Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
The diagnosis of diabetic foot infections is difficult due to limitations of conventional culture-based techniques. The objective of this study was to evaluate the contribution of denaturing gradient gel electrophoresis (DGGE) in the microbiological diagnosis of diabetic foot ulcers in comparison to conventional techniques, and also to evaluate the need to perform a biopsy sample for this diagnosis. Twenty diabetic patients (types 1 and 2) with foot ulcers (grades 1-4) were included. After debridement of their wounds, samples were taken in duplicate by surface swabbing and deep-tissue biopsy. The samples were analyzed by conventional culture and by a new molecular biology tool, DGGE technology. Polymerase chain reaction (PCR)-DGGE led to the identification of more bacteria than did conventional cultures (mean: 2.35 vs 0.80, respectively). In 11 cases, the technology detected pathogenic species not isolated by classical cultures. PCR-DGGE also identified significantly more pathogenic species at deep levels compared with species detected at superficial levels (87% vs 58%, respectively; P = 0.03). In 9/20 cases, pathogenic bacteria were detected only in deep samples, revealing the need to perform tissue biopsy sampling. DGGE, achievable in 48h, could be a useful technique for the bacteriological diagnosis of diabetic foot infections. It may help to identify pathogenic bacteria in deeply infected ulcers, thereby contributing to a more appropriate use of antibiotics.
ISSN: 1262-3636

hal-01122240
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01122240
DOI : 10.1016/j.diabet.2014.03.002
PUBMED : 24751989

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : National audience
Objectifs Évaluer les connaissances des médecins généralistes et des pharmaciens d'officine en matière de dopage sportif, Populations et méthodes Deux études descriptives transversales par questionnaire anonyme ont été menées en 2006 et 2009 respectivement chez 280 pharmaciens et 992 médecins. Résultats Ils estiment que la plupart des records sont battus grâce au dopage et que les champions y recourent. Selon eux, les sports les plus touchés sont le cyclisme, l'athlétisme, le football, l'haltérophilie et la natation. Ils méconnaissent la liste des produits interdits. Pour eux, les personnes proches des sportifs et Internet sont les principales sources d'approvisionnement en dopants. Seuls 42 % des médecins et 35 % des pharmaciens pensent informer un patient sportif sur les produits pouvant positiver un contrôle antidopage. On note que 51,5 % des médecins ne connaissent pas les autorisations d'usage à des fins thérapeutiques et 90 % ignorent l'existence des antennes médicales de prévention du dopage. Ils déclarent ne pas avoir reçu d'enseignement universitaire spécifique sur le dopage et s'estiment mal informés. Conclusion Les médecins généralistes et les pharmaciens d'officine ne semblent pas disposer de connaissances suffisantes pour assurer leurs missions et pour prendre conscience de leurs responsabilités dans la lutte antidopage.
ISSN: 0765-1597

hal-01010769
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01010769
DOI : 10.1016/j.scispo.2013.10.004

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
ISSN: 0033-2984

hal-01678151
https://hal.univ-antilles.fr/hal-01678151
DOI : 10.1016/j.psfr.2014.04.002

Éditeur(s) : Paris : Société d'Edition Géographiques, Maritimes et Coloniales
Siècle(s) traité(s) : 20
Provenance : Archives départementales de Guadeloupe
Permalien : http://www.manioc.org/patrimon/ADG18120
ADG18120

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : National audience
INTRODUCTION:The AIRBAg study screens for bronchial obstruction in dairy farmers. We present the preliminary results after one year.METHODS:A prospective screening study based on questionnaires and electronic mini-spirometry (Néo-6(®)) that includes a representative sample of dairy farmers from the departments of Morbihan and Île-et-Vilaine in Brittany. The dairy farmers had an occupational medicine appointment and, if they demonstrated at least one marker of possible bronchial obstruction (chronic cough, chronic bronchitis, dyspnoea, wheezing, FEV1/FEV6<0.8), they were referred to a pulmonologist. The data we present here were extracted from the occupational medicine appointments because the pulmonologists' appointments are still running.RESULTS:Among the 277 dairy farmers included, 125 (45%) demonstrated "possible bronchial obstruction". The total score of the CAT questionnaire was higher in these farmers (9.1±6.2 versus 5.8±4.0; P<0.0001). In multivariate analysis markers of "possible bronchial obstruction" were eczema, manual foddering and duration of mechanical straw litter spreading.CONCLUSION:Occupational medicine appointments identified markers of "possible bronchial obstruction". We will have the complete results from AIRBAg study in 2015.
ISSN: 0761-8425

hal-01117944
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01117944
DOI : 10.1016/j.rmr.2014.03.014
PUBMED : 25847201

