Éditeur(s) : INRA : Institut National de la Recherche Agronomique Université des Antilles. Service commun de la documentation
Extrait de : 52e congrès annuel de la Société caribéenne des plantes alimentaires / 52nd annual meeting of the Caribbean food crops society (CFCS), du 10 au 16 juillet 2016. INRA, CFCS
Description : In the Global South, improvement of agricultural outputs is eagerly awaited. While by 2050, its population will double areas devoted to agriculture will decrease exacerbating undernutrition of the poor. Unfortunately, the demand for fresh locally-produced meat products is not satisfied yet in the tropics. So, efficiency in animal productions is essential to allow coverage of protein nutritional needs of people, both in quality and quantity. In the Caribbean territories mixed farming systems are the most common farming systems (about 80%) and can constitute a solution to reach food sovereignty in such limited and isolated spaces. Lessons to be learned from these systems involve improving animal performance while respecting the natural balance with environment and maintaining the multi-functionality of plants and animals. Firstly, the natural (or selected) comfort zone of animal and plants must fit with the farm conditions, insuring thereby animal survival and welfare. Enhancement of adaptation to stresses (biotic, abiotic and socio- economic) in species or animal genotypes is a key element implying their equilibrium with the farm environment. This approach underpins for the farmer an integrated management of animal health, nutrition, genetics, reproduction, in close relationship with other compartments of the farming system. Secondly, animal adaptation may be completed by resilience ability within systems. Animals have to produce although facing stresses. Finally, the animal must be efficient that is to say must reconcile physiological functions of production, reproduction with adaptation functions. This optimization leads to decreased inputs and to overall efficiency of mixed farming systems at the end. The aim of the breeder is to choose the animal producing the best balance between output-reproduction-adaptation, at the individual or the flock scale combining genetic and physiological diversity. The underlying idea is to give to humans and animals their right place in the food chain taking into account the farmers? skills and wills. This idea is included in the agroecological approach and may give guidelines for food sovereignty worldwide.
Siècle(s) traité(s) : 21
Droits : CC-BY-NC-ND - Attribution - Pas d'utilisation commerciale - Pas de modification
Permalien : http://www.manioc.org/fichiers/V16318
V16318

Éditeur(s) : Université des Antilles Études caribéennes
Résumé : El desbordamiento ocasionado por el modelo desarrollista de nuestra economía dio lugar a que el gobierno canario promoviera el Decreto (4/2001) para formular las Directrices de Ordenación General y del Turismo por entender que el territorio y los recursos naturales, en general, y la actividad turística, en particular, precisaban de una acción que articulase la orientación del desarrollo insular hacia un modelo sostenible. Se acompañó esa intervención con una serie de medidas cautelares tendentes a congelar el crecimiento y suspender el otorgamiento de licencias para la creación de nuevos establecimientos turísticos alojativos. Poco después, el ejecutivo canario emitió el Decreto 126/2001 para contener el crecimiento, y, finalmente, el Parlamento aprueba y pone en vigor la Ley de Medidas Urgentes en Materia de Ordenación del Territorio y del Turismo de Canarias (julio, 2001) para regular las condiciones que deben reunir los establecimientos de la modalidad hotelera con la máxima categoría. Por último, los diputados regionales dan el visto bueno a la Ley 19/2003 de Directrices de Ordenación General y las Directrices de Ordenación del Turismo de Canarias.
Confronté à une surfréquentation touristique, le Gouvernement local des Îles Canaries a publié un Arrêt (4/2001) qui reformule les Orientations Générales du Territoire et du Tourisme. L’objectif est de s’entendre sur les bases d’un modèle de développement insulaire soutenable, en mettant l’accent sur la gestion des ressources naturelles en général et le tourisme plus particulièrement. Cet Arrêt a été accompagné de normes dont l’objectif est de limiter la construction de nouveaux bâtiments hôteliers. Peu après, le Gouvernement a publié l’Arrêt 126/2001 qui limitait le développement touristique. Le Parlement adopta un autre Arrêt, la «Ley de Medidas Urgentes en Materia de Ordenación del Territorio y del Turismo de Canarias » (juillet 2001) qui détermine les conditions exigées aux établissements hôteliers de plus haute catégorie. Le Parlement donne aussi son accord à l’Arrêt 19/2003, «Directrices de Ordenación General y Directrices de Ordenación del Turismo de Canarias ».
Faced with excesses tourism, the local government of the Canary Islands issued a judgement (4 / 2001), which reformulates General Guidelines of Territory and Tourism. The aim is to set up the basis of a model of sustainable island development, with emphasis on natural resource management in general and tourism in particular. This decision was accompanied by standards whose objective is to limit the construction of new buildings for hotels. Shortly thereafter, the Government issued the ruling 126/2001 which limited the development of tourism. Parliament adopted another decree, "Ley de Medidas Urgent en Materia de Ordenación del Territorio y del Turismo de Canarias" (July 2001) which determines the conditions required for hotels higher category. The Parliament also gives its agreement to stop 19/2003, "Directrices de Ordenación General y Directrices de Ordenación del Turismo de Canarias."
Canaries

