Éditeur(s) : HAL CCSD
Résumé : National audience
Congrès de la SPTC - Société de Pharmaco-Toxicologie Cellulaire
Paris, France

hal-01122677
https://hal.archives-ouvertes.fr/hal-01122677

Éditeur(s) : HAL CCSD
Résumé : International audience
Conférence MISTRALS PAELOMEX
Montpellier, France

hal-01683548
https://hal-univ-tlse2.archives-ouvertes.fr/hal-01683548

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
11 4 : CEA/HC 12 13 Corresponding author: 14 pierre.legoff@cea.fr -+333 80 23 40 00 -+333 80 23 52 09 15 16 Abstract 17 As one of the three natural isotopes of hydrogen, tritium is ubiquitous and might potentially 18 be present in any water or organic molecule that constitutes a biological matrix. Milk is one of 19 the most frequently monitored foodstuffs in the vicinity of chronic release of radionuclides, as 20 it is a very common product and also because it integrates deposition on large areas of grass at 21 a local scale. Different parameters have been studied to assess their impact on the reliability 22 of tritium measurements. The volume of the sample, the technique used to extract the water 23 and the level of dehydration modulate the results but in different ways: dispersion of results, 24 under-or overestimation of the tritium activity. The influence of sample storage and 25 preparation has also been investigated. Methodological improvements of tritium 26 measurements in the free water of milk are proposed. 27 28
ISSN: 0265-931X

hal-01117741
https://hal.archives-ouvertes.fr/hal-01117741
https://hal.archives-ouvertes.fr/hal-01117741/document
https://hal.archives-ouvertes.fr/hal-01117741/file/Tritium%20in%20the%20free%20water%20of%20milk-FINAL.pdf
DOI : 10.1016/j.jenvrad.2013.09.006

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
This study addresses the mechanical and chemical behavior of allanite during shear zone formation under high-pressure metamorphism. Understanding physico-chemical processes related to the retention or resetting of Pb isotopes in allanite during geological processes is essential for robust petrochronology. Dating of allanite in meta-granodiorite showing variable amounts of strain (from an undeformed protolith to mylonite) at Monte Mucrone (Sesia Zone, NW Italy) gave surprising results. Based on structural and petrographic observations the shear zones at Mt Mucrone are Alpine, yet allanite located within an eclogite facies mylonite yielded Permian ages (208Pb/232Th average age: 287 ± 7 Ma). These mm-sized allanite grains are rimmed by an aggregate of coarse-grained garnet + phengite, thought to derive from former epidote. These aggregates were immersed in a weak matrix that experienced granular flow, and they were thus chemically and mechanically shielded during Alpine mylonitization. In undeformed samples (8a and 8b), two populations of epidote group minerals were found. Allanite forms either coronas around Permian monazite or individual grains with patchy zoning. Both types yield Permian ages (208Pb/232Th age: 291 ± 5 Ma). On the other hand, grains of REE-rich clinozoisite of Cretaceous age are found in undeformed rocks. These grains appear as small fragments with embayed surface outlines and minute satellites or rims around Permian allanite. These (re)crystallized grains are Sr-rich and show mosaic zoning. These results indicate that allanite crystals retained their chemical and isotopic characteristics, and thus their Permian age, as a result of strong strain partitioning between the epidote group porphyroclasts and the eclogite facies matrix in HP-mylonites. The observed partial mobilization of Pb isotopes, which lead to the Cretaceous-aged rims or grains in undeformed samples was facilitated by (re)crystallization of allanite and not by mere Pb diffusion alone under the HP conditions.
ISSN: 0024-4937

insu-00679730
https://hal-insu.archives-ouvertes.fr/insu-00679730
DOI : 10.1016/j.lithos.2011.01.005

