Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : National audience
Contexte La qualité de l’air ambiant dans les enceintes de transports ferroviaires souterrains (EFS) est caractérisée par des particules en suspension riches en métaux, majoritairement du fer, et en carbone, dont la concentration massique est très supérieure à celle mesurée dans l’air ambiant extérieur aux EFS. Cependant, les risques sanitaires chez les travailleurs des EFS liés aux polluants chimiques de l’air présents dans ces enceintes ferroviaires ont été peu étudiés. Dans ce contexte, l’Anses a été saisie afin de dresser un état des connaissances et réaliser une évaluation des risques sanitaires (ERS) chez les travailleurs des EFS. Méthodes Un groupe de travail pluridisciplinaire a analysé les études publiées jusqu’en décembre 2014 et des données communiquées par les exploitants de transport. L’ERS a porté sur les travailleurs de l’exploitation, l’organisation du transport et des services, et des commerces qui exercent une activité durant les horaires de trafic des rames de voyageurs. L’exposition chronique des travailleurs a été estimée à partir des données de concentration inhalée en particules (PM2,5 et PM10), en éléments métalliques, en carbone, en hydrocarbures aromatiques polycycliques particulaires et en hydrocarbures aromatiques monocycliques, issues d’une campagne transversale de métrologie individuelle de la RATP. Cette exposition estimée a ensuite été comparée à une valeur toxicologique de référence (VTR ajustée, VLEP, NOAECHEC) pour calculer un indicateur de risque. Résultats Les risques sanitaires en lien avec les éléments métalliques évalués individuellement semblent négligeables. Concernant l’exposition chronique aux particules, une inflammation des voies respiratoires et des effets consécutifs à cette inflammation sont probables, sur la base d’un effet démontré par une étude de toxicité aiguë chez l’animal. Par analogie avec les particules de l’air ambiant extérieur, des effets délétères sont attendus sur la santé cardiovasculaire et respiratoire en lien avec l’exposition chronique de ces travailleurs aux particules des EFS. L’ERS présente néanmoins des incertitudes notables compte tenu notamment du corpus d’études épidémiologiques assez peu informatif et de l’absence d’étude toxicologique d’exposition chronique. Conclusion Des effets sanitaires sont attendus en relation avec l’exposition chronique des travailleurs à la pollution de l’air des EFS. Des travaux sont recommandés pour combler les lacunes des connaissances sur la toxicité à long terme des particules de l’air de ces enceintes ferroviaires, mais également sur l’exposition de certaines catégories de travailleurs de la maintenance vraisemblablement plus exposés
ISSN: 1775-8785

hal-01331986
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01331986
DOI : 10.1016/j.admp.2016.03.448
PUBMED : 26334607

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
Objective. — The aim of this study was to validate the French translation of the category-rating-10 used for assessing perceived exertion (RPE) when monitoring training loads. Methods. — Fifty athletes from individual (Taekwondo) and team sports (soccer) volunteered. Two forward translations, a reconciled version, and then a back-translation were completed to validate the final French version. French Session-RPE, heart rate, and duration were recorded for 622 training sessions.Results. —The comparability of language and similarity of interpretability using a Likert scale were 2 and 1, respectively. A high Cronbach’s coefficient ( = 0.77) was found. The intraclass correlation coefficient of session-RPE was 0.77. High correlations were determined between the session-RPE and HR-based methods during training sessions. The effect size was 0.97.Conclusion. — When monitoring training load, the French version of category-rating-10 exhibits similar reliability, validity, and sensitivity to change as the English version.
Objectif. — L’objet de cette étude était de valider la traduction franc¸aise de l’échelle de la Note de Catégorie-10 utilisée dans l’évaluation de la perception de l’effort pour contrôler la charge d’entraînement.Méthode. —Cinquante athlètes de sport individuel (taekwondo) et d’équipe (football) ont volontairement participé à l’étude. Deux traductions en mode direct, une version réconciliée, puis une traduction indirecte ont été effectuées pour évaluer la version franc¸aise finale. Lafréquence cardiaque, la durée et la charge d’entraînement quantifiée par la version franc¸aise ont été enregistrées durant 622 séances d’entraînement.Résultats. — La comparaison et la similarité de l’interprétation en utilisant l’échelle de Likert étaient de 2 et 1, respectivement. Un coefficient élevé de -Cronbach a été calculé ( = 0,77). Le coefficient de corrélation intraclasse de la RPE-de-séance était de 0,77. Des corrélations élevées ont été observées entre la RPE-séance et les différentes méthodes de contrôle de la charge d’entraînement basées sur la FC (les méthodes de Banister et d’Edwards). L’effet de taille de l’échantillon était de 0,97.Conclusion. —Dans le cadre du contrôle de la charge d’entraînement, la version franc¸aise de l’échelle de la Note de Catégorie-10 présente une similarité de fiabilité, validé et sensibilité aux changements avec la version anglaise.
ISSN: 0765-1597