Droits : info:eu-repo/semantics/openAccess
urn:doi:10.4000/etudescaribeennes.1232
http://journals.openedition.org/etudescaribeennes/1232

Éditeur(s) : HAL CCSD Oxford University Press (OUP): Policy B
Résumé : International audience
AIMS: Indications for surgery in acute infective endocarditis (IE) are detailed in guidelines, but their application is not well known. We analysed the agreement between the patient's attending physicians and European Society of Cardiology guidelines regarding indications for surgery. We also assessed whether surgery was performed in patients who had an indication. METHODS AND RESULTS: From the 2008 prospective population-based French survey on IE, 303 patients with definite left-sided native IE were identified. For each case, we prospectively recorded (i) indication for surgery according to the attending physicians and (ii) indication for surgery according to guidelines. Surgery was indicated in 194 (65%) patients according to attending physicians and in 221 (73%) according to guidelines, while 139 (46%) underwent surgery. Agreement was moderate between attending physicians and guidelines (kappa 0.41-0.59) and between indication according to guidelines and the performance of surgery (kappa 0.38). Of the 90 (30%) patients not operated despite indication, contraindication to surgery was reported by the attending physicians in 42 (47%), and indication was not identified in 48 (53%). One-year survival was 76% in patients with indication and surgery performed (n = 131), 69% in patients without indication and no surgery (n = 74), 56% in patients with identified indication and contraindication to surgery (n = 42), and 60% in patients with no identified indication (n = 48; P = 0.059). CONCLUSION: Cardiac surgery during acute IE was recommended in almost three out of four patients, although fewer than half were actually operated. Indication was not acknowledged by the attending physicians in one out of six patients
ISSN: 0195-668X

hal-01255874
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01255874
DOI : 10.1093/eurheartj/ehv650
PUBMED : 26685134

Éditeur(s) : HAL CCSD
Résumé : International audience
Objectives: To assess the adhesion of French obstetricians and gynecologists to the French clinical practice guidelines for pregnancy loss, issued by the French College of Obstetricians and Gynecologists, one year after publication.Methods: An online vignette-based study was emailed to a sample of French obstetricians and gynecologists to compare their management of women with missed early miscarriage and incomplete early miscarriage. A descriptive statistical analysis was performed comparing the rates of appropriate management for these two indications before and after the release of the guidelines.Results: Of the 404 specialists contacted, 143 completed the questionnaire. Forty-three percent stated that they had changed their practices following the release of the guidelines. The rate of adhesion was moderate for the management of missed early miscarriage (53% after publication of the guidelines versus 42% before, P = 0.001) with a trend to avoid watching-and-waiting management. The rate of adhesion was poor for the management of incomplete early miscarriage (43% after the publication of the guidelines versus 27% before, P < 0.001) with a lower use of misoprostol.Conclusion: Adhesion to the French guidelines appears to be moderate for the management of missed early miscarriage and low for the management of incomplete early miscarriage.
ISSN: 24687847

hal-01558814
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01558814
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01558814/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01558814/file/Le%20Gouic%20et%20al.%20-%20Evaluation%20of%20adherence%20to%20French%20clinical%20practic.pdf
DOI : 10.1016/j.jogoh.2017.03.005