Éditeur(s) : Paris : chez l'éditeur
Résumé : Seconde édition
Siècle(s) traité(s) : 19
Droits : Domaine public
Provenance : Fondation Clément
Permalien : http://www.manioc.org/patrimon/FCL18022
FCL18022

Éditeur(s) : Paris : P.-V. Stock
Résumé : Nelle édition

Droits : Domaine public
Provenance : Université de Nantes. Service commun de la documentation
Permalien : http://www.manioc.org/patrimon/NAN13055
NAN13055

Éditeur(s) : Paris : Chez Guillaume Cavelier père
Résumé : Nouvelle édition augmentée considérablement, et enrichie de figures en tailles douces. 8 volumes
Siècle(s) traité(s) : 17
Droits : Domaine public
Provenance : Archives départementales de Guadeloupe
Permalien : http://www.manioc.org/patrimon/ADG17030
ADG17030

Éditeur(s) : Springer
Résumé : We present the global general circulation model IPSL-CM5 developed to study the long-term response of the climate system to natural and anthropogenic forcings as part of the 5th Phase of the Coupled Model Intercomparison Project (CMIP5). This model includes an interactive carbon cycle, a representation of tropospheric and stratospheric chemistry, and a comprehensive representation of aerosols. As it represents the principal dynamical, physical, and bio-geochemical processes relevant to the climate system, it may be referred to as an Earth System Model. However, the IPSL-CM5 model may be used in a multitude of configurations associated with different boundary conditions and with a range of complexities in terms of processes and interactions. This paper presents an overview of the different model components and explains how they were coupled and used to simulate historical climate changes over the past 150 years and different scenarios of future climate change. A single version of the IPSL-CM5 model (IPSL-CM5A-LR) was used to provide climate projections associated with different socio-economic scenarios, including the different Representative Concentration Pathways considered by CMIP5 and several scenarios from the Special Report on Emission Scenarios considered by CMIP3. Results suggest that the magnitude of global warming projections primarily depends on the socio-economic scenario considered, that there is potential for an aggressive mitigation policy to limit global warming to about two degrees, and that the behavior of some components of the climate system such as the Arctic sea ice and the Atlantic Meridional Overturning Circulation may change drastically by the end of the twenty-first century in the case of a no climate policy scenario. Although the magnitude of regional temperature and precipitation changes depends fairly linearly on the magnitude of the projected global warming (and thus on the scenario considered), the geographical pattern of these changes is strikingly similar for the different scenarios. The representation of atmospheric physical processes in the model is shown to strongly influence the simulated climate variability and both the magnitude and pattern of the projected climate changes.
Climate Dynamics (0930-7575) (Springer), 2013-05 , Vol. 40 , N. 9-10 , P. 2123-2165

Droits : The Author(s) 2013. This article is published with open access at Springerlink.com
http://archimer.ifremer.fr/doc/00138/24966/23079.pdf
DOI:10.1007/s00382-012-1636-1
http://archimer.ifremer.fr/doc/00138/24966/

Extrait de : Sciences et voyages, n°287
Résumé : Article et photographies
Siècle(s) traité(s) : 20
Droits : Domaine public
Provenance : ORkidé|Fonds privé Pierre Rostan
Permalien : http://www.manioc.org/patrimon/ORK12131
ORK12131

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : Le cancer de la prostate est le cancer le plus fréquent chez l'homme dans la majorité des pays occidentaux. Certains facteurs de risque sont bien identifiés (âge, antécédents familiaux, origine ethnique) mais son étiologie reste largement méconnue. Les substances chimiques d'origine anthropique suscitent de nombreuses interrogations quant à leur rôle dans la survenue de la maladie. Divers travaux ont montré, de manière consistante, la présence d'un excès de risque de cancer de la prostate chez les populations agricoles par rapport à la population générale. Cependant, l'hypothèse qu'un tel excès de risque soit relié à l'utilisation de pesticides n'a pas encore été formellement démontrée.
ISSN: 1166-7087

hal-00671956
https://hal.archives-ouvertes.fr/hal-00671956

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 : Reconstruction of Northern African monsoon between 6.2 and 4.9 Ma and possible relationships with Late Miocene events. Mineralogical and geochemical investigations have been realized on ODP Site 659 in order to better understand the detrital sedimentation of the Cap Verde plateau and to reconstruct African monsoon intensity variations between 6.2 and 4.9 Ma. Time intervals corresponding to an intensification of the summer African monsoon rainfall are associated to a reduction of eolian input from the Sahara and an intensification of the African river input. The reflooding of the Mediterranean Sea at the end of the Messinian salinity crisis (MSC) (5.33 Ma) is correlated to a greater aridity in the Sahara.
ISSN: 1631-0713

hal-00412151
https://hal.archives-ouvertes.fr/hal-00412151
DOI : 10.1016/j.crte.2008.07.005