hal-01163458
https://hal.univ-antilles.fr/hal-01163458
DOI : 10.1016/j.scispo.2012.07.008

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : National audience
o abstract
ISSN: 1297-9589

hal-01485265
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01485265
DOI : 10.1016/j.gyobfe.2016.08.010
PUBMED : 27665251

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
ISSN: 1631-0691

hal-01082613
https://hal-agroparistech.archives-ouvertes.fr/hal-01082613
DOI : 10.1016/j.crvi.2008.06.008

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : National audience
The immune system contributes to maintaining the integrity of the organism. It can be the target of many xenobiotics, and immunotoxicology attempts to analyze the immunological alterations caused by exposure to these xenobiotics. Several environmental pollutants are strongly suspected of acting on the immune system to cause a decrease in the organism protective functions. Thus, polycyclic aromatic hydrocarbons, well known for their carcinogenic effects, have also been shown to induce immunosuppressive effects, pro-inflammatory actions and some hypersensitivity reactions, involved in the development of various pathologies. These different immunotoxic effects have mainly been identified by experimental studies on animals and our knowledge of the effects on humans remains incomplete. To better understand the immunotoxic effects of exposure to environmental pollutants and their consequences for human health, it is appropriate to strengthen immunotoxicology studies on humans.
Le système immunitaire contribue à la surveillance et au maintien de l’intégrité de l’organisme. Il peut être la cible de nombreux xénobiotiques, et l’immunotoxicologie s’attache à étudier les différentes atteintes immunologiques induites par l’exposition à ces xénobiotiques. De nombreux polluants environnementaux sont fortement suspectés d’agir sur le système immunitaire pour entraîner une diminution des fonctions de protection de l’organisme. Ainsi, les hydrocarbures aromatiques polycycliques, bien connus pour leurs effets cancérogènes, se sont révélés également capables d’induire des effets immunosuppresseurs, d’entraîner des actions pro-inflammatoires et de majorer certaines réactions d’hypersensibilité, impliqués dans le développement de diverses pathologies. Ces différents effets immunotoxiques ont surtout été identifiés par des études expérimentales chez l’animal et la transposition de ces effets à l’homme reste incomplète. Pour mieux appréhender les effets immunotoxiques de l’exposition aux polluants environnementaux et leurs conséquences sur la santé humaine, il convient donc de renforcer les études en immunotoxicologie chez l’homme.
ISSN: 1775-8785

hal-01467562
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01467562
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01467562/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01467562/file/Effets%20immunotoxiques%20des%20polluants%20environnementaux_accepted.pdf
DOI : 10.1016/j.admp.2016.09.003