Éditeur(s) : HAL CCSD Taylor & Francis
Résumé : International audience
Overfishing and habitat destruction due to local and global threats are undermining fisheries, biodiversity, and the long-term sustainability of tropical marine ecosystems worldwide, including in the Coral Triangle. Well-designed and effectively managed marine reserve networks can reduce local threats, and contribute to achieving multiple objectives regarding fisheries management, biodiversity conservation and adaptation to changes in climate and ocean chemistry. Previous studies provided advice regarding ecological guidelines for designing marine reserves to achieve one or two of these objectives. While there are many similarities in these guidelines, there are key differences that provide conflicting advice. Thus, there is a need to provide integrated guidelines for practitioners who wish to design marine reserves to achieve all three objectives simultaneously. Scientific advances regarding fish connectivity and recovery rates, and climate and ocean change vulnerability, also necessitate refining advice for marine reserve design. Here we review ecological considerations for marine reserve design, and provide guidelines to achieve all three objectives simultaneously regarding: habitat representation; risk spreading; protecting critical, special and unique areas; reserve size, spacing, location, and duration; protecting climate resilient areas; and minimizing and avoiding threats. In addition to applying ecological guidelines, reserves must be designed to address social and governance considerations, and be integrated within broader fisheries and coastal management regimes.
ISSN: 0892-0753

hal-01333534
https://hal-univ-perp.archives-ouvertes.fr/hal-01333534
DOI : 10.1080/08920753.2014.877763

Éditeur(s) : HAL CCSD
Résumé : International audience
The French education system remains highly centralized and only allows limited local adaptations for overseas territories. For example, if some laws (the last in 2013) allow the use of regional languages (e.g. Creole in the French West Indies) when they constitute a relevant contribution to the teaching, many official texts remain mainly based on the geographical, economical, historical, environment of the French mainland. We focus on some French BTS (Brevet de Technicien Supérieur / Advanced Technician Certificate), namely tourism and assistant manager, which are two important diplomas for the local development and in which microeconomic and management sciences plays a great part. The French BTS is a professional diploma prepared in two years after the “baccalauréat”, with national programs and evaluation criteria. The successful candidates are supposed to be immediately employable, especially in their local geographical environment. Thus, there exists a paradox between the national definition of the diploma and the local contexts of teaching. We discuss how teachers concretely deal with this situation on a day-to-day basis. Our hypothesis is that they act pragmatically, using their practical pedagogical content knowledge, without theoretical support for their action. In order to verify this hypothesis, we have conducted semi-structured interview with Guadeloupian teachers of the two aforementioned BTS. The main results shows that teachers adapt the national framework of the diploma, essentially by using local examples. This can be called a weak contextualization of the national texts. Indeed, these adaptations remain limited by fear of disadvantaging the students for the national exam. In addition, many context effects are shown, for example linked with local rules (concerning VAT, custom duties...) which are only partially taken into account by teachers. This demonstrates that the French educative system has not yet completely solved the opposition between national guideline and decentralization of the educational action.
19th General Meeting and Biennial Conference “Harnessing Science and Technology to create knowledge-base Economies and preserve Caribbean Ecosystems”
Tobago, Trinidad and Tobago

