Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
ISSN: 0003-4975

hal-01563338
http://hal.univ-brest.fr/hal-01563338
DOI : 10.1016/j.athoracsur.2016.03.093
PUBMED : 27262916

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Aims: The aims of this study were to compare short-and long-term outcomes for clinical T2N0 oesophageal cancer with analysis of (i) primary surgery (S) versus neoadjuvant therapy plus surgery (NS), (ii) squamous cell carcinoma and adenocarcinoma subsets; and (iii) neoadjuvant chemoradiotherapy versus neoadjuvant chemotherapy.Methods: Data were collected from 30 European centres from 2000 to 2010. Among 2944 included patients, 355 patients (12.1%) had cT2N0 disease; 285 (S) and 70 (NS), were compared in terms of short-and long-term outcomes. Propensity score matching analyses were used to compensate for differences in baseline characteristics.Results: No significant differences between the groups were shown in terms of in hospital morbidity and mortality. Nodal disease was observed in 50% of S-group at the time of surgery, with 20% pN2/N3. Utilisation of neoadjuvant therapy was associated with significant tumour downstaging as reflected by increases in pT0, pN0 and pTNM stage 0 disease, this effect was further enhanced with neoadjuvant chemoradiotherapy. After adjustment on propensity score and confounding factors, for all patients and subset analysis of squamous cell and adenocarcinoma, neoadjuvant therapy had no significant effect upon survival or recurrence (overall, loco-regional, distant or mixed) compared to surgery alone. There were no significant differences between neoadjuvant chemotherapy and chemoradiotherapy in short-or long-term outcomes.Conclusion: The results of this study suggest that a surgery alone treatment approach should be recommended as the primary treatment approach for cT2N0 oesophageal cancer despite 50% of patients having nodal disease at the time of surgery.
ISSN: 0959-8049

hal-01666517
https://hal.univ-lorraine.fr/hal-01666517
DOI : 10.1016/j.ejca.2015.11.024

Éditeur(s) : HAL CCSD American Geophysical Union
Résumé : International audience
This paper presents a multicontinuum approach to model fractal temporal scaling of catchment response in hydrological systems. The temporal scaling of discharge is quantified in frequency domain by the transfer function HðxÞ, which is defined as the ratio between the spectra of catchment response and recharge time series. The transfer function may scale with frequency x as HðxÞ x2b. While the classical linear and Dupuit models predict exponents of b52 and b51, observations indicate scalings with noninteger exponents b. Such behaviors have been described by multifractal models, which, however, often lack a relation to the medium characteristics. We revisit and extend the classical linear Dupuit aquifer models and discuss their physical meanings in the light of the resulting aquifer dynamics. On the basis of these classical models, we derive a multicontinuum approach that provides physical recharge models which are able to explain fractal behaviors with exponents 1=2 < b < 2. Furthermore, this approach allows to link the fractal dynamics of the discharge process to the physical aquifer characteristics as reflected in the distribution of storage time scales. We systematically analyze the catchment responses in the proposed multicontinuum models, and identify and quantify the time scales which characterize the dynamics of the catchment response to recharge.
ISSN: 0043-1397

insu-00952537
https://hal-insu.archives-ouvertes.fr/insu-00952537
https://hal-insu.archives-ouvertes.fr/insu-00952537/document
https://hal-insu.archives-ouvertes.fr/insu-00952537/file/russian.pdf
DOI : 10.1002/2013WR014255

Éditeur(s) : HAL CCSD American Geophysical Union
Résumé : International audience
Mobile-immobile mass transfer is widely used to model non-Fickian dispersion in porous media. Nevertheless, the memory function, implemented in the sink/source term of the transport equation to characterize diffusion in the matrix (i.e., the immobile domain), is rarely measured directly. Therefore, the question can be posed as to whether the memory function is just a practical way of increasing the degrees of freedom for fitting tracer test breakthrough curves or whether it actually models the physics of tracer transport. In this paper we first present a technique to measure the memory function of aquifer samples and then compare the results with the memory function fitted from a set of field-scale tracer tests performed in the same aquifer. The memory function is computed by solving the matrix diffusion equation using a random walk approach. The properties that control diffusion (i.e., mobile-immobile interface and immobile domain cluster shapes, porosity, and tortuosity) are investigated by X-ray microtomography. Once the geometry of the matrix clusters is measured, the shape of the memory function is controlled by the value of the porosity at the percolation threshold and of the tortuosity of the diffusion path. These parameters can be evaluated from microtomographic images. The computed memory function compares well with the memory function deduced from the field-scale tracer tests. We conclude that for the reservoir rock studied here, the atypical non-Fickian dispersion measured from the tracer test is well explained by microscale diffusion processes in the immobile domain. A diffusion-controlled mobileimmobile mass transfer model therefore appears to be valid for this specific case.
ISSN: 0043-1397