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : Normal faulting mechanisms observed in the northern foothills of the Central–Western Pyrenees are remarkable, since one expects thrust faults at a convergent plate boundary. To understand the mechanisms involved, we used numerical modeling and investigated the impact of the following processes: gravitational potential energy associated with topography and dense crustal blocks; isostatic compensation in response to denudation and/or sedimentation. To decipher the effects of each process, we designed three model geometries and added a pre-existing weak fault where most of the seismicity occurs. To evaluate our model results, we derived the fault slip rate from the focal mechanisms in the region where we have the fault in our model. We found a slip rate of ∼15 m/Ma, which is in agreement with our modelling results. We conclude that flexural rebound induced by surface processes is able to explain the seismicity in Central–Western Pyrenees.
ISSN: 1631-0713

hal-01346028
https://hal.archives-ouvertes.fr/hal-01346028
https://hal.archives-ouvertes.fr/hal-01346028/document
https://hal.archives-ouvertes.fr/hal-01346028/file/Genti.pdf
DOI : 10.1016/j.crte.2015.08.004

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
OBJECTIVE: In France, contraception is available for everybody; however, the number of abortion does not decrease, especially among young people. The aim of our study is to analyze, in the Guadeloupian context, the characteristics of underage people who ask for an abortion. METHODS: This retrospective study, analyses sociodemographic and medical characteristics of 129 teenagers, who had an abortion in 2010 in our abortion center. For 67 of them results of interviews with the psychologist were also reported. RESULTS: Preferentially from large single parent families, these underage people had a mean age of 15.9 years (± 1.12), 96.1% were born in France, 10.9% had had a previous pregnancy, 67.2% had an over 18 partner, 64.4% used contraception before the abortion. Main motivations for abortion were continuing studies and young age. Abortion occurs after 9 weeks of amenorrhea in 55.1% and 43.3% of underage people reported psychological problems linked to the abortion. CONCLUSION: From this profile, our study suggests some reflection which could help the fight against unwanted pregnancies in this particular population of underage people.
ISSN: 1297-9589

hal-01063657
https://hal.archives-ouvertes.fr/hal-01063657
DOI : 10.1016/j.gyobfe.2013.05.001

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : The Great Glen Fault (GGF) is a major lithospheric strike-slip fault system that cuts across the Caledonian orogenic belt of Scotland. It separates the Northern Highlands terrane from the Grampian terrane. Movement history along the fault extends at least into the Early Palaeozoic. The low-temperature history of the Scottish Highlands covers a significant period from the Late Palaeozoic to the Present, but the magnitude of vertical movements that affected the GGF area during that time is still a matter of debate. Fission track analysis on detailed vertical profiles in the Ballachulish and Strontian complexes, as well as on a profile oriented northeastwards across the GGF, reveals distributed differential vertical movements along the fault during the Late Palaeozoic. The Mesozoic denudation is estimated at a maximum of 2 km before a more recent widespread exhumation event that started at around 40–25 Ma, leading to 1.6 to 2 km of erosion. La Great Glen Fault (GGF) est un système décrochant lithosphérique majeur qui traverse la chaîne calédonienne d'Écosse. Il sépare les domaines des Northern Highlands et de Grampian. L'histoire tectonique de ce système remonte au moins au Paléozoïque inférieur. L'histoire de la dénudation des Highlands d'Écosse s'étend du Paléozoïque supérieur jusqu'au Présent, mais l'ampleur des mouvements verticaux ayant affecté la zone autour du système de la GGF pendant cette période est toujours sujette à débat. Les analyses traces de fission réalisées sur des profils verticaux dans les complexes granitiques du Ballachulish et de Strontian, ainsi que sur un profil plus au nord-est à travers la GGF, mettent en évidence des mouvements différentiels distribués de part et d'autre de la faille au Paléozoïque supérieur. La dénudation mésozoïque est estimée au maximum à 2 km, avant un dernier épisode de surrection généralisée à partir de 40–25 Ma, qui provoque environ 1,6 à 2 km d'érosion.
ISSN: 1631-0713

hal-00406583
https://hal.archives-ouvertes.fr/hal-00406583
DOI : 10.1016/j.crte.2006.12.005