hal-01535045
https://hal.univ-antilles.fr/hal-01535045

Éditeur(s) : Université des Antilles Études caribéennes
Résumé : Este trabajo indaga en la forma de componer la apariencia femenina hacia el inicio del siglo XX, como signo altamente valorado de un estilo de vida. Se hará hincapié en la moda para el ocio en la playa. En el marco de una práctica insipiente, se priorizó la necesidad de exaltar la distinción por sobre la vivencia de las sensaciones que podrían provocar el contacto con la naturaleza. Se entiende que para esto fueron decisivas las pautas tipológicas, tecnológicas y funcionales del vestir. Los atributos como forma, materialidad, modos de confección y de uso trascendieron su rol técnico para volverse condicionantes de las formas de comportamiento e interacción social y para comunicar los modos que podía asumir el gusto por el lujo.
Ce travail de recherche est consacré à la construction de l'apparence féminine, au début du xxe siècle, comme style de vie jouissant d’une grande considération. L’accent est mis sur le développement de la mode sur les plages, dans un cadre d’oisiveté. Dans le cadre de l’émergence de ces pratiques naïves, la priorité fut l’exaltation d’un besoin de distinction plutôt que la recherche de sensations au contact de la nature. De nouvelles normes émergent en combinant les types, les technologies et la fonctionnalité de l’habillement. Les attributs comme la forme, la matérialité, la confection et l’usage constituent des éléments déterminants dans les formes de comportement et les interactions sociales et ils illustrent les différentes manières d’assumer le goût du luxe.
This work investigates in the way of composing the feminine appearance to the beginning of the 20th century, as sign highly valued of a way of life. It will be emphasized in the mode used for the leisure in the beach. In the frame of an ignorant practice, there was prioritized the need to exalt the distinction for on the experience of the sensations that might provoke the contact with the nature. There is understood that for it were decisive the guidelines typological, technological and functional of to dress. The attributes like form, materiality, confection and use, came out his technical role to become determining of the forms of behavior and social interaction and to communicate the manners that the taste could assume for the luxury.

Droits : info:eu-repo/semantics/openAccess
urn:doi:10.4000/etudescaribeennes.7348
http://journals.openedition.org/etudescaribeennes/7348

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
29 inorganic compounds (Al, As, B, Ba, Be, Bi, Ca, Cd, Ce, Co, Cr, Cu, Fe, Gd, K, Mg, Mn, Mo, Na, Nd, Ni, Pb, Sb, Se, Sr, Ti, U, V and Zn) were measured in the tap water of 484 representative homes of children aged 6 months to 6 years in metropolitan France in 2008-2009. Parents were asked whether their children consumed tap water. Sampling design and sampling weights were taken into account to estimate element concentrations in tap water supplied to the 3,581,991 homes of 4,923,058 children aged 6 months to 6 years. Median and 95th percentiles of concentrations in tap water were in mu g/L: Al: <10, 483, As: 02, 2.1; B: <100, 100; Ba: 30.7, 149.4; Ca: 85,000, 121,700; Cd: <0.5, <0.5; Ce: <0.5, <0.5; Co: <0.5, 0.8; Cr: <5, <5; Cu: 70, 720; K: 2210, 6740; Fe: <20, 46; Mn: <5, <5; Mo: <0.5,1.5; Na: 14,500, 66,800; Ni: <2,10.2; Mg: 6500,21,200; Pb: <1, 5.4; Sb: <0.5, <0.5; Se: <1, 6.7; Sr: 256.9, 1004; TI: <0.5, <0.5; U: <0.5, 2.4; V: <1, 1; Zn; 53, 208. Of the 2,977,123 young children drinking tap water in France, some were drinking water having concentrations above the 2011 World Health Organization drinking water quality guidelines: respectively 498 (CI 95%: 0-1484) over 700 mu g/L of Ba; 121,581 (CI 95%: 7091-236,070) over 50 mg/L of Na; 2044 (CI 95%: 0-6132) over 70 mu g/L of Ni, and 78,466 (17,171-139,761) over 10 mu g/L of Pb. Since it is representative, this tap water contamination data can be used for integrated exposure assessment, in conjunction with diet and environmental (dust and soil) exposure data. (C) 2016 Elsevier Ltd. All rights reserved.
ISSN: 0160-4120

hal-01390976
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01390976
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01390976/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01390976/file/Le%20Bot%202016%20EI%20revision1%20.pdf
DOI : 10.1016/j.envint.2016.06.009

