93 research outputs found

    Flood event impact on pesticide transfer in a small agricultural catchment (Moutousse at Aurade, south west France)

    Get PDF
    In this paper, pesticide transfer dynamic is studied during two flood events in a small experimental catchment close to Toulouse (south west France). Thirteen pesticide molecules (herbicides, fungicides) have been analysed by multi-residue technique on filtered and unfiltered waters. The results show very high pesticide concentrations in the different fractions compared to low flow periods and to the data collected by the French institutional networks in charge of the pesticide river water pollution survey. Several molecules present concentration higher than 0.1 mgL-1 and even higher than 1 mgL-1 in the unfiltered waters. In the suspended matters the concentrations vary respectively between 0.1 and 30 mg g-1 according to the molecules and can represent 40 to 90% of the total concentration for low soluble molecules. All the molecule concentrations and fluxes increase during the flood flows and have positive relationships with the stream discharge, but hysteresis between rising and falling periods can be observed for some molecules. Pesticide concentrations in unfiltered waters and partitioning between dissolved and particulate fractions (KdŒ[diss]/[part]) are controlled by dissolved organic carbon and total suspended matter. A good negative relationship can be established between logKd and logKow for 6 molecules

    Médecins libéraux des Savoie et IsÚre (étude épidémiologique des besoins d un systÚme de soins dédié à leur propre santé)

    Get PDF
    INTRODUCTION : ConfrontĂ© Ă  un environnement exigeant, le mĂ©decin estime qu'il est un patient comme les autres. Pour autant, il nie le plus souvent la fatigue et les symptĂŽmes annonciateurs de la maladie par indiffĂ©rence, mĂ©pris de sa souffrance ou crainte de la vĂ©ritĂ©. Cette Ă©tude Ă©valuait le ressenti des mĂ©decins gĂ©nĂ©ralistes libĂ©raux quant au besoin de crĂ©er une structure qui serait dĂ©diĂ©e Ă  la prise en charge de leur santĂ©. METHODE : Une enquĂȘte Ă©pidĂ©miologique transversale descriptive dĂ©clarative a Ă©tĂ© menĂ©e Ă  l aide d un questionnaire avec relances envoyĂ© Ă  1076 mĂ©decins gĂ©nĂ©ralistes libĂ©raux des dĂ©partements des Savoie et de l IsĂšre entre mai et juillet 2012. RESULTATS : Le fort taux de rĂ©ponse de notre Ă©tude (61,7%) montrait l intĂ©rĂȘt pour ce sujet. 68,9% Ă©taient favorables a un tel systĂšme de soins. Les praticiens Ă©taient demandeurs de consultations de prĂ©vention mais aussi de soins (prescription de thĂ©rapeutiques et d actes) dans un cadre de confidentialitĂ© renforcĂ©e. Ils restaient attachĂ©s au libre choix du lieu et de leur mĂ©decin du centre. L auto-surveillance (68,5%), le suivi dĂ©jĂ  rĂ©alisĂ© par d autres confrĂšres (30,2%) ainsi que le manque de temps disponible pour aller consulter (22,1%) semblaient ĂȘtre les principales causes de refus de cette structure. DISCUSSION : MalgrĂ© l intĂ©rĂȘt exprimĂ© pour ce projet, l adhĂ©sion risque d ĂȘtre limitĂ©e par les freins sus citĂ©s. La difficultĂ© est d atteindre les plus nĂ©gligents pour leur santĂ©, ceux souffrant d addiction ou de problĂšmes psychologiques. Le but d une telle structure serait d amĂ©liorer l Ă©tat de santĂ© des mĂ©decins et par ce biais, d assurer une prise en charge optimale des patients.INTRODUCTION: Confronted with a demanding environment, the physician considers that he is a patient as the others. For all that, he denies usually the tiredness and the warning symptoms of the disease by indifference, scorn of his suffering or fear of the truth. This study estimated the felt of the private general practitioners as for the need to create a structure which would be dedicated to the care of their health. METHOD: a cross-sectional study was led by means of a questionnaire with remainder letters to 1076 private general practitioners of the departments of Savoie, Haute-Savoie and IsĂšre between May and July, 2012. RESULTS: the strong rate of answer of our study (61.7 %) showed the interest for this subject. 68.9 % were in favour of a system of care. The practitioners were applicants of consultations of prevention but also of care (prescription of therapeutics and of acts) in a framework of strengthened confidentiality. They were attached to the free choice of the place and their doctor of the center. The auto-surveillance (68.5 %), the follow-up already realized by the other colleagues (30.2 %) as well as lack of time to go to consult (22.1 %) seemed to be the main causes of rejection of this structure. DISCUSSION: in spite of the interest expressed for this project, the adherence risks to be limited by known brakes quoted. The difficulty is to reach the most careless for their health, those suffering from addiction or from psychological problems. The purpose of such a structure would be to improve the health of the doctors and by this way, to assure an optimal care of the patients.GRENOBLE1-BU MĂ©decine pharm. (385162101) / SudocSudocFranceF