Éditeur(s) : HAL CCSD
American Geophysical Union, Fall Meeting 2009
San Francisco, United States

hal-00483586
https://hal.archives-ouvertes.fr/hal-00483586

Éditeur(s) : HAL CCSD AGU and the Geochemical Society
Résumé : International audience
Although magmatism may occur during the earliest stages of continental rifting, its role in strain accommodation remains weakly constrained by largely 2-D studies. We analyze seismicity data from a 13 month, 39-station broadband seismic array to determine the role of magma intrusion on state-of-stress and strain localization, and their along-strike variations. Precise earthquake locations using cluster analyses and a new 3-D velocity model reveal lower crustal earthquakes beneath the central basins and along projections of steep border faults that degas CO2. Seismicity forms several disks interpreted as sills at 6-10 km below a monogenetic cone field. The sills overlie a lower crustal magma chamber that may feed eruptions at Oldoinyo Lengai volcano. After determining a new ML scaling relation, we determine a b-value of 0.87±0.03. Focal mechanisms for 65 earthquakes, and 13 from a catalogue prior to our array reveal an along-axis stress rotation of ∼60° in the magmatically active zone. New and prior mechanisms show predominantly normal slip along steep nodal planes, with extension directions ∼N90°E north and south of an active volcanic chain consistent with geodetic data, and ∼N150°E in the volcanic chain. The stress rotation facilitates strain transfer from border fault systems, the locus of early-stage deformation, to the zone of magma intrusion in the central rift. Our seismic, structural, and geochemistry results indicate that frequent lower crustal earthquakes are promoted by elevated pore pressures from volatile degassing along border faults, and hydraulic fracture around the margins of magma bodies. Results indicate that earthquakes are largely driven by stress state around inflating magma bodies.
ISSN: 1525-2027

hal-01667198
https://hal.archives-ouvertes.fr/hal-01667198
DOI : 10.1002/2017GC007027

Éditeur(s) : HAL CCSD Wiley-Blackwell
Résumé : International audience
This paper aims to decipher the thermal evolution of the Montagne Noire Axial Zone (MNAZ,southern French Massif Central) gneiss core and its metasedimentary cover through determination ofP–T paths and temperature gradients. Migmatitic gneiss from the core of the dome record a clock-wise evolution culminating at 725 25 °C and 0.8 0.1 GPa with partial melting, followed by adecompression path with only minor cooling to 690 25° C and 0.4 0.1 GPa. Field structuralanalyses as well as detailed petrological observations interpreted in a petrogenetic grid indicate thatthe cover sequence experienced LP-HT metamorphism at <0.4 GPa. Apparent thermal gradientswithin the cover were determined with garnet–biotite thermometry and Raman Spectroscopy on Car-bonaceous Matter. High-temperature apparent gradients (e.g. 530 °C km1 along one transect) areexplained by late brittle–ductile extensional shearing evidenced by phyllonites that post-date peakmetamorphism. In areas where normal faults are less abundant and closely spaced, gradients of 20to 50 °C km1 are calculated. These gradients can be accounted for by a combination of domeemplacement and ductile shearing (collapse of isotherms), without additional heat input. Finally, thethermal evolution of the MNAZ is typical for many gneiss domes worldwide as well as with otherLP-HT terranes in the Variscides.
ISSN: 0263-4929

Droits : http://creativecommons.org/licenses/by-nc-nd/
insu-01290388
https://hal-insu.archives-ouvertes.fr/insu-01290388
https://hal-insu.archives-ouvertes.fr/insu-01290388/document
https://hal-insu.archives-ouvertes.fr/insu-01290388/file/jmg12188.pdf
DOI : 10.1111/jmg.12188