Éditeur(s) : HAL CCSD Landes Bioscience
Résumé : International audience
In 2008 we published the first set of guidelines for standardizing research in autophagy. Since then, research on this topic has continued to accelerate, and many new scientists have entered the field. Our knowledge base and relevant new technologies have also been expanding. Accordingly, it is important to update these guidelines for monitoring autophagy in different organisms. Various reviews have described the range of assays that have been used for this purpose. Nevertheless, there continues to be confusion regarding acceptable methods to measure autophagy, especially in multicellular eukaryotes. A key point that needs to be emphasized is that there is a difference between measurements that monitor the numbers or volume of autophagic elements (e.g., autophagosomes or autolysosomes) at any stage of the autophagic process vs. those that measure flux through the autophagy pathway (i.e., the complete process); thus, a block in macroautophagy that results in autophagosome accumulation needs to be differentiated from stimuli that result in increased autophagic activity, defined as increased autophagy induction coupled with increased delivery to, and degradation within, lysosomes (in most higher eukaryotes and some protists such as Dictyostelium) or the vacuole (in plants and fungi). In other words, it is especially important that investigators new to the field understand that the appearance of more autophagosomes does not necessarily equate with more autophagy. In fact, in many cases, autophagosomes accumulate because of a block in trafficking to lysosomes without a concomitant change in autophagosome biogenesis, whereas an increase in autolysosomes may reflect a reduction in degradative activity. Here, we present a set of guidelines for the selection and interpretation of methods for use by investigators who aim to examine macroautophagy and related processes, as well as for reviewers who need to provide realistic and reasonable critiques of papers that are focused on these processes. These guidelines are not meant to be a formulaic set of rules, because the appropriate assays depend in part on the question being asked and the system being used. In addition, we emphasize that no individual assay is guaranteed to be the most appropriate one in every situation, and we strongly recommend the use of multiple assays to monitor autophagy. In these guidelines, we consider these various methods of assessing autophagy and what information can, or cannot, be obtained from them. Finally, by discussing the merits and limits of particular autophagy assays, we hope to encourage technical innovation in the field.
Autophagy

hal-00735751
https://hal.archives-ouvertes.fr/hal-00735751
PUBMED : 22966490

Éditeur(s) : HAL CCSD
Résumé : 6 pages, 4 figures. In ICML 2013 Workshop on Machine Learning for Bioacoustics
International audience
The work presented in this paper is part of a global framework which long term goal is to design a wireless sensor network able to support the observation of a population of endangered birds. We present the first stage for which we have conducted a knowledge discovery approach on a sample of acoustical data. We use MFCC features extracted from bird songs and we exploit two knowledge discovery techniques. One that relies on clustering-based approaches, that highlights the homogeneity in the songs of the species. The other, based on predictive modeling, that demonstrates the good performances of various machine learning techniques for the identification process. The knowledge elicited provides promising results to consider a widespread study and to elicit guidelines for designing a first version of the automatic approach for data collection based on acoustic sensors.
ICML 2013 Workshop on Machine Learning for Bioacoustics
Atlanta, United States

hal-00840741
https://hal.archives-ouvertes.fr/hal-00840741
ARXIV : 1306.5349

Éditeur(s) : HAL CCSD IOS Press
Résumé : International audience
This document, supported by both the International Society for Clinical Hemorheology and the European Society for Clinical Hemorheology and Microcirculation, proposes new guidelines for hemorheological methods used in experimental and clinical studies. It is based on a similar document entitled: "Guidelines for measurement of blood viscosity and erythrocyte deformability" published in 1986 by the Expert Panel on Blood Rheology of the International Committee for Standardization in Hematology. Recent methods, techniques and instruments, as well as new approaches to interpretation of results, are added to these new guidelines; wide spread adoption should improve comparability between hemorheological laboratories and increase the reliability of rheological tests.
ISSN: 1386-0291

hal-00709840
https://hal.archives-ouvertes.fr/hal-00709840
https://hal.archives-ouvertes.fr/hal-00709840/document
https://hal.archives-ouvertes.fr/hal-00709840/file/New_Guidelines_accepted_1-4-2009.pdf