Éditeur(s) : HAL CCSD Elsevier Elsevier Masson
Résumé : International audience
La maladie alcoolique du foie se caractérise par une stéatose précoce, qui, pour seulement 20 % des buveurs excessifs, peut évoluer vers la stéatohépatite ou la cirrhose. À l'heure actuelle, la description des facteurs de risque et des mécanismes cellulaires et moléculaires impliqués dans la progression de la maladie restent toujours incomplète. Ces dernières années, les radeaux lipidiques, microstructures de la membrane plasmique, ont été décrits comme une nouvelle cible de l'exposition à l'éthanol. Or les acides gras polyinsaturés oméga 3, présents naturellement dans certains aliments comme les poissons gras, se sont révélés être capables de modifier le microenvironnement physicochimique de ces microstructures avec des effets bénéfiques pour certaines pathologies comme l'inflammation ou le cancer. L'objectif de cette revue est ainsi d'établir un lien entre les altérations membranaires induites par les oméga 3 et leurs effets sur les mécanismes moléculaires impliqués dans la progression de la maladie alcoolique du foie.
ISSN: 0985-0562

hal-00966797
https://hal.archives-ouvertes.fr/hal-00966797
https://hal.archives-ouvertes.fr/hal-00966797/document
https://hal.archives-ouvertes.fr/hal-00966797/file/Acides_gras_polyinsaturA_s_omA_ga_3_et_toxicitA_hA_patique_de_la_A_thanol_rA_le_du_remodelage_membranaire.pdf
DOI : 10.1016/j.nupar.2013.10.003

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
ISSN: 1631-073X

hal-01683263
https://hal.univ-antilles.fr/hal-01683263
DOI : 10.1016/j.crma.2004.04.002

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
The seismological study of recent seismic crises near Oleron Island confirms the coexistence of an extensional deformation and a transtensive regime in the Atlantic margin of France, which is different from the general western European stress field corresponding to a strike-slip regime. We argue that the switch of the principal stress axes σ1/σ2 in a NW-SE vertical plane is linked with the existence of crustal heterogeneities. Events of magnitude larger than 5 sometimes occur along the Atlantic margin of France, such as the 7 September 1972 (ML = 5.2) earthquake near Oleron island and the 30 September 2002 (ML = 5.7) Hennebont event in Brittany. To test the mechanism of local strain localization, we model the deformation of the hypocentral area of the Hennebont earthquake using a 3D thermo-mechanical finite element code. We conclude that the occurrence of moderate earthquakes located in limited parts of the Hercynian shear zones (as the often reactivated swarms near Oleron) could be due to local reactivation of pre-existing faults. These sporadic seismic ruptures are favoured by stress concentration due to rheological heterogeneities.
ISSN: 1631-0713

hal-00936220
https://hal.archives-ouvertes.fr/hal-00936220
DOI : 10.1016/j.crte.2013.07.004

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : National audience
ISSN: 0755-4982

hal-01128003
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01128003
DOI : 10.1016/j.lpm.2014.06.042
PUBMED : 25639624

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
Millimetre waves correspond to the range of frequencies located between 30 and 300 GHz. Many applications exist and are emerging in this band, including wireless telecommunications, imaging and monitoring systems. In addition, some of these frequencies are used in therapy in Eastern Europe, suggesting that interactions with the human body are possible. This review aims to summarise current knowledge on interactions between millimetre waves and living matter. Several representative examples from the scientific literature are presented. Then, possible mechanisms of interactions between millimetre waves and biological systems are discussed.
ISSN: 1631-0705

hal-00874362
https://hal.archives-ouvertes.fr/hal-00874362
DOI : 10.1016/j.crhy.2013.02.005

