[Pandemic forced telework, a new psychosocial risk. Reflections on the health issues and the necessary support].

With the COVID-19 pandemic, barrier measures also concerned the world of work. In particular, teleworking was encouraged over a long period in France and then generalized in April 2021, promoting social isolation. The anxious climate linked to the pandemic and the precipitous nature of this decision induced a new psychosocial risk factor.

Occupational exposure factors for mental and behavioral disorders at work: The FOREC thesaurus.

Background: Mental disorders in the workplace are a major public health problem. Knowledge of the impact of the psychosocial work environment on mental and behavioral disorders can assist occupational physicians in the identification and description of occupational risk situations, and help to define priority actions. However, no classification for occupational exposure factors is currently available.

Urine cytology screening of French workers exposed to occupational urinary tract carcinogens: a prospective cohort study over a 20-year period.

Objectives: To demonstrate that urine cytology screening can provide relevant epidemiological data for earlier detection of urothelial cancer caused by occupational exposure.

Design: Prospective cohort study.

Setting: Industries using urothelial carcinogens in France.

Maximal tachycardia and high cardiac strain during night shifts of emergency physicians.

Purpose: To compare tachycardia and cardiac strain between 24-hour shifts (24hS) and 14-hour night shifts (14hS) in emergency physicians (EPs), and to investigate key factors influencing tachycardia and cardiac strain.

Methods: We monitored heart rate (HR) with Holter-ECG in a shift-randomized trial comparing a 24hS, a 14hS, and a control day, within a potential for 19 EPs. We also measured 24-h HR the third day (D3) after both shifts.

Paradoxical dissociation between heart rate and heart rate variability following different modalities of exercise in individuals with metabolic syndrome: The RESOLVE study.

Aims To analyse the effects of different modalities of exercise training on heart rate variability (HRV) in individuals with metabolic syndrome (MetS). Methods and results Eighty MetS participants (aged 50-70 years) were housed and managed in an inpatient medical centre for 21 days, including weekends. Physical activity and food intake/diet were intensively monitored.

Prevalence of dry eye disease in visual display terminal workers: a systematic review and meta-analysis.

Objective: To evaluate the prevalence and risk factors of dry eye disease (DED) in workers using visual display terminals (VDT).

Design: Systematic review and meta-analysis.

Data Sources: We searched PubMed, Cochrane Library, Embase and Science Direct databases for studies reporting DED prevalence in VDT workers.

A Dimensionally Reduced Clustering Methodology for Heterogeneous Occupational Medicine Data Mining.

Clustering is a set of techniques of the statistical learning aimed at finding structures of heterogeneous partitions grouping homogenous data called clusters. There are several fields in which clustering was successfully applied, such as medicine, biology, finance, economics, etc. In this paper, we introduce the notion of clustering in multifactorial data analysis problems.

'Do Well B.': Design Of WELL Being monitoring systems. A study protocol for the application in autism.

Introduction: Individuals with autism spectrum disorder (ASD) have difficulties in communication and social interaction resulting from atypical perceptual and cognitive information processing, leading to an accumulation of anxiety. Extreme overloading experienced internally may not be externally visible. Identifying stressful situations at an early stage may avoid socially problematic behaviour from occurring, such as self-injurious behaviour.

[Review and perspective of a long-term follow-up of two cohorts of workers heavily exposed to asbestos].

National screening programs for detection of breast, colon and cervical cancers have been set up in France. Occupational cancers are excluded from these programs. Surveillance is left to the initiative of former employees who can initiate post-professional medical monitoring.

Comparison of the ultra-low-dose Veo algorithm with the gold standard filtered back projection for detecting pulmonary asbestos-related conditions: a clinical observational study.

Objectives: Radiation delivered during CT is a major concern, especially for individuals undergoing repeated screening. We aimed to compare a new ultra-low-dose algorithm called Veo with the gold standard filtered back projection (FBP) for detecting pulmonary asbestos-related conditions.

Setting: University Hospital CHU G.

Chest CT scan screening for lung cancer in asbestos occupational exposure: a systematic review and meta-analysis.

Objective: Lung cancer is the most frequent malignant asbestos-related pathology and remains the most fatal cancer of industrialized countries. In heavy smokers, early detection of lung cancer with chest CT scan leads to a 20% mortality reduction. However, the use of CT scan screening for early detection of lung cancer in asbestos-exposed workers requires further investigation.

Urinary interleukin-8 is a biomarker of stress in emergency physicians, especially with advancing age--the JOBSTRESS* randomized trial.