Éditeur(s) : HAL CCSD
Résumé : International audience
Primary spontaneous pneumothorax (PSP) is common and affects young and active patients. Guidelines are accurate about diagnosis and treatment indications, but the initial optimal management remains unclear. Smoking is the main risk factor and smoking cessation must be systematically advised. If simple surveillance is acceptable for small PSP and/or paucisymptomatic patient with PSP, exsufflation or hospitalization with chest tube drainage remains the standard treatment in other situations. Ambulatory management is possible and could become the next standard of care. © 2015, Société de réanimation de langue française (SRLF) and Springer-Verlag France
Reanimation

hal-01326967
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01326967
DOI : 10.1007/s13546-015-1156-1

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
Cancer is the main complication of transplantation surgery. The literature concerning renal transplant recipients among the Afro-Caribbean population is scant. The aim of this study was to determine the incidence of cancer in these patients, with the secondary objective being to identify predisposing factors for cancer. This was an epidemiological and retrospective study that included all Guadeloupians of phototype V-VI undergoing renal transplantation from 01/01/2004 to 31/12/2011. Skin cancer screening was performed before transplantation and during an annual dermatological consultation following transplantation. Screening for non-cutaneous cancers was guided by clinical symptoms or by the results of the screening examinations recommended in the current guidelines. At the study time-point (31/12/2011), all patients were examined by a dermatologist. One hundred and two patients were included : 42 women and 60 men (mean age: 52.1±11.6 years at transplantation). Eight cancers were diagnosed. The cumulative incidence of cancer was 7.8% at 3 years. Three factors were associated with more rapid onset of cancer: personal history or familial history of cancer, and genital lesion induced by HPV. Our results suggest a low incidence of cancer in Afro-Caribbean renal transplant patients. Personal or family history of cancer and HPV-induced genital lesions would appear to accelerate the onset of cancer in this population.
ISSN: 0151-9638

hal-01260468
https://hal.archives-ouvertes.fr/hal-01260468
https://hal.archives-ouvertes.fr/hal-01260468/document
https://hal.archives-ouvertes.fr/hal-01260468/file/2015%2C%20Ameline.pdf
https://hal.archives-ouvertes.fr/hal-01260468/file/14%20148%20Fig%201%20ap.pdf

Éditeur(s) : HAL CCSD
Résumé : International audience
Up-to-date estimates of the health outcomes of preterm children are needed for assessing perinatal care, informing parents, making decisions about care, and providing evidence for clinical guidelines. To determine survival and neonatal morbidity of infants born from 22 through 34 completed weeks' gestation in France in 2011 and compare these outcomes with a comparable cohort in 1997. The EPIPAGE-2 study is a national, prospective, population-based cohort study conducted in all maternity and neonatal units in France in 2011. A total of 2205 births (stillbirths and live births) and terminations of pregnancy at 22 through 26 weeks' gestation, 3257 at 27 through 31 weeks, and 1234 at 32 through 34 weeks were studied. Cohort data were collected from January 1 through December 31, 1997, and from March 28 through December 31, 2011. Analyses for 1997 were run for the entire year and then separately for April to December; the rates for survival and morbidities did not differ. Data are therefore presented for the whole year in 1997 and the 8-month and 6-month periods in 2011. Survival to discharge and survival without any of the following adverse outcomes: grade III or IV intraventricular hemorrhage, cystic periventricular leukomalacia, severe bronchopulmonary dysplasia, retinopathy of prematurity (stage 3 or higher), or necrotizing enterocolitis (stages 2-3). A total of 0.7% of infants born before 24 weeks' gestation survived to discharge: 31.2% of those born at 24 weeks, 59.1% at 25 weeks, and 75.3% at 26 weeks. Survival rates were 93.6% at 27 through 31 weeks and 98.9% at 32 through 34 weeks. Infants discharged home without severe neonatal morbidity represented 0% at 23 weeks, 11.6% at 24 weeks, 30.0% at 25 weeks, 47.5% at 26 weeks, 81.3% at 27 through 31 weeks, and 96.8% at 32 through 34 weeks. Compared with 1997, the proportion of infants surviving without severe morbidity in 2011 increased by 14.4% (P < .001) at 25 through 29 weeks and 6% (P < .001) at 30 through 31 weeks but did not change appreciably for those born at less than 25 weeks. The rates of antenatal corticosteroid use, induced preterm deliveries, cesarean deliveries, and surfactant use increased significantly in all gestational-age groups, except at 22 through 23 weeks. The substantial improvement in survival in France for newborns born at 25 through 31 weeks' gestation was accompanied by an important reduction in severe morbidity, but survival remained rare before 25 weeks. Although improvement in survival at extremely low gestational age may be possible, its effect on long-term outcomes requires further studies. The long-term results of the EPIPAGE-2 study will be informative in this regard.
ISSN: 2168-6211

