Résumé : Au cours de 325 relevés, 518 observations visuelles et 202 acoustiques ont permis de recenser 4 familles, 14 genres et 17 espèces, représentant un effectif total cumulé de près de 6000 cétacés contactés dans les limites de 15 mille nautiques des côtes en Guadeloupe. Les dauphins (Delphinidëe), constituent 33% des 36 espèces actuellement connues dans le monde. Six espèces plus rares ont été décrites. Parmi les cétacés à fanons, la baleine à bosse (Megaptera novaeangliae) migre dans les eaux côtières de décembre à fin mai et reste l'espèce la plus rencontrée. Grâce à un suivi individuel par télémétrie, il a pu être prouvé qu'au moins un individu de cette espèce pouvait séjourner dans l'archipel plus de huit jours. En 2010, une baleine à bosse de la baie du Moule à été suivie sur plus de 6300 kilomètres jusqu'au sud de l'Islande, vers les Iles Féroé. Une première estimation de stock sur la période de 2008 à 2011 propose que 442 baleines à bosse %CV 19,29 IC95% [302-645] évolueraient dans l'archipel côtier. Les carnïvores sont les plus abondants, avec parmi ceux-ci, le dauphin tacheté pantroplcal (Stenella attenuata) dont l'estimation indique que 270 à 300 individus évolueraient sur 1361 km2 avec une densité relative élevée (0,052 tndtvtdus/km>, %CV 90,16), principalement en-côte-sous-le-vent. L'analyse de la répartition spatiale et des facteurs du milieu indique une sectorisation géographique marquée des populations en zone côtière, avec des distributions influencées spécifiquement par la bathymétrie, la latitude, les distances à la côte et à l'isobathe 200, pour les informations principales et selon les espèces.
In 325 surveys, 518 visuai observations and acoustic 202 have identified four families, 14 genera and 17 species, representing a cumulative total ofnearly 6000 cetaceans assessed within 15 miles of coastal water ofGuadeloupe. Dolphins (Delphinidae), constitute 33% ofthe 36 species currently known in the world. Six rare species have been described. Among the baleen whales, the humpback whale (Megaptera novaeangliae) migrate into coastal waters from December to late May and is the species most encountered. With individual monitoring by telemetry, it has been proved that at least one individual ofthis species could stay in the archipelago over eight days. In 2010, a humpback whale in the Bay ofmold were followed for more than 6300 km to the south ofIceland to the Faroe Islands. A first estimate ofstock over the period 2008 to 20 Il suggests that 442 humpback whales CV% 19.2995% [302-645] would evolve in the coastal archipelago. <..';:-.'") Carnivores are the most abundant, with among them, the spotted dolphin (Stenella attenuata) whose estimate indicates that 270 to 300 individuals are present over 1361 km 2 with a high specifie density (0.052 individuals / km 2,% CV 90, 16), mainly in the Leeward coast. The analysis ofthe spatial distribution and environmental factors indicates a marked geographical sectorisation ofpopulations in coastal areas, with distributions specifically influenced by bathymetry, latitude, distance to the coast and the isobath 200, depending on the species

http://www.theses.fr/2012AGUY0520/document

Éditeur(s) : HAL CCSD
Résumé : International audience
Objective: The objective of this study was to identify the factors associated with presentation for care with CD4 cell count <200/mm3. Design: A Retrospective monocentric cohort study of the Guadeloupe section of French Hospital Database for HIV was conducted. Methods: Group 1 Cohort (CD4 <200/mm3, n=1076), Group 2 (CD4 200-500, n=973) and Group 3 (CD4 >≥ 500/ mm3, n=627) patients were included between 1 January 1988 and 31 December 2009. Factors associated with late presentation (CD4 count <200 cells/μL) were assessed using descriptive statistics and ordered multivariable logistic regression. Results: At the time of diagnosis, 40.21% of patients had than less 200 CD4 lymphocytes/mm3. Age older than 30 years OR: 1.55[1.14-2.10], p=0.005, male gender OR: 1.83[1.58-2.12], p<0.0001, access to care before 1992 OR: 1.56[1.03-2.02], p=0.038 and alcohol use OR: 8.80[2.26-34.36], p=0.002 were independently associated with a low CD4 cell count. Conclusion: The findings of this study (underline the need to expand HIV testing beyond the usual facilities) may be of value in helping to achieve earlier access to treatment in HIV-infected patients in order to minimize the individual risk of morbidity and mortality.
J AIDS Clinic Res

inserm-00915176
http://www.hal.inserm.fr/inserm-00915176
http://www.hal.inserm.fr/inserm-00915176/document
http://www.hal.inserm.fr/inserm-00915176/file/2012_Elenga_-_Risk_Factors_for_Late_Presentation_for_Care_among_HIV-Infected_Patients_in_guadeloupe_1988_2009.pdf
DOI : 10.4172/2155-6113.1000166