    Genetic landscape of a large cohort of Primary Ovarian Insufficiency : New genes and pathways and implications for personalized medicine

    Get PDF
    Background Primary Ovarian Insufficiency (POI), a public health problem, affects 1-3.7% of women under 40 yield-ing infertility and a shorter lifespan. Most causes are unknown. Recently, genetic causes were identified, mostly in single families. We studied an unprecedented large cohort of POI to unravel its molecular pathophysiology.Methods 375 patients with 70 families were studied using targeted (88 genes) or whole exome sequencing with pathogenic/likely-pathogenic variant selection. Mitomycin-induced chromosome breakages were studied in patients' lymphocytes if necessary. Findings A high-yield of 29.3% supports a clinical genetic diagnosis of POI. In addition, we found strong evidence of pathogenicity for nine genes not previously related to a Mendelian phenotype or POI: ELAVL2, NLRP11, CENPE, SPATA33, CCDC150, CCDC185, including DNA repair genes: C17orf53(HROB), HELQ, SWI5 yielding high chromo-somal fragility. We confirmed the causal role of BRCA2, FANCM, BNC1, ERCC6, MSH4, BMPR1A, BMPR1B, BMPR2, ESR2, CAV1, SPIDR, RCBTB1 and ATG7 previously reported in isolated patients/families. In 8.5% of cases, POI is the only symptom of a multi-organ genetic disease. New pathways were identified: NF-kB, post-translational regulation, and mitophagy (mitochondrial autophagy), providing future therapeutic targets. Three new genes have been shown to affect the age of natural menopause supporting a genetic link.Interpretation We have developed high-performance genetic diagnostic of POI, dissecting the molecular pathogene-sis of POI and enabling personalized medicine to i) prevent/cure comorbidities for tumour/cancer susceptibility genes that could affect life-expectancy (37.4% of cases), or for genetically-revealed syndromic POI (8.5% of cases), ii) predict residual ovarian reserve (60.5% of cases). Genetic diagnosis could help to identify patients who may benefit from the promising in vitro activation-IVA technique in the near future, greatly improving its success in treating infertility.Funding Universite? Paris Saclay, Agence Nationale de Biome?decine.Copyright (c) 2022 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)Peer reviewe

    IGF-1, IGFBP-1, and IGFBP-3 Polymorphisms Predict Circulating IGF Levels but Not Breast Cancer Risk: Findings from the Breast and Prostate Cancer Cohort Consortium (BPC3)