hal-01258705
http://hal.univ-brest.fr/hal-01258705
PUBMED : 25621457
DOI : 10.1001/jamapediatrics.2014.3351

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

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

Éditeur(s) : HAL CCSD
Résumé : International audience
New guidelines have been produced by the CNSF and the CNGOF regarding the use of oxytocin after spontaneous onset of labor in France. This clinical practices were designed to redefine the normal and abnormal obstetrical labor; specify the indications, dosage, procedures, and effects of oxytocin administration; and describe the adverse maternal and perinatal effect associated with oxytocin administration.
31st International Confederation of Midwives (ICM) trienal congress
Toronto, France

Droits : http://creativecommons.org/licenses/by-nc/
hal-01564458
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01564458
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01564458/document
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01564458/file/Poster%20CNSF%20pour%20ICM%20Toronto%20-%20Juin%202017.pdf

Éditeur(s) : HAL CCSD
Résumé : International audience
Idiopathic pulmonary fibrosis (IPF) is the most frequent chronic idiopathic interstitial pneumonia in adults. The management of rare diseases in France has been organised by a national plan for rare diseases, which endorsed a network of expert centres for rare diseases throughout France. This article is an overview of the executive summary of the French guidelines for the management of IPF, an initiative that emanated from the French National Reference Centre and the Network of Regional Competence Centres for Rare Lung Diseases. This review aims at providing pulmonologists with a document that: 1) combines the current available evidence; 2) reviews practical modalities of diagnosis and management of IPF; and 3) is adapted to everyday medical practice. The French practical guidelines result from the combined efforts of a coordination committee, a writing committee and a multidisciplinary review panel, following recommendations from the Haute Autorité de Santé. All recommendations included in this article received at least 90% agreement by the reviewing panel. Herein, we summarise the main conclusions and practical recommendations of the French guidelines.
Eur Respir Rev

hal-01063982
https://hal.archives-ouvertes.fr/hal-01063982
DOI : 10.1183/09059180.00001814
PUBMED : 24881074