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
Urinary tract infections are bacterial infections most commonly encountered in the community. The resistance rate of uropathogens to commonly prescribed antibiotics has increased worldwide but there are no published data concerning the resistance of strains isolated from community-acquired UTI in Guadeloupe. To assess the susceptibility patterns of Enterobacteriaceae strains isolated from outpatients in Guadeloupe we conducted a prospective study from December 2012 to May 2014 among outpatients consulting at private and public laboratories for urine analysis. Risk factors for E. coli resistance to amoxicillin, third-generation cephalosporin, and ciprofloxacin were also determined. To study the trends of E. coli resistance rates over the past 10 years, data on the susceptibility patterns of E. coli from 2003 to 2014 were also collected from three major laboratories for a retrospective study. During the prospective study, we isolated 1293 bacterial strains from the urine of outpatients presenting for urine analysis. The most commonly isolated bacteria were E. coli (57 %) and Klebsiella pneumoniae (15.5 %). Thirty seven per cent of the E. coli strains were resistant to amoxicillin. Resistance rates to third generation cephalosporin were low for E. coli and other Enterobacteriaceae (3.1 and 12.2 % respectively) and mostly due to the presence of an Extended Spectrum Beta-lactamase. Resistance to cotrimoxazole and ciprofloxacin was moderate (17.8 and 15.6 % respectively). However, the resistance rate of E. coli to ciprofloxacin has significantly increased during the last 10 years. Risk factors were consistent with previously reported data, especially for the increasing ciprofloxacin resistance with age. General practitioners in Guadeloupe need to be better informed to favor the prescription of fosfomycin-trometamol to reduce the risk of resistance to fluoroquinolones.
ISSN: 1471-2180

Droits : http://creativecommons.org/licenses/by/
pasteur-01351191
https://hal-riip.archives-ouvertes.fr/pasteur-01351191
https://hal-riip.archives-ouvertes.fr/pasteur-01351191/document
https://hal-riip.archives-ouvertes.fr/pasteur-01351191/file/art%253A10.1186%252Fs12866-016-0749-9.pdf
PUBMED : 27342199

Éditeur(s) : HAL CCSD MDPI
Résumé : International audience
Satellite precipitation products are a means of estimating rainfall, particularly in areas that are sparsely equipped with rain gauges. The Guiana Shield is a region vulnerable to high water episodes. Flood risk is enhanced by the concentration of population living along the main rivers. A good understanding of the regional hydro-climatic regime, as well as an accurate estimation of precipitation is therefore of great importance. Unfortunately, there are very few rain gauges available in the region. The objective of the study is then to compare satellite rainfall estimation products in order to complement the information available in situ and to perform a regional analysis of four operational precipitation estimates, by partitioning the whole area under study into a homogeneous hydro-climatic region. In this study, four satellite products have been tested, TRMM TMPA (Tropical Rainfall Measuring Mission Multisatellite Precipitation Analysis) V7 (Version 7) and RT (real time), CMORPH (Climate Prediction Center (CPC) MORPHing technique) and PERSIANN (Precipitation Estimation from Remotely-Sensed Information using Artificial Neural Network), for daily rain gauge data. Product performance is evaluated at daily and monthly scales based on various intensities and hydro-climatic regimes from 1 January 2001 to 30 December 2012 and using quantitative statistical criteria (coefficient correlation, bias, relative bias and root mean square error) and quantitative error metrics (probability of detection for rainy days and for no-rain days and the false alarm ratio). Over the entire study period, all products underestimate precipitation. The results obtained in terms of the hydro-climate show that for areas with intense convective precipitation, TMPA V7 shows a better performance than other products, especially in the estimation of extreme precipitation events. In regions along the Amazon, the use of PERSIANN is better. Finally, in the driest areas, TMPA V7 and PERSIANN show the same performance.
ISSN: 2072-4292

Droits : http://hal.archives-ouvertes.fr/licences/copyright/
hal-01257912
https://hal.archives-ouvertes.fr/hal-01257912
https://hal.archives-ouvertes.fr/hal-01257912/document
https://hal.archives-ouvertes.fr/hal-01257912/file/remotesensing-07-15831.pdf
DOI : 10.3390/rs71215831