Background: Emergency physicians are exposed to greater stress during a 24-hour shift (24 hS) than a 14-hour night shift (14 hS), with an impact lasting several days. Interleukin-8 (IL-8) is postulated to be a chronic stress biomarker. However, no studies have tracked IL-8 over several shifts or used it for monitoring short-term residual stress.

Job satisfaction evaluation in low back pain: a literature review and tools appraisal.

Unlabelled: Among occupational risk factors of recurrence, chronicity and no return to work in low back pain, poor job satisfaction is the only high evidence-based factor.

Objective: To find out any validated questionnaire usable to assess job satisfaction in low back pain patients, both in clinical practice and research setting.

Method: A systematic literature search on Pubmed and Cochrane library databases and un-indexed literature was made.

The long-term effects of occupational exposure to vinyl chloride monomer on microcirculation: a cross-sectional study 15 years after retirement.

Objectives: To assess residual long-term microcirculation abnormalities by capillaroscopy, 15 years after retiring from occupational exposure to vinyl chloride monomer (VCM).

Design: Cross-sectional study.

Setting: Allier, one of the major areas of polyvinyl chloride production in France.

Shift of the 2009-2011 measles outbreak from children to adults: an observational review at the University Hospital of Clermont-Ferrand, France.

In 2009-2011, 113 adult in- and outpatients with measles were referred to the University Hospital of Clermont-Ferrand (centre of France): 71 (62.8 %) needed hospitalisation, 31 had pneumonia, 29 diarrhoea, 47 liver enzymes elevation, 38 thrombopaenia, one encephalitis and there were no deaths. Nineteen cases occurred among healthcare workers and five of them were hospital-acquired.

[Stress and auto-immunity].

The etiology of auto-immune disorders is multifactorial. Stress is probably a participating factor. Indeed, a high proportion of patients with auto-immune diseases report uncommon stress before disease onset or disease flare.

Saliva DHEAS changes in patients suffering from psychopathological disorders arising from bullying at work.

Background: Psychological disorders arising from bullying at work (BW) are common. The relationship between these disorders and putative markers is not well established.

Aims: To measure saliva dehydroepiandrosterone sulphate (DHEAS) and saliva cortisol as putative markers in individuals suffering from BW.

Heart rate regulation processed through wavelet analysis and change detection: some case studies.

Heart rate variability (HRV) is an indicator of the regulation of the heart, see Task Force (Circulation 93(5):1043-1065, 1996). This study compares the regulation of the heart in two cases of healthy subjects within real life situations: Marathon runners and shift workers. After an update on the state of the art on HRV processing, we specify our probabilistic model: We choose modeling heartbeat series by locally stationary Gaussian process (Dahlhaus in Ann Stat 25, 1997).

Genetic polymorphisms in CYP1A1, CYP1B1, COMT, GSTP1 and NAT2 genes and association with bladder cancer risk in a French cohort.

Unlabelled: Tobacco smoking and environmental exposures are the main known risk factors for bladder cancer (BC) via exposure to chemical carcinogens. Genetic differences in the metabolism of chemicals have been suggested to be associated with individual susceptibility to BC. Polymorphisms in genes coding to metabolising enzymes, resulting in variation of carcinogen detoxification efficiency, may therefore change the response of individuals to chemical carcinogens and be associated with an increased BC risk.

[The experience of the ARPEGES unit at the university hospital in Clermont-Ferrand: evaluation and management of hospital staff's occupational health].

In 2003, the university hospital in Clermont-Ferrand, France, established an Analysis Unit for Occupational Hazards and Health Status Evaluation and Management (Analyses des Risques Professionels et Evaluation et Gestion de l'Etat de Santé-ARPEGES) in order to make better use of occupational health data. The unit's analyses are mostly based on a standardised questionnaire that is systematically completed during the annual occupational medical examinations, which collects information on 23 indicators of occupational and health risks. The annual analysis of the indicators contributes to a comprehensive, collective vision of health problems, and a better definition of the target areas and means for action.

[Pasteurella multocida meningitis in a 93-year-old woman following a cat bite].

Pasteurella multocida is commensal of the normal nasopharynx or gastrointestinal flora in many domestic and wild animals. Cat and dog bites usually cause soft tissue infections. P.

[Cost/effectiveness comparison of the vaccine campaign and reduction of sick leave, after vaccination against influenza among the Clermont-Ferrand University Hospital staff].

Objective: The aim of this study was to compare the cost of vaccination for the Clermont-Ferrand University hospital (CHU) personnel and the cost of sick leave among vaccinated and non-vaccinated employees in 2003, 2004, and 2005.

Design: The study included 7256 CHU staff (medical and non-medical personnel). The cost of sick leave was calculated on the basis of short-term disease (four to nine days) over the three months of the epidemic season in 2004, 2005, and 2006.