261 research outputs found
TOLL-LIKE RECEPTOR 9 DRIVES THE MATURATION OF B LYMPHOCYTES IN THE SALIVARY GLANDS OF PATIENTS WITH SJÖGREN’S SYNDROME
Oral Communication presented at the ";Forum des Jeunes Chercheurs";, Brest (France) 2011
295 RADIOGRAPHIC SUB-TYPES OF KNEE AND HIP OSTEOARTHRITIS IN THE GENERAL POPULATION: THE FRENCH KHOALA COHORT
Disease activity score-driven therapy versus routine care in patients with recent-onset active rheumatoid arthritis: data from the GUEPARD trial and ESPOIR cohort
International audienceOBJECTIVES: To compare the efficacy of disease activity score in 28 joints (DAS28ESR)-driven therapy with anti-tumour necrosis factor (patients from the GUEPARD trial) and routine care in patients with recent-onset rheumatoid arthritis (patients of the ESPOIR cohort). RESULTS: After matching GUEPARD and ESPOIR patients on the basis of a propensity score and a 1:2 ratio, at baseline all patients had comparable demographic characteristics, rheumatoid factor, anticyclic citrullinated peptide antibody positivity and clinical disease activity parameters: erythrocyte sedimentation rate, C-reactive protein, mean DAS (6.26±0.87), Sharp/van der Heijde radiographic score (SHS), health assessment questionnaire (HAQ). Disease duration was longer in GUEPARD patients (5.6±4.6 vs 3.5±2.0 months, p<0.001). After 1 year, the percentage of patients in remission with an HAQ (<0.5) and an absence of radiological progression was higher in the tight control group (32.3% vs 10.2%, p=0.011) as well as the percentage of patients in low DAS with an HAQ (<0.5) and an absence of radiological progression (36.1% vs 18.9%, p=0.045). However, there was no difference in the decrease in DAS, nor in the percentage of EULAR (good and moderate), ACR20, ACR50 and ACR70 responses. More patients in the tight control group had an HAQ below 0.5 (70.2% vs 45.2%, p=0.005). Overall, pain, patient and physician assessment and fatigue decreased more in the tight control group. The mean SHS progression was similar in the two groups as was the percentage of patients without progression. CONCLUSIONS: In patients with recent onset active rheumatoid arthritis, a tight control of disease activity allows more patients to achieve remission without disability and radiographic progression
Whipple's disease diagnosed during biological treatment for joint disease
Objectives
Increased susceptibility to infections is among the main safety concerns raised by biological agents. We describe five cases of Whipple\u27s disease diagnosed during treatment with biological agents.
Methods
We retrospectively identified five cases of Whipple\u27s disease diagnosed between 2003 and 2009 in patients treated with TNFα antagonists in five French hospitals.
Results
Five patients (four male; mean age: 50.4 years; range: 38–67) underwent biological therapy according to prior diagnoses of rheumatoid arthritis (n = 2), ankylosing spondylitis (n = 2), or spondyloarthropathy (n = 1). Biological therapy failed to control the disease, which responded to appropriate antibiotics for Whipple\u27s disease. Retrospectively, clinical symptoms before biological therapy were consistent with Whipple\u27s disease. All five patients had favorable outcomes (mean follow-up, 29 months [13–71]).
Conclusions
Biological therapy probably worsened preexisting Whipple\u27s disease, triggering the visceral disorders. Whipple\u27s disease must be ruled out in patients with joint disease, as patients with this spontaneously fatal condition should not receive immunosuppressive agents
Effects of sampling intensity and biomass levels on the precision of acoustic surveys in the Mediterranean Sea
Acoustic surveys represent the standard fishery-independent method worldwide for evaluating the biomass and spatial distribution of small pelagic fish populations. Considering the peculiarities of the spatial behaviour of pelagic fishes, the efficiency of the survey design in determining their biomass and spatial distribution is related to its ability to capture the portion of the patches accounting for larger part of the total biomass. Yet, the spatial structure of the patches could be strongly influenced by ecosystem characteristics as well as by changes in total biomass related to a density-dependent mechanism. This is of particular interest for anchovy and sardine which are known for their wide fluctuations and high sensitivity to the environment. In this study, we analysed the efficiency of acoustic surveys, targeting European anchovy (Engraulis encrasicolus) and European sardine (Sardina pilchardus), in 10 different areas of the Mediterranean Sea across three years of different biomass levels. Using the geostatistical Coefficient of Variation (CVgeo) of the average occurrence probability of high/medium density values, we showed different patterns in terms of survey design efficiency among areas and species. Anchovy usually showed lower CVgeo than sardine, but in the Alboran Sea. In 4 out of 20 cases, CVgeo values showed a consistent decrease with increasing biomass while in the remaining cases the CVgeo did not follow any clear pattern suggesting the presence of important environmental effects. Higher survey design efficiency was found in high productive sectors influenced by river run-off, letting us to hypothesize that higher productivity along with the presence of well-localized enrichment mechanisms could favour a spatially consistent distribution and coherent organization of fish population leading to higher precision estimates with a given transect design. While most surveys displayed CVgeo close to 10% or less even at low biomass, evidencing generally good performances of the survey design, a few areas exhibited higher CVgeo, yielding discussions about a potential need to decrease the inter-transect distance, always keeping in mind that survey should be as synoptic as possible.Versión del edito