Éditeur(s) : HAL CCSD
Résumé : International audience
o abstract
Coastal Engineering Proceedings

hal-01426586
https://hal.archives-ouvertes.fr/hal-01426586

Éditeur(s) : HAL CCSD EDP Sciences
Résumé : International audience
This study determined the movements of a Giant Grouper, Epinephelus lanceolatus, in which an acoustictag was surgically implanted and monitored by an array of six VR2W acoustic receiver units from August 2010 toJanuary 2013 in the remote, uninhabited Chesterfield Islands, Coral Sea (800 km West of New Caledonia). Our datarevealed a home reef area (residency rate of 44.9%) with an increased activity revealed by movements at dawn anddusk toward and between two adjacent reef passages, probably for foraging. The fish was absent from its residentreef between October and December 2010 and 2012, corresponding to the time known for spawning aggregationsof this species in New Caledonia. A skipped spawning seems to have occurred in 2011. We hope these data will becomplemented in the future by locating the spawning site or sites and thus provide adequate conservation measures.The Coral Sea links two World Heritage Sites, the Australian Great Barrier Reefs and the New Caledonian coral reefs.It would be fitting to create a Marine Protected Area for the Chesterfield Islands between these two major conservationareas of the sea.
ISSN: 0990-7440

hal-01238809
https://hal-univ-perp.archives-ouvertes.fr/hal-01238809
DOI : 10.1051/alr/2015006

Éditeur(s) : HAL CCSD Elsevier Masson
Résumé : International audience
Background. An association with cancer is described in 17–32% of cases of dermatomyositis (DM) and in 5–16% of cases of anti-synthetase syndrome (ASS). The literature contains very few studies involving Afro-Caribbean patients with DM or ASS. The aim of our retrospective study was to determine the prevalence of cancer in a series of patients with DM or ASS at the University Hospital of Pointe-à-Pitre between 1st January 2000 and 31st December 2012. The secondary objective was to review the clinical and laboratory features as well as the course of DM/ASS in these patients.Patients and methods. The inclusion criteria were as follows: Afro-Caribbean origin; age >15 years; patient living in Guadeloupe; screening for malignancy.Results. Twenty-two patients were included (15 DM, 7 ASS). Only one case of cancer was diagnosed in the entire study population at a mean follow-up of 6±4 years (prevalence: 6.7%, CI95% [1.7–31.9]). Of the 15 patients presenting DM (sex ratio F/M: 4, mean age: 45±14 years), 6 (40%) had associated connective tissue disease.Conclusion. Our study suggests a weak association between DM and cancer in Afro-Caribbean patients. These results may be explained by the features of the disease seen in these patients (female gender, young age at onset, associated connective tissue disease) and the low prevalence in the Caribbean region of cancers typically associated with DM.
Introduction. Dix-sept à 32 % des cas de dermatomyosite (DM) et 5 à 16 % des cas de syndrome des anti-synthétases (SAS) sont associés à un cancer. Les séries de patients afro-caribéens atteints de DM ou de SAS sont exceptionnellement rapportées dans la littérature. Le but de notre étude rétrospective était d’estimer la prévalence des cancers dans une série de patients guadeloupéens atteints de DM ou de SAS. L’objectif secondaire était de préciser les caractéristiques cliniques, biologiques et évolutives de la maladie chez ces patients.Patients et méthode. Les critères d’inclusion étaient les suivants : patient afro-caribéen ; âge >15ans ; patient vivant en Guadeloupe ; réalisation d’un bilan d’extension à la recherche d’une néoplasie.Résultats. Vingt-deux patients ont été inclus (15 atteints de DM, 7 de SAS). Un seul cancer a été diagnostiqué, avec une durée moyenne de suivi de 6±4ans sur l’ensemble de la série (prévalence de 6,7 % ; IC 95 % [1,7 ; 31,9]). Parmi les 15 patients atteints de DM (sex-ratio H/F=1/4 ; âge moyen : 45±14ans), 6 (40 %) avaient une connectivite associée.Conclusion. Notre étude suggère une faible association entre DM et cancer chez les patients afro-caribéens. Ces résultats s’expliquent principalement par les caractéristiques de la maladie chez ces patients (sexe féminin, jeune âge, connectivite associée) et la faible prévalence, aux Antilles, des cancers classiquement associés aux DM.
ISSN: 0151-9638

inserm-01110999
http://www.hal.inserm.fr/inserm-01110999
http://www.hal.inserm.fr/inserm-01110999/document
http://www.hal.inserm.fr/inserm-01110999/file/2014%2C%20Tersiguel%20-%20Epid%C3%A9miologie%20de%20la%20dermatomyosite%20et%20du%20syndrome%20des%20anti-synth%C3%A9tases%20en%20population%20afro-carib%C3%A9enne.pdf
PUBMED : 25288059