Éditeur(s) : HAL CCSD Oxford University Press (OUP)
Résumé : International audience
Rifting in a cratonic lithosphere is strongly controlled by several interacting processes including crust/mantle rheology, magmatism, inherited structure and stress regime. In order to better understand how these physical parameters interact, a 2 yr long seismological experiment has been carried out in the North Tanzanian Divergence (NTD), at the southern tip of the eastern magmatic branch of the East African rift, where the southward-propagating continental rift is at its earliest stage. We analyse teleseismic data from 38 broad-band stations ca. 25 km spaced and present here results from their receiver function (RF) analysis. The crustal thickness and Vp/Vs ratio are retrieved over a ca. 200 × 200 km2 area encompassing the South Kenya magmatic rift, the NTD and the Ngorongoro-Kilimanjaro transverse volcanic chain. Cratonic nature of the lithosphere is clearly evinced through thick (up to ca. 40 km) homogeneous crust beneath the rift shoulders. Where rifting is present, Moho rises up to 27 km depth and the crust is strongly layered with clear velocity contrasts in the RF signal. The Vp/Vs ratio reaches its highest values (ca. 1.9) beneath volcanic edifices location and thinner crust, advocating for melting within the crust. We also clearly identify two major low-velocity zones (LVZs) within the NTD, one in the lower crust and the second in the upper part of the mantle. The first one starts at 15–18 km depth and correlates well with recent tomographic models. This LVZ does not always coexist with high Vp/Vs ratio, pleading for a supplementary source of velocity decrease, such as temperature or composition. At a greater depth of ca. 60 km, a mid-lithospheric discontinuity roughly mimics the step-like and symmetrically outward-dipping geometry of the Moho but with a more slanting direction (NE–SW) compared to the NS rift. By comparison with synthetic RF, we estimate the associated velocity reduction to be 8–9 per cent. We relate this interface to melt ponding, possibly favouring here deformation process such as grain-boundary sliding (EAGBS) due to lithospheric strain. Its geometry might have been controlled by inherited lithospheric fabrics and heterogeneous upper mantle structure. We evidence that crustal and mantle magmatic processes represent first order mechanisms to ease and locate the deformation during the first stage of a cratonic lithospheric breakup.
ISSN: 0956-540X

hal-01622078
https://hal.archives-ouvertes.fr/hal-01622078
https://hal.archives-ouvertes.fr/hal-01622078/document
https://hal.archives-ouvertes.fr/hal-01622078/file/plasmanGJI2017.pdf
DOI : 10.1093/gji/ggx177

Éditeur(s) : HAL CCSD Nature Publishing Group
Résumé : International audience
Collisional mountain belts grow as a consequence of continental plate convergence and eventuallydisappear under the combined effects of gravitational collapse and erosion. Using a decade ofGPS data, we show that the western Alps are currently characterized by zero horizontal velocityboundary conditions, offering the opportunity to investigate orogen evolution at the time ofcessation of plate convergence. We find no significant horizontal motion within the belt, but GPS andlevelling measurements independently show a regional pattern of uplift reaching ~2.5 mm/yr in thenorthwestern Alps. Unless a low viscosity crustal root under the northwestern Alps locally enhancesthe vertical response to surface unloading, the summed effects of isostatic responses to erosion andglaciation explain at most 60% of the observed uplift rates. Rock-uplift rates corrected from transientglacial isostatic adjustment contributions likely exceed erosion rates in the northwestern Alps. In theabsence of active convergence, the observed surface uplift must result from deep-seated processes.
ISSN: 2045-2322

hal-01357450
https://hal.archives-ouvertes.fr/hal-01357450
https://hal.archives-ouvertes.fr/hal-01357450/document
https://hal.archives-ouvertes.fr/hal-01357450/file/noquet2016.pdf
DOI : 10.1038/srep28404

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Isotopic fractionation of tritium is a highly relevant issue in radiation protection and requires certain radioecological considerations. Sound evaluation of this factor is indeed necessary to determine whether environmental compartments are enriched/depleted in tritium or if tritium is, on the contrary, isotopically well-distributed in a given system. The ubiquity of tritium and the standard analytical methods used to assay it may induce biases in both the measurement and the signification that is accorded to the so-called fractionation: based on an exhaustive review of the literature, we show how, sometimes large deviations may appear. It is shown that when comparing the non-exchangeable fraction of organically bound tritium (neOBT) to another fraction of tritium (e.g. tritiated water) the preparation of samples and the measurement of neOBT reported frequently led to underestimation of the ratio of tritium to hydrogen (T/H) in the non-exchangeable compartment by a factor of 5 % to 50 %. In the present study, corrections are proposed for most of the biological matrices studied so far. Nevertheless, the values of isotopic fractionation reported in the literature remain difficult to compare with each other, especially since the physical quantities and units often vary between authors. Some improvements are proposed to better define what should encompass the concepts of exchangeable and non-exchangeable fractions.
ISSN: 0160-4120

hal-01117744
https://hal.archives-ouvertes.fr/hal-01117744
https://hal.archives-ouvertes.fr/hal-01117744/document
https://hal.archives-ouvertes.fr/hal-01117744/file/Article%20review%20discrimination%20isotopique-envoy%C3%A9.pdf
DOI : 10.1016/j.envint.2013.12.020