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
Autostatic ureteral stents have been commonly used in urology for more than 20 years. Encrustation is a frequent and well described phenomenon that sometimes makes stent removal difficult. The main predisposing factors are: duration of stenting, history or concomitant stone disease, urinary tract infection or bacterial colonization, pregnancy and chemotherapy. Treatment depends on the degree of encrustation, especially when it involves the proximal loop. Extracorporeal lithotripsy alone or combined with endoscopic treatment is very effective, but open surgery may sometimes be necessary. The authors report a case in which drainage was exceptionally prolonged as the stent was removed after a period of 10 years. Stent removal required 3 operations, including one open procedure. The steps of treatment are described and the aetiologies of encrustation and the therapeutic strategy are discussed.
ISSN: 1166-7087

hal-00697503
https://hal.archives-ouvertes.fr/hal-00697503
PUBMED : 16734247

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
Une surface d'émersion majeure (S1) au sein de l'unité récifale Pliocène supérieur à Pléistocène inférieur des « calcaires supérieurs » de Grande-Terre (avant-arc des Petites Antilles) révèle une baisse du niveau marin relatif d'au moins 60 m et permet de définir un nouveau découpage stratigraphique. S1 est surmontée par un cortège transgressif sablo-calcaire, puis par une formation récifale à Acropora. L'ensemble représente l'enregistrement d'un cycle eustatique complet par cette plateforme carbonatée de marge active. La comparaison avec la plate-forme carbonatée de marge stable du banc des Bahamas permet d'estimer que S1 correspond à l'émersion majeure de 1,66 Ma et qu'elle est d'origine glacio-eustatique.
ISSN: 1631-0713

hal-00180663
https://hal.archives-ouvertes.fr/hal-00180663
DOI : 10.1016/j.crte.2005.01.012

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 Elsevier Masson
Résumé : In Vietnam, the Triassic Indosinian collision affected coevally the Truong Son belt and the Kontum Massif,which were not independent tectonic units, but parts of the same Gondwana-derived Indochina continental block. This thermotectonic event took place synchronously throughout Vietnam, during the Lower Triassic 250-240-Ma time interval, as demonstrated by numerous geochronological data, combining Ar-Ar and U-Pb dating methods. Structural and kinematic investigations, in the Indosinian metamorphic rocks, reveal that the collisional process resulted from a consistent northwest-striking convergence of Indochina with respect to the adjacent blocks. It is suggested that this motion was taken up by a pair of opposite subduction zones: to the north, beneath South China, and to the west, beneath western Indochina, along the Song Ma and Po Ko sutures, respectively. Tectonic markers, calc-alkaline subduction-related volcanism and granitic intrusions and the generation of high-pressure rocks that have been recently discovered support this geodynamic setting, at least along Po Ko. Along the northwest-trending Song Ma zone, the obliquity of the convergence during subduction and subsequent collision resulted in the development, within the Truong Son Belt, of a set of subparallel dextral mylonitic shear zones, under amphibolite-facies metamorphism. The intermediate segments remained weakly metamorphic or even almost devoid of metamorphism. Along Po Ko, the convergence was near-orthogonal, with a left-lateral strike-slip component; the ongoing continental subduction resulted in the reworking of the Kontum granulitic basement and the development of Indosinian HP granulitic conditions; the subsequent extension-related exhumation operated approximately in the same northwestwards direction. This Indosinian evolution, applied on a continental crust that had been probably affected, as in South China, by a Caledonian-related event, as judged by the general unconformity of the Lower Devonian sediments, the widespread occurrence of magmatic crystallisation ages of ca 450 Ma (Ordovician-Silurian), and by the approximately similar age of the primary granulitic episode in the Kontum Massif. The similarities of the Devonian facies over central, northern Vietnam and South China imply a land connection, possibly as a consequence of a Caledonian collision along Song Ma, but this does not preclude a further oceanic opening and a closure during the Indosinian.
ISSN: 1631-0713

hal-00411591
https://hal.archives-ouvertes.fr/hal-00411591
DOI : 10.1016/j.crte.2007.10.005