insu-00373705
https://hal-insu.archives-ouvertes.fr/insu-00373705
https://hal-insu.archives-ouvertes.fr/insu-00373705/document
https://hal-insu.archives-ouvertes.fr/insu-00373705/file/Gouze_et_al-2008-Water_Resources_Research.pdf
DOI : 10.1029/2007WR006690

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Veterinary pharmaceuticals, widely used in intensive livestock production, may contaminate surface waters. Identifying their sources and pathways in watersheds is difficult because i) most veterinary pharmaceuticals are used in human medicine as well and ii) septic or sewer wastewater treatment plants (WWTP) can release pharmaceuticals into surface water, even in agricultural headwater watersheds. This study aimed to analyze the spatiotemporal variability of animal-specific, mixed-use, and human-specific pharmaceuticals, from agricultural headwaters with intensive livestock production and a WWTP to a watershed used for Water Framework Directive monitoring. Grab sampling was performed during one hydrological year upstream and downstream from a WWTP and at three dates in seven nested watersheds with areas of 1.9-84.1km2. Twenty pharmaceuticals were analyzed. Animal-specific pharmaceuticals were detected at all sampling dates upstream and downstream from the WWTP and at concentrations higher than those of human-specific pharmaceuticals. The predominance of animal-specific and mixed-use pharmaceuticals vs. human-specific pharmaceuticals observed at these sampling points was confirmed at the other sampling points. Animal-specific pharmaceuticals were detected mainly during runoff events and periods of manure spreading. A large percentage of mixed-use pharmaceuticals could come from animal sources, but it was difficult to determine. Mixed-use and human-specific pharmaceuticals predominated in the largest watersheds when runoff decreased. In areas of intensive livestock production, mitigation actions should focus on agricultural headwater watersheds to decrease the number of pathways and the transfer volume of veterinary pharmaceuticals, which can be the main contaminants
ISSN: 0048-9697

insu-01574739
https://hal-insu.archives-ouvertes.fr/insu-01574739
DOI : 10.1016/j.scitotenv.2017.07.206
PUBMED : 28783916

Éditeur(s) : HAL CCSD Elsevier
Résumé : The correct characterization of the effective reactive transport dynamics is an important issue for modeling reactive transport on the Darcy scale, specifically in situations in which reactions are localized, that is when different reactions occur in different portions of the porous medium. Under such conditions the conventional approach of homogenizing only the porous medium chemistry is not appropriate. We consider here reactive transport in a porous medium that is characterized by mass transfer between a mobile and a distribution of immobile regions. Chemical and physical heterogeneities are reflected by distributions of kinetic reaction rate constants and residence times in the immobile zones. We derive an effective reactive transport equation for the mobile solute that is characterized by non-local physical mass transfer and reaction terms. Specifically, chemical heterogeneity is upscaled in terms of a reactive memory function that integrates both chemical and physical heterogeneity. Mass transfer limitations due to physical heterogeneity yield effective kinetic rate coefficients that can be much smaller than the volumetric average of the local scale coefficients. These results help to explain and quantify the often reported discrepancy between observed field reaction rate constants and the ones obtained under well mixed laboratory conditions. Furthermore, these results indicate that transport under physical and chemical heterogeneity cannot be upscaled separately.
ISSN: 0169-7722

hal-00617674
https://hal.archives-ouvertes.fr/hal-00617674
DOI : 10.1016/j.jconhyd.2010.06.002

