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 : A synthesis of backscatter imagery coupled with a large 3D seismic dataset in the Lower Congo Basin (LCB) reveals a patchy distribution of features interpreted to be associated with fluid seepage from 300 m to 2500 m water depth. With the exception of one region of anomalous backscatter positive-relief mounds, all inferred seep sites occur in negative-relief pockmarks. The extensive 3D seismic dataset in the LCB offers a unique opportunity to study the plumbing system that is feeding surface cold seep systems, and in general, to reconstruct the relationship between tectonics and fluid flow in continental margins. The fluid seeps in the LCB are associated with morphologically, stratigraphically or tectonically controlled focused fluid flow. The integration of the geophysical datasets, backscatter imagery coupled to 3D seismic, clearly indicates that fluid seeps are not randomly distributed, but their seabed organization reflects 1) the location of the underlying structure (reservoir or trap) where the fluids are coming from, 2) the geometry and morphology of the reservoir/trap, and 3) the discontinuities in the sedimentary column along which fluids have migrated. In the LCB seafloor pockmarks are always associated with underlying tectonic structures (fault zones, salt diapirs, polygonal faults) or buried sedimentary bodies (turbiditic channels, erosional surfaces), whereas they never occur above sub-horizontal parallel-stratified fine-grained sediments. Even if triggering processes can not be clearly defined here, we propose a model of seafloor fluid seep organization, which represents a new tool for identifying the geometry of flow pathways and the underlying buried bodies where the fluids are originating from. This qualitative 3D model provides insight into the geohydrologic processes of continental margins.
ISSN: 0025-3227

hal-00406640
https://hal.archives-ouvertes.fr/hal-00406640
DOI : 10.1016/j.margeo.2007.06.003

Éditeur(s) : HAL CCSD Springer Verlag
Résumé : International audience
Our ability to decipher the mechanisms behind metamorphic transformation processes depends in a major way on the extent to which crystallographic and microstructural information is transferred from one stage to another. Within the Leka Ophiolite Complex in the Central Norwegian Caledonides, prograde olivine veins that formed by dehydration of serpentinite veins in dunites exhibit a characteristic distribution of microstructures: The outer part of the veins comprises coarse-grained olivine that forms an unusual, brick-like microstructure. The inner part of the veins, surrounding a central fault, is composed of fine-grained olivine. Where the fault movement included a dilational component, optically clear, equant olivine occurs in the centre. Electron backscatter diffraction mapping reveals that the vein olivine has inherited its crystallographic preferred orientation (CPO) from the olivine in the porphyroclastic host rock; however, misorientation is weaker and associated to different rotation axes. We propose that prograde olivine grew epitaxially on relics of mantle olivine and thereby acquired its CPO. Growth towards pre-existing microfractures along which serpentinisation had occurred led to straight grain boundaries and a brick-like microstructure in the veins. When dehydration embrittlement induced slip, a strong strain localisation on discrete fault planes prevented distortion of the CPO due to cataclastic deformation; grain size reduction did not significantly modify the olivine CPO. This illustrates how a CPO can be preserved though an entire metamorphic cycle, including hydration, dehydration, and deformation processes, and that the CPO and the microstructures (e.g. grain shape) of one phase do not necessarily record the same event.
ISSN: 0010-7999

hal-01622643
https://hal.archives-ouvertes.fr/hal-01622643
DOI : 10.1007/s00410-017-1378-5