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : Contaminant migration in aquifers is one of the most debated issues in hydrogeology, as most experimental results display large deviations from the standard (asymptotic) Fickian dispersion theories. Multi-scale investigation and high-resolution sensors are required to determine the origin of non-asymptotic dispersion and validate models. For this, a set of multi-scale Single-Well Injection-Withdrawal (SWIW) tracer tests using a new dual-packer probe CoFIS, including a high resolution optical sensor TELog, are presented. When compared to standard techniques such as salinity measurements, it is shown that high-resolution optical measurements allow an improved characterization of the long-lasting non-asymptotic dispersion mechanisms.
ISSN: 1631-0713

hal-00445250
https://hal.archives-ouvertes.fr/hal-00445250
DOI : 10.1016/j.crte.2009.07.012

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
We provide new constraints on the modes of mantle exhumation and denudation in the pre-orogenic Pyrenees by investigating the poorly known peridotites located east of the Lherz body, in eastern Ariè ge (Vicdessos, Urs, Bestiac, Caussou and Prades main peridotitic bodies). We show that: (1) numerous peridotite bodies, not described so far, are constituted by decametric to sub-metric outcrops scattered between and around the main outcrops identified by Monchoux (1970); (2) most of the peridotites form blocks and lenses of various sizes, from millimetric monocrystalline grains to hectometric olistoliths, embedded in debris flows involving mainly Mesozoic metasediments; these peridotites can therefore be linked to the S-type peridotites of Lagabrielle et al. (2010), and share similarities with the peridotites of Lherz region (Clerc et al., 2012). All originated from tectono-sedimentary processes associated with mantle exhumation in relation with extreme thinning and breakoff of the continental basement; (3) the various petrographic characters of these peridotites and their heterogeneity in serpentinisation degree imply a peculiar mode of exhumation, which merges mantle fragments inherited from different structural levels; (4) the lack of tectonic structures such as faults and shear planes associated with the ultramafic-rich breccia formation and the presence of neoformation of metamorphic minerals within the matrix preclude their origin as cataclasites related to the Latest Cretaceous and Tertiary Pyrenean contractional deformation. The peridotites of eastern Ariè ge are indisputable witnesses of the presence of an inverted hyper-extended Cretaceous passive margin forming the current North Pyrenean zone. The geometry of the extensional system was complex and probably associated with strike-slip faults and transcurrent motion. ß 2016 The Authors. Published by Elsevier Masson SAS on behalf of Acadé mie des sciences. This is an open access article under the CC BY-NC-ND license (http://creativecommons. org/licenses/by-nc-nd/4.0/).
ISSN: 1631-0713

Droits : http://creativecommons.org/licenses/by-nc-nd/
insu-01280502
https://hal-insu.archives-ouvertes.fr/insu-01280502
https://hal-insu.archives-ouvertes.fr/insu-01280502/document
https://hal-insu.archives-ouvertes.fr/insu-01280502/file/1-s2.0-S1631071316000043-main.pdf
DOI : 10.1016/j.crte.2015.12.003