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Heletz sandstone (Israel) reactivity is studied by means of CO2-rich brine percolation experiments and modeling. Experiments are performed at in situ temperature and pressure conditions with two distinctly different injection flow rates and for two different brine compositions: the genuine Heletz brine and a similar brine but in equilibrium with gypsum. The Heletz sandstone is composed of quartz, dolomite, ankerite, K-feldspar, clay minerals and minor amounts of gypsum and pyrite. The main reaction is the dissolution of the carbonates which is fastest for the highest flow rate injection and for the genuine Heletz brine. Permeability increases during the five percolation experiments, regardless of flow rate and brine type. This increase in permeability is associated to a decrease in porosity during the gypsum-equilibrated brine experiments due to gypsum precipitation. The precipitation of secondary minerals (kaolinite, muscovite and smectite) is mainly controlled by the dissolution of K-feldspar and largest at low flow rate injection, indicating that these precipitation processes are diffusion-controlled and localized in immobile zones where favorable chemical micro-environments exist. These processes are quantified by means of a reactive transport model. These results indicated that the CO2 injection at the Heletz site should trigger both permeability increase in interface between brine and CO2, which may extend over a large extension and where mixing processes are very active, especially near the well under intermittent injection conditions.
ISSN: 1750-5836

hal-01356329
https://hal.archives-ouvertes.fr/hal-01356329
DOI : 10.1016/j.ijggc.2015.10.023

Éditeur(s) : HAL CCSD
Résumé : International audience
Diffuse contamination of surface water by veterinary pharmaceuticals (VP) has been poorly studied in intensive breeding context. Recycling animal waste on soil is supported to fertilize crops and reduce utilization of mineral fertilizer but may have some environmental impact by recycling pollutants on soils and transferring pollutants from soils to rivers. Most of pharmaceuticals are consumed indifferently by human and animal, especially antibiotics. This study aims to quantify veterinary pharmaceuticals (VP) in superficial water in two agricultural catchments. One is dedicated to the production of drinkable water. Agriculture but also waste water treatment plant may contribute to the contamination of water and it is difficult to distinguish animal versus human source of contamination
1ere conférence internationale sur l’évaluation des risques des résidus de médicament dans l’environnement
Paris, France

insu-01467591
https://hal-insu.archives-ouvertes.fr/insu-01467591

Éditeur(s) : HAL CCSD
Résumé : National audience
A l'aire des stratégies d'accès aux traitements antirétroviraux mondialisées, la question des inégalités territoriales, questionne leur mise en place. Si les PVVIH sont particulièrement fragiles face aux violences structurelles, sociales et économiques, leur prise en charge aux frontières est souvent oubliée. Ce travail entend donc mettre en exergue une analyse de l'impact des frontières sur les PVVIH en Guyane mais aussi d'interroger de nouveaux modèles de pratiques médicales d'interface. En Guyane française, les configurations territoriales génèrent une situation singulière dans la mesure où les populations gravitent/évoluent entre une instabilité géographique (barrages policiers routiers et fluviaux, nomadisme et mobilité des populations) et des logiques d'intégration. De là, apparaît, un renforcement des vulnérabilités (psychologique, socio-économique, sanitaire, spatiale, (…) etc.), notamment chez les PVVIH. Afin d'améliorer la prise en charge de ces patients un relais avancé a été mis en place au sein du centre de santé à la frontière avec le Brésil à S t Gorges de l'Oyapock. Des médiateurs communautaires en santé sont au centre du dispositif avec les soignants du dispensaire local et un système de délocalisation des examens biologiques et avis spécialisés a été réalisé. En un an la file active de PVVIH suivis a été multipliée par 4. Cette action a permis de diminuer les délais de prise en charge des patients, réduisant également le nombre de perdus de vus. Il a été rendus possible pour exemple une prise en charge « familiale » du dépistage et des traitements impossible jusqu'à alors. Sur le plan médico-social des « staffs » transfrontaliers ont réalisés améliorant la gestion des patients dans leur globalité. Cet exemple de coopération inter-culturelle renforcée avec valorisation de l'espace comme carrefour géographique de différents flux migratoires que constitue la frontière Franco-Brésilienne fait de cet espace un lieu privilégié de médiation médicale.
Congrès 2016 de la Société française de lutte contre le sida
Montpellier, France

inserm-01475951
http://www.hal.inserm.fr/inserm-01475951
http://www.hal.inserm.fr/inserm-01475951/document
http://www.hal.inserm.fr/inserm-01475951/file/2016%2C%20Mosnier%20-%20Fronti%C3%A8res%20%20limites%20ou%20espaces%20innovants%20dans%20la%20lutte%20contre%20le%20VIH.pdf