Éditeur(s) : HAL CCSD Springer Verlag
Résumé : International audience
The prognosis of vertebral alveolar echinococcosis (AE) is poor. We report on the unique outcome of a patient with preexisting liver cirrhosis, in whom a diagnosis of vertebral AE was established on vertebral histopathology (D4 corporectomy in 2010 for paraplegia). Therapeutic drug monitoring of albendazole (ABZ) showed that a low dosage was appropriate. The patient recovered and ABZ withdrawal was decided in 2014, with no relapse 18 months later. In this patient, infection was purely or mainly localized in the dorsal spine, and this may have been favored by liver cirrhosis. A longer follow-up is, however, needed to confirm cure.
ISSN: 0300-8126

hal-01509561
https://hal.archives-ouvertes.fr/hal-01509561
PUBMED : 28004258

Éditeur(s) : HAL CCSD Wiley
Résumé : International audience
ObjectivesTo compare the efficacy, in current clinical practice, of ă first regimens containing abacavir with lamivudine (ABC/3TC) or ă tenofovir with emtricitabine (TDF/FTC) in patients with baseline viral ă load 100000 HIV-1 RNA copies/mL. ă MethodsUsing a prospective cohort, we selected all patients starting a ă first HIV regimen based either on ABC/3TC or on TDF/FTC. The propensity ă score (PS) method was used to limit the indication bias due to the ă observational nature of the data. Adjusting and weighting methods via PS ă were used to compare the effectiveness of a first regimen containing ă ABC/3TC or TDF/FTC. The primary outcome was treatment failure by month ă 12 (M12). ă ResultsOverall, 2781 patients started an antiretroviral (ARV) regimen ă with ABC/3TC or TDF/FTC each in combination with efavirenz, boosted ă atazanavir or boosted darunavir. Among the 2472 uncensored patients ă before M12, 962 (39%) had a baseline viral load 100000 copies/mL of ă whom 294 were in treatment failure at or before M12. Our analyses showed ă no difference between ABC/3TC and TDF/FTC in the risk of treatment ă failure at M12 in patients starting an ARV regimen with a high viral ă load (100000 copies/mL). ă ConclusionsUsing a large prospectively collected cohort of patients ă seeking care in France, we found no evidence that ABC/3TC based regimens ă led to more failures than TDF/FTC based ones in patients with high ă baseline viral loads.
ISSN: 1464-2662

hal-01482656
https://hal.archives-ouvertes.fr/hal-01482656
DOI : 10.1111/hiv.12306

Éditeur(s) : HAL CCSD American Society of Hematology
Résumé : International audience
Zika fever is an Aedes-borne disease caused by a flavivirus (Zika virus, ZIKV, genus Flavivirus). During the past years ZIKV spread in Polynesia, South-America and the Caribbean. Most ZIKV infections are asymptomatic or result in mild febrile disease with rash and conjunctivitis. Attention was recently drawn to non-vectored ZIKV transmission, including sexual, probable blood-borne and mother-to-fetus transmission, and to severe forms such as Guillain-Barré syndrome, acute neurological infections and fetal abnormalities (including microcephaly). Many aspects of Zika fever natural history remain unknown, e.g. the proportion of asymptomatic cases and the duration of viremia. Estimating the prevalence of Zika infections is difficult because a large proportion of infected individuals do not seek medical attention and seroprevalence studies are hampered by antigenic cross-reactivity with other flaviviruses, e.g. dengue virus. Here, we present a study of ZIKV infection in blooddonors from Martinique island (French West Indies, Caribbean region), with novel epidemiological, biological and clinical information that refine the picture of Zika fever in adults.
ISSN: 0006-4971

inserm-01415646
http://www.hal.inserm.fr/inserm-01415646
http://www.hal.inserm.fr/inserm-01415646/document
http://www.hal.inserm.fr/inserm-01415646/file/2016%2C%20Gallian%20et%20al%20-%20Zika%20virus%20in%20asymptomatic%20blood%20donors%2C%20Martinique%20%281%29.pdf
DOI : 10.1182/blood-2016-09-737981

