94 research outputs found

    The granite hosted gold deposit of Moulin de Chéni (Saint-Yrieix district, Massif Central, France): petrographic, structural, fluid inclusion and oxygen isotope constraints

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    The Moulin de Chéni orogenic gold deposit is the only granite-hosted deposit of the Saint-Yrieix district, French Massif Central. It occurs in 338±1.5Ma-old peraluminous leucogranites and is characterized by intense microfracturing and bleaching of the granite in relation to pervasive sulfide crystallization. Formation of quartz veins and gold deposition occurred in two successive stages: an early "mesozonal” stage of quartz-sulfide (Fe-As-S) deposition, usually devoid of gold and a late "epizonal” stage of base metal and gold deposition. Both stages postdate peak metamorphism and granite intrusion. The genesis of the deposit is the result of four successive fluid events: (1) Percolation of aqueous-carbonic metamorphic fluids under an assumed lithostatic regime of 400-450°C, at a maximum depth of 13km; (2) Formation of the main quartz lodes with coeval K-alteration and introduction of As and S from aqueous-carbonic fluids percolating along regional faults. Arsenopyrite and pyrite deposition was linked to the alteration of Fe-silicates into K-feldspar and phengite at near-constant iron content in the bulk granite. Temperature was similar to that of the preceding stage, but pressure decreased to 100-50MPa, suggesting rapid uplift of the basement up to 7.5km depth; (3) The resulting extensional tectonic leads to the deposition of gold, boulangerite, galena and sphalerite in brecciated arsenopyrite and pyrite from aqueous fluids during a mixing process. Temperature and salinity decrease from 280 to 140°C and 8.1wt% eq. NaCl to 1.6wt% eq. NaCl, respectively; (4) Sealing of the late fault system by barren comb quartz which precipitated from dilute meteoric aqueous fluids (1.6wt% eq. NaCl to 0.9wt% eq. NaCl) under hydrostatic conditions at 200-150°

    Systematic literature review of determinants of sedentary behaviour in older adults:a DEDIPAC study

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    BACKGROUND: Older adults are the most sedentary segment of society and high sedentary time is associated with poor health and wellbeing outcomes in this population. Identifying determinants of sedentary behaviour is a necessary step to develop interventions to reduce sedentary time. METHODS: A systematic literature review was conducted to identify factors associated with sedentary behaviour in older adults. Pubmed, Embase, CINAHL, PsycINFO and Web of Science were searched for articles published between 2000 and May 2014. The search strategy was based on four key elements: (a) sedentary behaviour and its synonyms; (b) determinants and its synonyms (e.g. correlates, factors); (c) types of sedentary behaviour (e.g. TV viewing, sitting, gaming) and (d) types of determinants (e.g. environmental, behavioural). Articles were included in the review if specific information about sedentary behaviour in older adults was reported. Studies on samples identified by disease were excluded. Study quality was rated by means of QUALSYST. The full review protocol is available from PROSPERO (PROSPERO 2014: CRD42014009823). The analysis was guided by the socio-ecological model framework. RESULTS: Twenty-two original studies were identified out of 4472 returned by the systematic search. These included 19 cross-sectional, 2 longitudinal and 1 qualitative studies, all published after 2011. Half of the studies were European. The study quality was generally high with a median of 82 % (IQR 69-96 %) using Qualsyst tool. Personal factors were the most frequently investigated with consistent positive association for age, negative for retirement, obesity and health status. Only four studies considered environmental determinants suggesting possible association with mode of transport, type of housing, cultural opportunities and neighbourhood safety and availability of places to rest. Only two studies investigated mediating factors. Very limited information was available on contexts and sub-domains of sedentary behaviours. CONCLUSION: Few studies have investigated determinants of sedentary behaviour in older adults and these have to date mostly focussed on personal factors, and qualitative studies were mostly lacking. More longitudinal studies are needed as well as inclusion of a broader range of personal and contextual potential determinants towards a systems-based approach, and future studies should be more informed by qualitative work