    Get PDF
    IGF-1 has been shown to promote proliferation of normal epithelial breast cells, and the IGF pathway has also been linked to mammary carcinogenesis in animal models. We comprehensively examined the association between common genetic variation in the IGF1, IGFBP1, and IGFBP3 genes in relation to circulating IGF-I and IGFBP-3 levels and breast cancer risk within the NCI Breast and Prostate Cancer Cohort Consortium (BPC3). This analysis included 6,912 breast cancer cases and 8,891 matched controls (n = 6,410 for circulating IGF-I and 6,275 for circulating IGFBP-3 analyses) comprised primarily of Caucasian women drawn from six large cohorts. Linkage disequilibrium and haplotype patterns were characterized in the regions surrounding IGF1 and the genes coding for two of its binding proteins, IGFBP1 and IGFBP3. In total, thirty haplotype-tagging single nucleotide polymorphisms (htSNP) were selected to provide high coverage of common haplotypes; the haplotype structure was defined across four haplotype blocks for IGF1 and three for IGFBP1 and IGFBP3. Specific IGF1 SNPs individually accounted for up to 5% change in circulating IGF-I levels and individual IGFBP3 SNPs were associated up to 12% change in circulating IGFBP-3 levels, but no associations were observed between these polymorphisms and breast cancer risk. Logistic regression analyses found no associations between breast cancer and any htSNPs or haplotypes in IGF1, IGFBP1, or IGFBP3. No effect modification was observed in analyses stratified by menopausal status, family history of breast cancer, body mass index, or postmenopausal hormone therapy, or for analyses stratified by stage at diagnosis or hormone receptor status. In summary, the impact of genetic variation in IGF1 and IGFBP3 on circulating IGF levels does not appear to substantially influence breast cancer risk substantially among primarily Caucasian postmenopausal women

    A united statement of the global chiropractic research community against the pseudoscientific claim that chiropractic care boosts immunity.

    Get PDF
    BACKGROUND: In the midst of the coronavirus pandemic, the International Chiropractors Association (ICA) posted reports claiming that chiropractic care can impact the immune system. These claims clash with recommendations from the World Health Organization and World Federation of Chiropractic. We discuss the scientific validity of the claims made in these ICA reports. MAIN BODY: We reviewed the two reports posted by the ICA on their website on March 20 and March 28, 2020. We explored the method used to develop the claim that chiropractic adjustments impact the immune system and discuss the scientific merit of that claim. We provide a response to the ICA reports and explain why this claim lacks scientific credibility and is dangerous to the public. More than 150 researchers from 11 countries reviewed and endorsed our response. CONCLUSION: In their reports, the ICA provided no valid clinical scientific evidence that chiropractic care can impact the immune system. We call on regulatory authorities and professional leaders to take robust political and regulatory action against those claiming that chiropractic adjustments have a clinical impact on the immune system

    Identification of 12 new susceptibility loci for different histotypes of epithelial ovarian cancer.

    Get PDF
    To identify common alleles associated with different histotypes of epithelial ovarian cancer (EOC), we pooled data from multiple genome-wide genotyping projects totaling 25,509 EOC cases and 40,941 controls. We identified nine new susceptibility loci for different EOC histotypes: six for serous EOC histotypes (3q28, 4q32.3, 8q21.11, 10q24.33, 18q11.2 and 22q12.1), two for mucinous EOC (3q22.3 and 9q31.1) and one for endometrioid EOC (5q12.3). We then performed meta-analysis on the results for high-grade serous ovarian cancer with the results from analysis of 31,448 BRCA1 and BRCA2 mutation carriers, including 3,887 mutation carriers with EOC. This identified three additional susceptibility loci at 2q13, 8q24.1 and 12q24.31. Integrated analyses of genes and regulatory biofeatures at each locus predicted candidate susceptibility genes, including OBFC1, a new candidate susceptibility gene for low-grade and borderline serous EOC

    Functional mechanisms underlying pleiotropic risk alleles at the 19p13.1 breast-ovarian cancer susceptibility locus