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
Objective Oxidative stress, excess production of reactive oxygen species (ROS) and intense colonization of the respiratory tract by microorganisms are described in CF patients, leading to an influx in macrophages. This results in activation of NADPH oxidase that yields ROS, initiating the oxidative burst responsible for pathogen destruction. We showed that phagocytosis was altered in CF macrophages, yet oxidative status in this cell was not defined. The objective of this study is to draw a link between oxidative stress and plasma membrane integrity in CF macrophages, since lipid peroxidation is known to alter cell membrane. Methods Peripheral blood monocytes-derived macrophages were obtained from CF patients and healthy subjects. Plasma membrane fluidity was assessed with di4-ANEPPDHQ and oxidative status was measured with ROS indicating probes. Results In CF macrophages, membrane fluidity was increased whereas lipid peroxidation was diminished. Surprisingly, general oxidative status remained similar to the one observed in non-CF macrophages. Also, CF macrophages did not abolish chemically induced-oxidative stress. In non-CF macrophages, treatment with cholesterol slightly increased membrane fluidity whereas LPS treatment had no effect. Conclusion CF macrophages displayed an increased membrane fluidity associated with a decreased lipid peroxidation. This raises the hypothesis that membrane alteration in CF macrophages may be due to other mechanism than oxidative stress. Nevertheless, since the killing capacity of CF macrophage is defective, a deregulation of O•−2 production is very likely, suggesting alteration of NADPH oxidase or mitochondrial dysfunction
the 38th European Cystic Fibrosis Conference
Vienne, Austria

hal-01162769
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01162769
DOI : 10.1016/S1569-1993(15)30217-4

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
The morphogenetic evolution of the Lesser Caucasus has been strongly influenced by Plio-Quaternary volcanic and tectonic events and Pleistocene glaciations. Fluvio-lacustrine environments, indicated by diatomaceous deposits, prevailed in the Syunik region of southern Armenia during the Pliocene and Pleistocene. The Pleistocene diatomaceous deposits studied contain leaf impressions and pollen, allowing local palaeoclimatic reconstructions. The chronology of morphogenetic events has been determined by 17 radiometric dates (K/Ar, Ar/Ar, U/Th), palaeomagnetic investigations and is placed in a spatial context by a detailed geomorphological map and a 24-km geological transect of the Vorotan valley, the main area studied. Before 1.21 Ma, tectonic movements (antecedents of the lower part of the Vorotan valley) generated extensive lake formations with diatomaceous deposits. From 993 ka, volcanic eruptions produced lava flows that covered the fluvio-lacustrine accumulations. During Marine Isotopic Stages 12, 6 and 4, glaciers and fluvio-glacial deposits were probably present overall the principal uplands and valleys of southern Armenia. At 53.68 ka (MIS 3), 12.6 ka, 10.78 ka and 4.14 ka (MIS 1), the development of travertines on some slopes and in some valleys highlights temperate and humid climatic phases. Palaeobotanical studies of leaf and pollen floras show that the vegetation changed several times from forested to steppic phases in response to the climate oscillations of the Lower Pleistocene. This work proposes a first morphogenic and palaeoclimatic reconstruction from the lower Pleistocene to the Postglacial period, when the first settlements of the population in the Lesser Caucasus were influenced by tectono-volcanic events, lake level changes and glacialeinterglacial oscillations forced by the obliquity orbital parameter (41 ky cycles).
ISSN: 1040-6182

hal-00481939
https://hal.archives-ouvertes.fr/hal-00481939
DOI : 10.1016/j.quaint.2010.02.008

