Estimated number of seriously injured road users admitted to hospital in France between 2010 and 2017, based on medico-administrative data.

Background: In France, like in most developed countries, the number of road accident fatalities is estimated from police data. These estimates are considered to be good-quality, unlike estimates of road injuries admitted to hospital, and especially serious injuries.

Methods: The present study aimed to supply such data from French hospital medical information data-bases (PMSI).

Road crash fatality rates in France: a comparison of road user types, taking account of travel practices.

Background: Travel practices are changing: bicycle and motorized two-wheeler (MTW) use are rising in some of France's large cities. These are cheaper modes of transport and therefore attractive at a time of economic crisis, but they also allow their users to avoid traffic congestion. At the same time, active transport modes such as walking and cycling are encouraged because they are beneficial to health and reduce pollution.

Complaints of Poor Sleep and Risk of Traffic Accidents: A Population-Based Case-Control Study.

Introduction: This study aimed to determine the sleepiness-related factors associated with road traffic accidents.

Methods: A population based case-control study was conducted in 2 French agglomerations. 272 road accident cases hospitalized in emergency units and 272 control drivers matched by time of day and randomly stopped by police forces were included in the study.

[Aquatic therapy for children with autism].

Nursing practices with autistic children in child psychiatry can be approached through the experience of a body-centred therapy group. The support favours creativity, holding, vocal interaction, team work around the clinical aspect, multi-disciplinary perspectives and exchanges with the parents. An example of a workshop in a swimming pool in which holding is particularly important.

An international review of the frequency of single-bicycle crashes (SBCs) and their relation to bicycle modal share.

Objectives: To study cyclists' share of transport modes (modal share) and single-bicycle crashes (SBCs) in different countries in order to investigate if the proportion of cyclist injuries resulting from SBCs is affected by variation in modal share.

Methods: A literature search identified figures (largely from western countries) on SBC casualties who are fatally injured, hospitalised or treated at an emergency department. Correlation and regression analyses were used to investigate how bicycle modal share is related to SBCs.

Injury incidence rates of cyclists compared to pedestrians, car occupants and powered two-wheeler riders, using a medical registry and mobility data, Rhône County, France.

Purpose: In France, the bicycle's modal share is stabilizing after a decline; in some of France's major cities, it has even increased since the 1990s. It is hence relevant to improve the knowledge of the injury risk associated with cycling, compared with other means of transport such as car, walking and powered two-wheeler (PTW) riding.

Methods: The injury incidence rates were estimated by the ratio between accident data and mobility (exposure) data.

Responsibility study: main illicit psychoactive substances among car drivers involved in fatal road crashes.

In 1999, in France, before considering modifications in drug legislation, the government requested a study of the effect of illicit drugs on the risk of road crashes. It implemented a systematic screening of illicit drugs for all drivers involved in fatal crashes between October 2001 and September 2003. Within the European DRUID project, the study was restricted to car drivers.

The injury epidemiology of cyclists based on a road trauma registry.

Background: Bicycle use has increased in some of France's major cities, mainly as a means of transport. Bicycle crashes need to be studied, preferably by type of cycling. Here we conduct a descriptive analysis.

Bicycle helmet wearing and the risk of head, face, and neck injury: a French case--control study based on a road trauma registry.

Background: Previous case-control studies on bicycle helmet efficacy are mostly Anglo-Saxon, and based on data from the early 1990s when hard-shell helmets were common.

Methods: In France, the Rhône county (1.6 million inhabitants) is covered by a road trauma registry that includes emergency department visits, hospital admissions, and fatalities.

The burden of road traffic accidents in a French Departement: the description of the injuries and recent changes.

Background: A significant reduction in road traffic accidents has been observed since prevention measures were introduced by the French public authorities in 2002. The goals of this study are to describe the burden of road traffic accidents in a French Departement, and to identify changes if any between the periods 1997-2001 and 2002-2006 on the basis of the disability adjusted life years (DALY).

Methods: Years of lost life (YLL) and years lived with disability (YLD) were calculated for two periods using the mortality and incidence data in the Rhone Departement Registry of Road Traffic Accident Casualties.

Actual incidences of road casualties, and their injury severity, modelled from police and hospital data, France.