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : Extension fractures of two types defined by the mean stress σ were generated in a synthetic rock analogue material. When σ is very small, the fractures are mode I cracks with smooth surfaces. At higher σ, these surfaces have plumose topography, with the amplitude increasing with σ. Both SEM observations and mechanical measurements show that fractures/discontinuities in the latter case are initiated as dilatancy localization bands. They form under tensile or slightly compressive normal stress and can be seen as running constitutive instabilities. The similarity between the plumose fractography of the experimental fractures and natural joints suggests similarity in the formation mechanism.
ISSN: 1631-0721

hal-00585886
https://hal.archives-ouvertes.fr/hal-00585886
DOI : 10.1016/j.crme.2011.01.002

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
Objectifs. - Évaluer les effets du triathlon classique (1,5 km natation, 40 km cyclisme, 10 km course à pied) sur la capacité de diffusion pulmonaire (DLCO) 24 heures après la compétition. Méthodes et résultats. - Dix triathlètes masculins (21,5 ± 2,8 ans) ont effectué une spirométrie et une mesure de la capacité de diffusion pulmonaire avant la compétition (pré-T) et 24 heures après l'épreuve (post-T). Les résultats montrent une diminution significative du volume expiratoire maximal en 1 s (5,17 ± 0,4 L.s-1 contre 4,09 ± 0,6 L.s-1) et du débit expiratoire maximal 25-75 % de la capacité vitale (6,98 ± 0,2 L.s-1 contre 4,90 ± 0,2 L.s-1). En revanche, les résultats ne montrent pas de différence significative entre les DLCO pré-T et post-T (38,1 ± 3,3 mL.min-1.mmHg-1 contre 37,1 ± 3,7 mL.min-1.mmHg-1) ni les ratios DLCO/VA (5,59 ± 0,5 mL.min-1.mmHg-1.A-1 contre 5,55 ± 0,7 ml.min-1.mmHg-1.A-1). Conclusion. - La DLCO est normale chez les triathlètes 24 heures après une compétition classique. Ceci peut traduire l'absence de lésions alvéolocapillaires pendant le triathlon. La baisse de la DLCO rapportée deux heures après un exercice dans la littérature peut s'expliquer par la baisse du volume sanguin pulmonaire qui apparaît comme un phénomène transitoire. Cependant, la baisse des débits pulmonaires observée 24 heures après le triathlon suggère la persistance chez les triathlètes d'un syndrome obstructif bronchique.
ISSN: 0765-1597

hal-00720522
https://hal.univ-antilles.fr/hal-00720522
https://hal.univ-antilles.fr/hal-00720522/document
https://hal.univ-antilles.fr/hal-00720522/file/Article_3_.pdf

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
The Chaînons Béarnais ranges (North-Pyrenean Zone, west-central Pyrenees) display a fold-and-thrust structure involving the Mesozoic sedimentary cover, decoupled from its substratum at the Keuper evaporites level and associated with a few peridotite bodies and scarce Palaeozoic basement lenses. In the western part of the Chaînons Béarnais, the newly described recumbent fold of the Saraillé massif comprises a peridotite body and several lenses of Palaeozoic basement wrapped by the Triassic to Aptian sedimentary cover. This structure represents a remnant of the distal portion of the Pyrenean paleo-rifted margin where mantle rocks have been exhumed during Albian–Cenomanian times. In this paper, we present the first detailed mapping and microstructural analysis of the Saraillé massif, providing new geological basis for reconstructing the evolution of this part of the paleo-margin. Our mapping (i) shows that the pre-rift Mesozoic cover forms a recumbent fold cored by mantle and crustal rocks and (ii) confirms that the prerift cover was detached from its bedrock along a layer of Triassic evaporites and slid onto the exhumed mantle rocks. Sliding of the prerift cover was associated with extreme crustal thinning and mantle exhumation along a major detachment fault, together with intense metasomatism affecting both the continental basement and the sedimentary cover. We show for the first time (1) that the Mesozoic pre-rift sediments experienced syn-metamorphic ductile thinning during mantle exhumation, and (2) that during its extreme attenuation, the continental basement was reduced to tectonic lenses some ten meters thick by ductile shearing.
ISSN: 1631-0713

insu-01265777
https://hal-insu.archives-ouvertes.fr/insu-01265777
https://hal-insu.archives-ouvertes.fr/insu-01265777/document
https://hal-insu.archives-ouvertes.fr/insu-01265777/file/corre-CRGeosc-2016.pdf
DOI : 10.1016/j.crte.2015.11.007