Éditeur(s) : HAL CCSD
Résumé : National audience
Objectives To define the different stages of spontaneous labour. To determine the indications, modalities of use and the effects of administering synthetic oxytocin. And to describe undesirable maternal and perinatal outcomes associated with the use of synthetic oxytocin. Method A systematic review was carried out by searching Medline database and websites of obstetrics learned societies until March 2016. Results The 1st stage of labor is divided in a latence phase and an active phase, which switch at 5 cm of cervical dilatation. Rate of cervical dilatation is considered as abnormal below 1 cm per 4 hour during the first part of the active phase, and blow 1 cm per 2 hours above 7 cm of dilatation. During the latent phase of the first stage of labor, i.e. before 5 cm of cervical dilatation, it is recommended that an amniotomy not be performed routinely and not to use oxytocin systematically. It is not recommended to expect the active phase of labor to start the epidural analgesia if patient requires it. If early epidural analgesia was performed, the administration of oxytocin must not be systematic. If dystocia during the active phase, an amniotomy is recommended in first-line treatment. In the absence of an improvement within an hour, oxytocin should be administrating. However, in the case of an extension of the second stage beyond 2 hours, it is recommended to administer oxytocin to correct a lack of progress of the presentation. If dynamic dystocia, it is recommended to start initial doses of oxytocin at 2 mUI/min, to respect at least 30 min intervals between increases in oxytocin doses delivered, and to increase oxytocin doses by 2 mUI/min intervals without surpassing a maximum IV flow rate of 20 mUI/min. The reported maternal adverse effects concern uterine hyper-stimulation, uterine rupture and postpartum haemorrhage, and those of neonatal adverse effects concern foetal heart rate anomalies associated with uterine hyper-stimulation, neonatal morbidity and mortality, neonatal jaundice, weak suck/poor breastfeeding latch and autism. Conclusion The widespread use of oxytocin during spontaneous labour must not be considered as simply another inoffensive prescription without any possible deleterious consequences for mother or foetus. Conditions for administering the oxytocin must therefore respect medical protocols. Indications and patient consent have to be report in the medical file. © 2016 Elsevier Masson SAS
Revue Sage - Femme

hal-01467543
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01467543
DOI : 10.1016/j.sagf.2016.11.006

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 Elsevier
Résumé : International audience
In orogenic systems, thrust faults play a major role in stacking different tectonic units and may act as conduits for the expulsion of large amounts of fluid of different origins (metamorphic, diagenetic, meteoric). This study focuses on the Monte Perdido thrust unit emplaced in the Paleogene Jaca thrust-sheet-top basin, in the SW-central Pyrenees. We aim to decipher the mechanisms and P-T conditions of deformation in fault zones and characterize the related fluid involvement, through combined microstructural, geochemical and microthermometry analyses. Two thrust faults cutting platform limestones, marls and siliciclastic turbidites of the lower part of the basin-fill (Paleocene-lower Eocene) have been studied. The fault zones are characterized by metre-thick shear zones with highly deformed, foliated clay-rich sediments. Foliation is underlined by preferentially oriented phyllosilicates. Several generations of shear and extension calcite, quartz and chlorite-bearing veins attest to fluid-rock interactions during a multi-stage deformation. Microstructural observations and stable isotope analyses on calcite from veins and host sediments suggest that deformation was aseismic and dominated by diffusive mass transfer from pressure solution sites along cleavage and stylolites to the precipitation sites in veins, with mineralizing fluids in equilibrium with the host sediments. Our results suggest an essentially closed hydrologic system, and imply the absence of significant fluid flow along the studied fault zones. Microthermometric study on fluid inclusions present in calcite and quartz veins, and calcite-quartz oxygen isotopic fractionation determined for the first generation shear veins, allow a geothermal gradient of 34 degrees C/km to be estimated. Analytical results demonstrate an evolution of the fault zones in three stages. The first stage was related to the emplacement of the Monte Perdido thrust unit during the middle Eocene at a temperature of similar to 208 degrees C and a burial depth of similar to 5.7 km. The second stage corresponds to a fault reactivation at a temperature of similar to 240 degrees C and a burial depth of similar to 6.5 km. The latter deformation may have been related to folding of the Monte Perdido thrust unit during the emplacement of the underlying Gavarnie thrust unit during the late Eocene-early Oligocene, with deeper burial resulting from aggradation of the thrust-sheet-top basin-fill. The last event corresponds to the formation of a dilatant vein system likely related to the exhumation of the massif.
ISSN: 0191-8141

hal-00644828
https://hal.archives-ouvertes.fr/hal-00644828
DOI : 10.1016/j.jsg.2011.06.006

Éditeur(s) : HAL CCSD
Résumé : Présentation orale
Colloque International organisé au Muséum National d'Histoire Naturelle
Paris, France

hal-00481854
https://hal.archives-ouvertes.fr/hal-00481854