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : In French Guiana, the population growth will result in an increase in demand for agricultural products and thus, will lead to an increase in the amount of tropical forests converted into cropland or pasture. Impacts of different agricultural systems on greenhouse gas (GHG) fluxes have not been studied in French Guiana. In this context, the fire-free chop-and-mulch method was used to convert a tropical forest site to agriculture. This study focused on soil nitrous oxide (N2O) emissions and we compared four land uses: (1) the undisturbed tropical forest, (2) recently converted grassland and recently converted croplands (fertilized soybean/maize rotation) with either (3) disk tillage or (4) no tillage.N2O measurements were obtained through the chamber technique and conducted over a 1-year period (measurements began 19 months after the forest was cleared). N2O fluxes were related to soil parameters measured at each sampling date: nitrate and ammonium contents, gravimetric water content (GWC) and temperature.Through the entire period, the mean (±standard error) and median N2O fluxes were 3.8 ± 0.5 and 2.7 g N ha−1 day−1, respectively for undisturbed tropical forest and 2.4 ± 0.9 and 0.8 g N ha−1 day−1, respectively for grassland (mowed Brachiaria ruziziensis). For croplands, no significant difference was found for N2O emissions between both agricultural practices. The mean (±standard error) and median N2O fluxes were 8.5 ± 1.2 and 4.0 g N ha−1 day−1, respectively for disk tillage plots and 8.5 ± 1.3 and 3.6 g N ha−1 day−1, respectively for no tillage plots. Nitrogen inputs (due to the application of fertilizer or due to the mineralization of crop residues) led to higher N2O fluxes, resulting in significantly higher mean N2O emissions from croplands compared to the forest, when only considering land use effect on N2O fluxes in a statistical model. The soil nitrate content, GWC and temperature had a significant positive effect on N2O fluxes. Taking into account these soil parameters in another statistical model, N2O emissions from croplands were not higher than the natural N2O emissions from tropical forest soils. Our results suggest that, if more forest will have to be converted in the course of the expected population growth in French Guiana, it could have low impact on the soil N2O fluxes (similar to natural fluxes from forest) with the improving of farming techniques (for example modification of the splitting of N-fertilizer) in the cropping plots.
ISSN: 0167-8809

hal-01204228
https://hal.archives-ouvertes.fr/hal-01204228
DOI : 10.1016/j.agee.2015.04.004
PRODINRA : 307607

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
Alveolar proteinosis (AP) is a rare disease characterized by alveolar accumulation of surfactant components, which impairs gas exchange. AP is classified into three groups: auto-immune AP defined by the presence of plasma autoantibodies anti-GM-CSF, the most frequent form (90 % of all AP); secondary AP, mainly occurring as a consequence of haematological diseases, or following on from toxic inhalation or infections, and genetic AP, which affects almost exclusively children. AP diagnosis is suspected where chest CT-scan demonstrates interstitial lung disease with a crazy paving aspect; and confirmed by bronchoalveolar lavage, which has a milky appearance and contains periodic acid Schiff positive proteinaceous alveolar deposits. The use of surgical lung biopsy to confirm AP is less frequent nowadays. In this context, positive antibodies against GM-CSF indicates an auto-immune etiology of the AP. Concerning management, whole lung lavage is the gold standard therapy. In refractory AP, new treatments are available such as subcutaneous or inhaled GM-CSF supplementation, or rituximab infusions. The clinical course is unpredictable. Spontaneous improvement or even cure can occur, and the 5-year actuarial survival is 95 %. The most frequent complications are infectious etiology.
La protéinose alvéolaire pulmonaire (PAP) est une maladie rare caractérisée par l’accumulation alvéolaire de composants du surfactant qui gêne les échanges gazeux. Les PAP sont séparées en trois groupes : les PAP auto-immunes caractérisées par la présence d’anticorps sériques anti-GM-CSF qui sont les plus fréquentes ; les PAP secondaires à une maladie sous-jacente, le plus souvent hématologique, mais aussi à l’inhalation de toxiques et à des infections ; enfin, les PAP d’origine génétique. Le diagnostic de PAP est évoqué sur le scanner thoracique avec une pneumopathie infiltrante diffuse ayant un aspect classique de crazy paving, puis confirmé par l’aspect laiteux du lavage bronchoalvéolaire, et la présence de matériel lipoprotéinacé PAS positif. La confirmation du diagnostic de PAP par biopsie pulmonaire chirurgicale est désormais rarement nécessaire. La positivité des anticorps sériques anti-GM-CSF signe le caractère auto-immun de la maladie. Le traitement de référence des PAP auto-immunes est le « grand lavage pulmonaire thérapeutique ». En cas de maladie réfractaire, d’autres traitements sont disponibles, tels que le GM-CSF en injection sous-cutanée ou en aérosol et le rituximab. L’évolution de la maladie est imprévisible. Une évolution spontanément favorable ou même une guérison spontanée peuvent survenir et la survie actuarielle à 5 ans est de 95 %. Les principales complications sont infectieuses.
ISSN: 0761-8425

hal-01085907
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01085907
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01085907/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01085907/file/Prot%C3%A9inose%20alv%C3%A9olaire%20pulmonaire_accepted.pdf
DOI : 10.1016/j.rmr.2014.08.009