Éditeur(s) : Université des Antilles Études caribéennes
Résumé : Tourism in marine and coastal areas is a complex phenomenon. Tourism in coastal areas brings along both positive and negative effects on the environment as a result of activities exerted upon such areas by proponents and tourists. While tourism development results in the modification of coastal environments, it can also flourish where such environments are left unmodified as the pristine nature of the environments attract visitors. Alternatively, in order for marine and coastal tourism to develop and continue to attract tourists, there is the need for an integrated approach that can be translated into a sustainable coastal tourism development. The aim of this paper therefore, is to postulate and develop a framework and guideline to be addressed by decision-makers for coastal areas. Frameworks for sustainable coastal tourism development and coastal zone management (CZM) are suggested taking into account the multifaceted nature of the coastal environment. Although Hong Kong epitomizes a successful tourism destination, alternative tourism is attractive as the diversity of habitats and life forms makes the Hong Kong coastal area unique. For the ecological richness to continue to provide avenues for alternative tourism, it is argued that such frameworks should be adaptable and implemented for a sustainable coastal tourism policy.
La gestion des processus touristique dans des secteurs marins et côtiers est complexe. Les pratiques touristiques et récréatives s’accompagnent d’effets positifs et négatifs sur l'environnement. Le développement de tourisme peut s’épanouir sur des environnements faiblement modifiés mais il n’est pas sans conséquence sur la modification des environnements côtiers. Une gestion intégrée s’impose pour intégrer les pratiques touristiques dans un processus de développement côtier soutenable. Le but de cet article est de proposer un cadre et une orientation pour la gestion intégrée des secteurs côtiers. Des cadres pour le développement côtier soutenable de tourisme et la gestion côtière de zone (CZM) sont suggérés en tenant compte de la nature diversifiée des environnements côtiers. Bien que Hong Kong constitue destination touristique réussie, le tourisme littoral, avec des approches alternatives, est aussi un aspect à promouvoir tant autour de la diversité des habitats et que des formes de vie qui rendent le littoral d’Hong Kong unique.
Hong Kong

Droits : info:eu-repo/semantics/openAccess
urn:doi:10.4000/etudescaribeennes.1373
http://journals.openedition.org/etudescaribeennes/1373

Éditeur(s) : HAL CCSD
Résumé : International audience
INTRODUCTION: The syndrome of combined pulmonary fibrosis and emphysema (CPFE) is characterized by imaging features consisting of the association of centrilobular and/or paraseptal emphysema and pulmonary fibrosis. Virtually all patients are smokers and thus at high risk of developing lung cancer. METHODS: This retrospective multicentre study was conducted by the Groupe d'Etudes et de Recherche sur les Maladies "Orphelines" Pulmonaires (GERM"O"P). RESULTS: A total of 47 patients presenting with lung cancer and CPFE syndrome were identified. All patients were smokers, with a mean of 47 pack-years. A pathological diagnosis of lung cancer was obtained for 38 (81%) patients. Histological type was squamous cell carcinoma in 17 (36%) patients, adenocarcinoma in 14 (30%), non-small-cell lung cancer not otherwise specified in three (6%), small-cell lung cancer in three (6%), and sarcomatoid carcinoma in one (2%). Overall, 20 of the 47 patients could not receive standard-of-care treatment for lung cancer, as per international recommendations or guidelines; this limitation was considered to be directly related to the CPFE syndrome in eight (40%) cases. CONCLUSION: Lung cancer in patients with CPFE syndrome represents a specific entity with a poor prognosis, that further represents the most characteristic and severe model of tobacco-related disease.
Journal of Thoracic Oncology: Official Publication of the International Association for the Study of Lung Cancer

hal-01063912
https://hal.archives-ouvertes.fr/hal-01063912
DOI : 10.1097/JTO.0000000000000209
PUBMED : 25157769

Éditeur(s) : HAL CCSD
Résumé : International audience
Traditional network generation models aim to replicate global structural properties observed on various real-world networks (power law degree distribution, short average distance, community structure, etc.) through synthetic link formation mechanisms such as triadic closure or preferential attachment. Nowadays the large amount of data available allows to study more precisely the link formation processes and to compare the models to real situations. In this work, we analyse the communication activities of the users of a mobile telephony operator for studying the link formation process. The communications emitted and received by users are strong indicators for understanding the underlying mechanisms of the link formation process and highlighting how user attributes correlate with the formation process in such a network. In a first study conducted at a global level we show that the traditional mechanisms commonly used in network generation models are not the main link formation mechanisms involved in this network. In a second study, we analyse more precisely the link formation process by searching for correlations between some user attributes and the formation of the new links. These results provide valuable guidelines to the design of more realistic generation models taking into account network structure and node attributes.
IEEE International Conference on Research Challenges in Information Science (RCIS)
Marrakesh, Morocco

hal-01312314
https://hal.archives-ouvertes.fr/hal-01312314
DOI : 10.1109/RCIS.2014.6861065