remaining cases were assigned to two groups: febrile neutropenia (34%) and unclassified (25%), 9% of which were classified as possible/probable/proven IFD by day 7. Treatment was thus initiated early in 59% of patients; liposomal amphotericin B and caspofungin were the most common single-agent therapies. The 12 week mortality was 18% for probable/proven aspergillosis, 15% for proven candidiasis, 10% for probable/proven other IFD, 9% for possible IFD, 3% for febrile neutropenia and 12% for unclassified episodes (log rank P = 0.016); it was dependent on age, complete remission of underlying haematological disease and mechanical ventilation. CONCLUSIONS: In this comprehensive sample of haematological patients receiving antifungal treatment, we observe a widespread resort to early therapy and a low mortality rate, including in patients with probable or proven IFD.
ISSN: 0305-7453

hal-00874741
https://hal.archives-ouvertes.fr/hal-00874741
DOI : 10.1093/jac/dks266
PUBMED : 22850692

Éditeur(s) : HAL CCSD
Résumé : International audience
The aim of this study was to examine the heart rate (HR) response to Olympic windsurfing competition and to check if there was any correlation between racing HR, performance, and the variables measured during laboratory maximal exercise. Ten elite windsurfers [age: 20.93 (3.46) years; height: 178.10 (6.34) cm; body mass: 66.79 (5.90) kg] performed a laboratory maximal oxygen consumption (VO2max) trial and national windsurf competitions wearing a HR monitor. One hundred and forty-three individual races were examined. Racing HR was expressed as a percentage of (1) HRmax (maximal treadmill HR) and (2) HRreserve (HRmax)HRrest). The performance (racing classification: RC, which is inversely proportional to performance) was significantly correlated to the racing HR response in both light wind (LW): LW)RC=)0.12(%HRreserve)+13.03; r=)0.71, r2=0.50, p<0.001, and medium wind (MW): MW)RC=)0.11(%HRreserve)+10.99; r=)0.66, r2=0.43, p<0.001. The results showed similar correlations between performance and %HRmax. Post racing lactate concentration was higher in LW compared to MW [7.14 (0.21) and 5.18 (2.02) mmolÆl)1, respectively]. There was a negative correlation between the highest racing HR (%HRreserve) of each athlete and the second ventilatory threshold expressed as a percentage of VO2max (r=-0.71, p<0.05). To summarize, this study showed that light and medium wind Olympic windsurfing performances are highly dependent on the capacity of the athlete to maintain a high HR for long periods of time. Furthermore, windsurfing is highly dependent on the athlete's physical fitness level as shown by the correlations between racing HRs and laboratory physiological variables.
EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY

hal-00720564
https://hal.univ-antilles.fr/hal-00720564
https://hal.univ-antilles.fr/hal-00720564/document
https://hal.univ-antilles.fr/hal-00720564/file/Chamari_Wind_surf_and_Heart_rat.pdf

Éditeur(s) : HAL CCSD PubMed
Résumé : International audience
The aim of this study was to measure the heart rate (HR) response of eight elite water polo players during the four 7-min quarters of the game and to check for relationships with the physiological parameters of performance ( ·VO2max, Th1vent, Th2vent). Each athlete performed a ·VO2max treadmill test and played a water polo game wearing a heart rate monitor. The game fatigue index was calculated as the ratio of the fourth-quarter HR to the first-quarter HR: HR4/HR1. The results showed a slight decrease in fourth-quarter HR compared with the first quarter, with the mean four-quarter HR equal to 79.9 ± 4.2% of HRmax. Stepwise multiple regression analysis showed ·VO2max to be the main explanatory factor of game intensity, i.e. game HR expressed in %HRreserve (R=0.88, P<0.01). We observed that higher aerobic capacity resulted in higher game intensity. We also observed a decrease in the playing intensity in the fourth quarter compared with the first, likely due to very high game involvement. We concluded that high aerobic capacity seems necessary to ensure high game intensity in water polo. This suggests that coaches should encourage their athletes to reach a minimum level of ·VO2max and that HR monitoring could be of great interest in the control of water polo training sessions.
ISSN: 0860-021X

hal-01158208
https://hal.univ-antilles.fr/hal-01158208
DOI : 10.5604/20831862.1083277