Background: Nation-wide road casualty figures usually come from police data. In France, as in many developed countries, the reporting of fatalities is almost complete but the reporting of non-fatal casualties is rather low. It is moreover strongly biased.

The impact of driver age on lost life years for other road users in France: A population based study of crash-involved road users.

Background: One of the concerns in road safety is the threat older drivers may pose to other road users. Using the rate of lost life years, the present study provides a public health approach to quantify this potential threat.

Methods: A total of 1570686 motorised vehicle drivers or motorcycle riders and 652246 non-drivers, i.

The 15-Country Collaborative Study of Cancer Risk among Radiation Workers in the Nuclear Industry: estimates of radiation-related cancer risks.

A 15-Country collaborative cohort study was conducted to provide direct estimates of cancer risk following protracted low doses of ionizing radiation. Analyses included 407,391 nuclear industry workers monitored individually for external radiation and 5.2 million person-years of follow-up.

Road crash casualties: characteristics of police injury severity misclassification.

Background: In most countries, epidemiologic knowledge of road crash injury is mainly based on police data, as they very often are the only available data at the nation-wide level. However their validity is of some concern. We focus here on the police severity classification of 'serious' and 'slight' casualties in France.

Estimating non-fatal road casualties in a large French county, using the capture-recapture method.

Introduction: Non-fatal road casualties are under-reported, with official figures coming from the police. In the French Rhône county, a road trauma registry constitutes a second source of reporting but its completeness needs to be assessed. We also wish to estimate an incidence rate of non-fatal road casualties that is corrected for under-count.

Severe outcome of children following trauma resulting from road accidents.

Objective: The aim of the study was to determine the risk factors of a severe outcome for children severely injured [killed or with an Injury Severity Score (ISS)>or=16] in a road accident.

Materials And Methods: Casualties that occurred between 1996 and 2001 which involved children under 14 years of age were assessed in a population-based study based on data included in a French road trauma Registry. A severe traumatic brain injury (TBI) was defined as a head injury with an Abbreviated Injury Scale (AIS) severity score>or=3.

Under-reporting of road crash casualties in France.

Introduction: Police crash data, which are the basis for safety research in most countries, are incomplete and biased. We focus here on the extent of under-reporting in France, and how it is related to casualty and crash characteristics.

Methods: Police data are compared with a road trauma registry, on the Rhône county, after record-linkage.

Risk of cancer after low doses of ionising radiation: retrospective cohort study in 15 countries.

Objectives: To provide direct estimates of risk of cancer after protracted low doses of ionising radiation and to strengthen the scientific basis of radiation protection standards for environmental, occupational, and medical diagnostic exposures.

Design: Multinational retrospective cohort study of cancer mortality.

Setting: Cohorts of workers in the nuclear industry in 15 countries.

Mortality of workers exposed to ionizing radiation at the French National Electricity Company.

Background: Exposure to ionizing radiation increases the risk of cancer in humans. Nuclear workers receive low doses over a relatively long period of time.

Methods: A mortality study of a cohort of workers exposed to ionizing radiation at Electricité de France (EDF) was conducted.

Comparison of road crashes incidence and severity between some French counties.

Our aim is to compare traffic safety among several counties in France, and explore whether observed differences can be explained by differences in road types distribution and by differences in socio-economic characteristics between counties. Traffic safety is measured by incidence and severity, where incidence is defined by the ratio of counts of injury accidents and exposure, measured by the amount of kilometres driven. Severity is measured by the ratio between fatal and injury accidents.

A method to assess predominant energies of exposure in a nuclear research centre--Saclay (France).

A study of dosimetric errors is under way within an international collaborative study of cancer risk among workers in the nuclear industry. The objective is to quantify errors in the estimated photon doses to individual organs used for cancer risk estimation. One source of errors is the response of old dosemeters in workplace exposure conditions.

Endometrial cancer following breast cancer: Effect of tamoxifen and castration by radiotherapy.

Tamoxifen, a synthetic antiestrogen, has been shown to be effective in reducing mortality from breast cancer and the occurrence of contralateral breast cancer. Tamoxifen is now being studied as a preventive of breast cancer among healthy women considered to be at high risk; preventive trials are now under way both in the USA and in Europe. We undertook a case-control study in Lyon and Dijon, France, to assess the effect of tamoxifen and other treatments for breast cancer on subsequent endometrial cancer.