    Endothelial dysfunction and vascular disease

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    The endothelium can evoke relaxations (dilatations) of the underlying vascular smooth muscle, by releasing vasodilator substances. The best characterized endothelium-derived relaxing factor (EDRF) is nitric oxide (NO). The endothelial cells also evoke hyperpolarization of the cell membrane of vascular smooth muscle (endothelium-dependent hyperpolarizations, EDHF-mediated responses). Endothelium-dependent relaxations involve both pertussis toxin-sensitive G i (e.g. responses to serotonin and thrombin) and pertussis toxin-insensitive G q (e.g. adenosine diphosphate and bradykinin) coupling proteins. The release of NO by the endothelial cell can be up-regulated (e.g. by oestrogens, exercise and dietary factors) and down-regulated (e.g. oxidative stress, smoking and oxidized low-density lipoproteins). It is reduced in the course of vascular disease (e.g. diabetes and hypertension). Arteries covered with regenerated endothelium (e.g. following angioplasty) selectively loose the pertussis toxin-sensitive pathway for NO release which favours vasospasm, thrombosis, penetration of macrophages, cellular growth and the inflammatory reaction leading to atherosclerosis. In addition to the release of NO (and causing endothelium-dependent hyperpolarizations), endothelial cells also can evoke contraction (constriction) of the underlying vascular smooth muscle cells by releasing endothelium-derived contracting factor (EDCF). Most endothelium-dependent acute increases in contractile force are due to the formation of vasoconstrictor prostanoids (endoperoxides and prostacyclin) which activate TP receptors of the vascular smooth muscle cells. EDCF-mediated responses are exacerbated when the production of NO is impaired (e.g. by oxidative stress, ageing, spontaneous hypertension and diabetes). They contribute to the blunting of endothelium-dependent vasodilatations in aged subjects and essential hypertensive patients. © 2008 Scandinavian Physiological Society.postprin

    The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

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    AIM: The SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery. METHODS: This was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin. RESULTS: Overall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P < 0.001). After adjustment, delay was not associated with a lower rate of complete resection (OR 1.18, 95% CI 0.90-1.55, P = 0.224), which was consistent in elective patients only (OR 0.94, 95% CI 0.69-1.27, P = 0.672). Longer delays were not associated with poorer outcomes. CONCLUSION: One in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease

    Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

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    PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

    Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

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    PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

    Contribution des réserves nationales de chasse et de faune sauvage aux études sur la biologie des populations d’ongulés sauvages

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    Vallance Michel. Contribution des réserves nationales de chasse et de faune sauvage aux études sur la biologie des populations d’ongulés sauvages . In: Revue d'Écologie (La Terre et La Vie), tome 59, n°1-2, 2004. pp. 389-390

    Les paléofluides de la fin de la collision varisque (évolution - pression - température - composition et rôle métallogénique : une étude pluridisciplinaire des districts à Au d'Europe occidentale )

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    Les circulations de fluides associées à la formation de gisements d'or en Europe occidentale ont été étudiées afin de reconstituer l'évolution P-T à la fin de la collision varisque et de comprendre les processus de transfert de matière au cours d'une crise métallogénique. Cette étude a conduit à l'élaboration d'un modèle unitaire de formation des gisements d'or varisque, en deux stades :Stade mésozonal : formation de structures quartzeuses vers 500 C, à 8-12 km le long d'accidents régionaux, qui constituent les uniques drains à ce stade. Les fluides associés à ces filons sont aquo-carboniques et modérément salés. Les données isotopiques montrent une perte de la signature originelle du fluide par interaction avec l'encaissant métamorphique ; Stade épizonal : remontée du bâti jusque 5 à 6 km. Percolation de fluides aqueux à des températures supérieures à 350ʿC. La connexion avec un réservoir contenant des fluides d'origine superficielle provoque, la déstabilisation des complexes transportant l'or et son dépôt vers 250ʿC. Le dépôt se fait préférentiellement au contact des sulfures précoces dont les surfaces jouent un rôle de piége électrochimique. Les transferts de matière associés à ces gisements se sont fait à deux échelles : i) localement pour des éléments comme Fe, K et Ca ; ii) à l'échelle des unités lithotectoniques pour As, S et Sb. L'encaissant des minéralisations ne présente pas de teneurs anomales en or. La comparaison avec d'autres gisements montre que cette absence de préconcentration n'est pas en contradiction avec une formation des gisements par remobilisation de l'or à partir de l'encaissant. En effet, les données de la littérature montrent que l'or a une grande solubilité dans des fluides semblables à ceux qui ont été observés au cours de cette étude, et que des quantités importantes peuvent êtres ainsi extraites. L'extraction de l'or a eu lieue au moment de la décompression et de l'intense microfissuration des unités pendant la remontée du bâti.NANCY1-SCD Sciences & Techniques (545782101) / SudocSudocFranceF
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