Food limitation of seabirds in the Benguela ecosystem and management of their prey base
This is the final version. Available from the Environmental Information Service, Namibia via the URL in this record. Four of seven seabirds that are endemic to the Benguela ecosystem (African Penguin Spheniscus demersus, Cape Gannet
Morus capensis, Cape Cormorant Phalacrocorax capensis, Bank Cormorant P. neglectus) compete with fisheries for prey and
have an IUCN classification of Endangered. Prey depletion and food resource limitations have been major drivers of recent
large population decreases of each of these species. As populations decrease, colony sizes also dwindle rendering them
susceptible to Allee effects and higher probabilities of extinction. Therefore, it is necessary to maintain colonies at sizes that
minimise their probability of extinction. Means to ensure an adequate availability of food to achieve this goal include closing
important seabird foraging areas (often adjacent to key colonies) to relevant fishing, implementing ecosystem thresholds below
which such fishing is disallowed (which are also expected to benefit forage resources) and, should there be an altered
distribution of prey, attempting to establish seabird colonies close to the new location of forage resources.The Pew Charitable Trust
Habitat Suitability Modeling to Identify the Potential Nursery Grounds of the Atlantic Mackerel and Its Relation to Oceanographic Conditions in the Mediterranean Sea
Our knowledge for the distribution of Atlantic mackerel (Scomber scombrus) in the Mediterranean Sea is limited and fragmented. In the current work habitat suitability modeling was applied to summer acoustic surveys data of Atlantic mackerel juveniles derived from the north part of the Mediterranean (i.e., acoustic data from the Gulf of Lions, pelagic trawls held during acoustic surveys in Spanish Mediterranean waters, south Adriatic Sea, Strait of Sicily, and North Aegean Sea) using generalized additive models (GAMs) along with satellite environmental and bathymetry data. Bathymetry along with sea surface temperature and circulation patterns, expressed through sea level anomaly and the zonal component of the absolute geostrophic velocity, were the environmental variables best to describe nursery grounds. The selected model was used to produce maps presenting the potential nursery grounds of Atlantic mackerel throughout the Mediterranean Sea as a measure of habitat adequacy. However, the assessed potential nursery grounds were generally marked as “occasional,” implying that although there are areas presenting high probability to encounter Atlantic mackerel, this picture can largely vary from year to year stressing the high susceptibility of the species to environmental conditions. In a further step and toward a spatial management perspective, we have estimated and visualized the overlap between Atlantic mackerel and anchovy/ sardine juvenile grounds throughout the basin. Results showed that although the degree of overlapping was generally low, not exceeding 15% in general, this varied at a regional level going up to 30%. The potential of the output of this work for management purposes like the implementation of spatially-explicit management tools is discussedVersión del edito
Dramatic effect of pop-up satellite tags on eel swimming
The journey of the European eel to the spawning area in the Sargasso Sea is still a mystery. Several trials have been carried out to follow migrating eels with pop-up satellite tags (PSATs), without much success. As eels are very efficient swimmers, tags likely interfere with their high swimming efficiency. Here we report a more than twofold increase in swimming cost caused by a regular small satellite tag. The impact was determined at a range of swimming speeds with and without tag in a 2-m swimming tunnel. These results help to explain why the previous use of PSATs to identify spawning sites in the Sargasso Sea was thus far unsuccessful
Harmonising data from heterogeneous sources to characterise small pelagic fish habitat in the Mediterranean Sea
The Mediterranean fishery management: A call for shifting the current paradigm from duplication to synergy
Independence of science and best available science are fundamental pillars of the UN-FAO code of conduct for responsible fisheries and are also applied to the European Union (EU) Common Fishery Policy (CFP), with the overarching objective being the sustainable exploitation of the fisheries resources. CFP is developed by DG MARE, the department of the European Commission responsible for EU policy on maritime affairs and fisheries, which has the Scientific, Technical and Economic Committee for Fisheries (STECF) as consultant body. In the Mediterranean and Black Sea, the General Fisheries Commission for the Mediterranean (FAO-GFCM), with its own Scientific Advisory Committee on Fisheries (GFCM-SAC), plays a critical role in fisheries governance, having the authority to adopt binding recommendations for fisheries conservation and management. During the last years, advice on the status of the main stocks in the Mediterranean and Black Sea has been provided both by GFCM-SAC and EU-STECF, often without a clear coordination and a lack of shared rules and practices. This has led in the past to: i) duplications of the advice on the status of the stocks thus adding confusion in the management process and, ii) a continuous managers’ interference in the scientific process by DG MARE officials hindering its transparency and independence. Thus, it is imperative that this stalemate is rapidly resolved and that the free role of science in Mediterranean fisheries assessment and management is urgently restored to assure the sustainable exploitation of Mediterranean marine resources in the future.En prens
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