Éditeur(s) : HAL CCSD
Résumé : International audience
INTRODUCTION: There are no French guidelines for the management of complicated parapneumonic effusions. A national observational study was carried out to assess the main features of current clinical practice for this condition. MATERIAL AND METHODS: A questionnaire was sent by email to the 1500 members of the Société de Pneumologie de Langue Française (SPLF) between 15th November and 15th December 2012. RESULTS: There were 92 responders, i.e. a response rate of 6%. Of these, 87 physicians mentioned that they were involved in the management of patients with complicated parapneumonic effusions with a median number of cases of 10 per year (IQR: 5-20). Chest tube drainage was the main approach used for pleural fluid aspiration (n=51/87), followed by repeated thoracentesis (n=29/87) and early surgery (1/87). Five physicians answered both chest tube drainage or repeated thoracentesis and one physician either chest tube drainage or early surgery. Pleural fibrinolytics were never used by 20% of physicians, only in case of loculations by 70% and by 10% of respondents in all cases. Only 3 physicians combined fibrinolytics with DNAse. A double antibiotic dose was used by one third of physicians. All the physicians used respiratory physiotherapy during hospitalization and to aid recovery. Follow-up practices were heterogeneous. CONCLUSIONS: The management of complicated parapneumonic effusions varies significantly in France. National guidelines may be helpful to define best practice and aid in its implementation.
Revue Des Maladies Respiratoires

hal-01146851
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01146851
DOI : 10.1016/j.rmr.2015.01.001
PUBMED : 25725981

Éditeur(s) : HAL CCSD MDPI
Résumé : International audience
Satellite precipitation products are a means of estimating rainfall, particularly in areas that are sparsely equipped with rain gauges. The Guiana Shield is a region vulnerable to high water episodes. Flood risk is enhanced by the concentration of population living along the main rivers. A good understanding of the regional hydro-climatic regime, as well as an accurate estimation of precipitation is therefore of great importance. Unfortunately, there are very few rain gauges available in the region. The objective of the study is then to compare satellite rainfall estimation products in order to complement the information available in situ and to perform a regional analysis of four operational precipitation estimates, by partitioning the whole area under study into a homogeneous hydro-climatic region. In this study, four satellite products have been tested, TRMM TMPA (Tropical Rainfall Measuring Mission Multisatellite Precipitation Analysis) V7 (Version 7) and RT (real time), CMORPH (Climate Prediction Center (CPC) MORPHing technique) and PERSIANN (Precipitation Estimation from Remotely-Sensed Information using Artificial Neural Network), for daily rain gauge data. Product performance is evaluated at daily and monthly scales based on various intensities and hydro-climatic regimes from 1 January 2001 to 30 December 2012 and using quantitative statistical criteria (coefficient correlation, bias, relative bias and root mean square error) and quantitative error metrics (probability of detection for rainy days and for no-rain days and the false alarm ratio). Over the entire study period, all products underestimate precipitation. The results obtained in terms of the hydro-climate show that for areas with intense convective precipitation, TMPA V7 shows a better performance than other products, especially in the estimation of extreme precipitation events. In regions along the Amazon, the use of PERSIANN is better. Finally, in the driest areas, TMPA V7 and PERSIANN show the same performance.
ISSN: 2072-4292

meteo-01304579
https://hal-meteofrance.archives-ouvertes.fr/meteo-01304579
https://hal-meteofrance.archives-ouvertes.fr/meteo-01304579/document
https://hal-meteofrance.archives-ouvertes.fr/meteo-01304579/file/remotesensing-07-15831.pdf
DOI : 10.3390/rs71215831

Éditeur(s) : HAL CCSD
Résumé : In the bay of Aigues-Mortes, the managers of the co astal cities try to preserve the socio-economic and patrimonial stakes against the coastal hazards, such as contamination, storm surge and erosion. In this context, a massive beach nourishment of sand (1 million of m3 for 10km of coastline) was made at the beginning of year 2008 to reduce erosion. The REPBAM project (REchargements et Panaches sédiment aires dans la Baie d'Aigues-Mortes) aims to qualify and quantify by in-situ measurements and numerical modelling: 1. the geomorphological evolution of this modified coast and 2. the impact of the sediment's resuspension on the coastal ecosystems, in particular the one of the Posidonia oceanica seagrass. A numerical modelling "wave/current/sediment" is first implemented for December 2008. Nested and curvilinear grids allow a very high resolution for the beach area but also include the inner shelf where the seagrasses are located. Hydrodynamic and topo-bathymetric measurements were acquired from January to May 2012. Model and measurements results show the same trends during storms: strong currents, seaward migrationof the innerbar, sediment resuspension and turbid on the inner shelf.
Coastal Dynamics 2013
Arcachon, France

hal-00908082
https://hal.archives-ouvertes.fr/hal-00908082