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
PURPOSE: Two hundred and fifty-three patients were included in a study on the etiology of encephalitis, carried out in France in 2007. Tuberculosis was the second most frequently identified cause, after HSV and with the same number of cases as VZV. The authors report the specific features of patients presenting with tuberculosis encephalitis (TE). METHODS: TE patients were defined as patients presenting with encephalitis, with positive culture or PCR for Mycobacterium tuberculosis, or the association of clinical, biological, imaging, and epidemiological evidence (possible cases). Clinical, microbiological, and brain imaging data was analyzed and compared to that of other included patients. RESULTS: Twenty cases of TE were identified. The M/F sex-ratio was 1.5, the mean age 53 years. Four (20%) patients had a history of tuberculosis before the encephalitis. The median delay between the onset of general and neurological symptoms was significantly longer for tuberculosis cases than for others (10 days vs. 2; P<10(-10)). The median CSF protein level was significantly higher for tuberculosis cases (2.1 g/L vs. 0.8 g/L, P=0.002). CT scan and MRI were normal on admission for eight patients out of 17. Fourteen isolated strains of M. tuberculosis were susceptible to first-line anti-tuberculosis drugs and one was rifampicin-resistant. Six (33%) patients died during hospitalization and two were lost to follow-up. Ten out of 12 (78.6%) had persisting neurological symptoms on discharge. DISCUSSION: Despite non-multiresistant MT strains, the case fatality rate among TE patients was high in our series. Early brain imaging is poor contributive for the diagnosis of TE.
ISSN: 0399-077X

hal-00874835
https://hal.archives-ouvertes.fr/hal-00874835
DOI : 10.1016/j.medmal.2013.05.003
PUBMED : 23816146

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
ISSN: 1631-0691

hal-01109741
https://hal-agroparistech.archives-ouvertes.fr/hal-01109741
DOI : 10.1016/j.crvi.2011.04.002

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
The maintenance in the long run of a positive carbon balance under very low irradiance is a prerequisite for survival of tree seedlings below the canopy or in small gaps in a tropical rainforest. To provide a quantitative basis for this assumption, experiments were carried out to determine whether construction cost (CC) and payback time for leaves and support structures, as well as leaf life span (i) differ among species and (ii) display an irradiance-elicited plasticity. Experiments were also conducted to determine whether leaf life span correlates to CC and payback time and is close to the optimal longevity derived from an optimization model. Saplings from 13 tropical tree species were grown under three levels of irradiance. Specific-CC was computed, as well as CC scaled to leaf area at the metamer level. Photosynthesis was recorded over the leaf life span. Payback time was derived from CC and a simple photosynthesis model. Specific-CC displayed only little interspecific variability and irradiance-elicited plasticity, in contrast to CC scaled to leaf area. Leaf life span ranged from 4 months to >26 months among species, and was longest in seedlings grown under lowest irradiance. It was always much longer than payback time, even under the lowest irradiance. Leaves were shed when their photosynthesis had reached very low values, in contrast to what was predicted by an optimality model. The species ranking for the different traits was stable across irradiance treatments. The two pioneer species always displayed the smallest CC, leaf life span, and payback time. All species displayed a similar large irradiance-elicited plasticity.
ISSN: 1631-0691

hal-01095975
https://hal-agroparistech.archives-ouvertes.fr/hal-01095975
DOI : 10.1016/j.crvi.2011.01.007