    Get PDF
    A locus at 19p13 is associated with breast cancer (BC) and ovarian cancer (OC) risk. Here we analyse 438 SNPs in this region in 46,451 BC and 15,438 OC cases, 15,252 BRCA1 mutation carriers and 73,444 controls and identify 13 candidate causal SNPs associated with serous OC (P=9.2 × 10-20), ER-negative BC (P=1.1 × 10-13), BRCA1-associated BC (P=7.7 × 10-16) and triple negative BC (P-diff=2 × 10-5). Genotype-gene expression associations are identified for candidate target genes ANKLE1 (P=2 × 10-3) and ABHD8 (P<2 × 10-3). Chromosome conformation capture identifies interactions between four candidate SNPs and ABHD8, and luciferase assays indicate six risk alleles increased transactivation of the ADHD8 promoter. Targeted deletion of a region containing risk SNP rs56069439 in a putative enhancer induces ANKLE1 downregulation; and mRNA stability assays indicate functional effects for an ANKLE1 3â€Č-UTR SNP. Altogether, these data suggest that multiple SNPs at 19p13 regulate ABHD8 and perhaps ANKLE1 expression, and indicate common mechanisms underlying breast and ovarian cancer risk

    Functional mechanisms underlying pleiotropic risk alleles at the 19p13.1 breast-ovarian cancer susceptibility locus

    Get PDF
    A locus at 19p13 is associated with breast cancer (BC) and ovarian cancer (OC) risk. Here we analyse 438 SNPs in this region in 46,451 BC and 15,438 OC cases, 15,252 BRCA1 mutation carriers and 73,444 controls and identify 13 candidate causal SNPs associated with serous OC (P = 9.2 x 10(-20)), ER-negative BC (P = 1.1 x 10(-13)), BRCA1-associated BC (P = 7.7 x 10(-16)) and triple negative BC (P-diff = 2 x 10(-5)). Genotype-gene expression associations are identified for candidate target genes ANKLE1 (P = 2 x 10(-3)) and ABHD8 (PPeer reviewe

    A case-only study to identify genetic modifiers of breast cancer risk for BRCA1/BRCA2 mutation carriers

    Get PDF
    Abstract: Breast cancer (BC) risk for BRCA1 and BRCA2 mutation carriers varies by genetic and familial factors. About 50 common variants have been shown to modify BC risk for mutation carriers. All but three, were identified in general population studies. Other mutation carrier-specific susceptibility variants may exist but studies of mutation carriers have so far been underpowered. We conduct a novel case-only genome-wide association study comparing genotype frequencies between 60,212 general population BC cases and 13,007 cases with BRCA1 or BRCA2 mutations. We identify robust novel associations for 2 variants with BC for BRCA1 and 3 for BRCA2 mutation carriers, P < 10−8, at 5 loci, which are not associated with risk in the general population. They include rs60882887 at 11p11.2 where MADD, SP11 and EIF1, genes previously implicated in BC biology, are predicted as potential targets. These findings will contribute towards customising BC polygenic risk scores for BRCA1 and BRCA2 mutation carriers

    A case-only study to identify genetic modifiers of breast cancer risk for BRCA1/BRCA2 mutation carriers

    Get PDF
    Breast cancer (BC) risk for BRCA1 and BRCA2 mutation carriers varies by genetic and familial factors. About 50 common variants have been shown to modify BC risk for mutation carriers. All but three, were identified in general population studies. Other mutation carrier-specific susceptibility variants may exist but studies of mutation carriers have so far been underpowered. We conduct a novel case-only genome-wide association study comparing genotype frequencies between 60,212 general population BC cases and 13,007 cases with BRCA1 or BRCA2 mutations. We identify robust novel associations for 2 variants with BC for BRCA1 and 3 for BRCA2 mutation carriers, P < 10−8, at 5 loci, which are not associated with risk in the general population. They include rs60882887 at 11p11.2 where MADD, SP11 and EIF1, genes previously implicated in BC biology, are predicted as potential targets. These findings will contribute towards customising BC polygenic risk scores for BRCA1 and BRCA2 mutation carriers
    • 

    corecore