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Montmaneix-Engels F, Dimeglio C, Staes L, Da Silva I, Porcheron M, Jougla I, Hérin F, Izopet J. Study of the cellular and humoral immune responses to SARS-CoV-2 vaccination. Heliyon 2024; 10:e29116. [PMID: 38601689 PMCID: PMC11004869 DOI: 10.1016/j.heliyon.2024.e29116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Revised: 03/29/2024] [Accepted: 04/01/2024] [Indexed: 04/12/2024] Open
Abstract
Our understanding of cellular immunity in response to COVID-19 infection or vaccination is limited because of less commonly used techniques. We investigated both the cellular and humoral immune responses before and after the administration of a third dose of the SARS-CoV-2 vaccine among a group of healthcare workers. Cellular immunity was evaluated using the VIDAS interferon-gamma (IFNγ) RUO test, which enables automated measurement of IFNγ levels after stimulating peripheral blood lymphocytes. Booster doses significantly enhanced both cellular and humoral immunity. Concerning cellular response, the booster dose increased the percentage of positive IFNγ release assay (IGRA) results but no difference in IFNγ release was found. The cellular response was not associated with protection against SARS-CoV-2 infection. Interestingly, vaccinated and infected healthcare workers exhibited the highest levels of anti-spike and neutralizing antibodies. In conclusion, the IGRA is a simple method for measuring cellular immune responses after vaccination. However, its usefulness as a complement to the study of humoral responses is yet to be demonstrated in future research.
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Affiliation(s)
- Faustine Montmaneix-Engels
- INSERM UMR1291-CNRS UMR5051-University Toulouse III, Toulouse Institute for Infectious and Inflammatory Diseases, 31300, Toulouse, France
- Toulouse III Paul Sabatier University, 31062, Toulouse, France
| | - Chloé Dimeglio
- INSERM UMR1291-CNRS UMR5051-University Toulouse III, Toulouse Institute for Infectious and Inflammatory Diseases, 31300, Toulouse, France
- CHU Toulouse, Purpan Hospital, Virology Laboratory, 31300, Toulouse, France
| | - Laeticia Staes
- CHU Toulouse, Purpan Hospital, Virology Laboratory, 31300, Toulouse, France
| | - Isabelle Da Silva
- CHU Toulouse, Purpan Hospital, Virology Laboratory, 31300, Toulouse, France
| | - Marion Porcheron
- CHU Toulouse, Purpan Hospital, Virology Laboratory, 31300, Toulouse, France
| | - Isabelle Jougla
- Occupational Diseases Department, Toulouse University Hospital, 31000, Toulouse, France
| | - Fabrice Hérin
- Occupational Diseases Department, Toulouse University Hospital, 31000, Toulouse, France
- UMR1295, Joint Research Unit INSERM- University Toulouse III Paul Sabatier, Centre for Epidemiology and Research in Population Health Unit (CERPOP), 31000, Toulouse, France
| | - Jacques Izopet
- INSERM UMR1291-CNRS UMR5051-University Toulouse III, Toulouse Institute for Infectious and Inflammatory Diseases, 31300, Toulouse, France
- Toulouse III Paul Sabatier University, 31062, Toulouse, France
- CHU Toulouse, Purpan Hospital, Virology Laboratory, 31300, Toulouse, France
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Hérin F, Vaysse C, Savall F, Fernandez-Delpech V, Telmon N. [Damage repair in breast cancer has to evolve]. ACTA ACUST UNITED AC 2021; 49:698-702. [PMID: 33933672 DOI: 10.1016/j.gofs.2021.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Indexed: 11/29/2022]
Abstract
Breast damage is likely to result in compensation according to the principle of full compensation. However, breast damage, little covered in the scales usually used, requires a specific methodology. The quantification of functional prejudice must be done with regard to the age of the victim and must take into account the possible repercussions on mobility (shoulder and/or spine) as well as the psychological repercussions. Whether or not the nipple and areola are preserved should be described. Temporary aesthetic damage (before breast reconstruction) must be assessed on the basis of objective elements, its duration and quantification on a scale of 0 to 7. Permanent aesthetic damage takes into account scars, deformities, amputations and quality of the prosthesis. A new scale for evaluating permanent aesthetic damage is proposed. Sexual prejudice must take into account an impairment of the pleasure related to sexuality and its erotic function, in line with the concept of sexual health. However, even after reconstruction, the areas of quality of sexual life and sexual satisfaction often remain affected. An exploration using standardized questions from validated questionnaires such as BREAST-Q can be useful. The sequelae linked to the damage on a breast can also lead the woman to limit certain pleasure activities, in particular because of psychological discomfort or even be the cause of a loss of opportunity to carry out a family's life plan.
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Affiliation(s)
- F Hérin
- Service de maladies professionnelles et environnementales, CHU Toulouse-Purpan, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France
| | - C Vaysse
- Département de chirurgie gynécologique oncologique, centre hospitalier universitaire de Toulouse, institut universitaire du cancer de Toulouse-Oncopôle, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France
| | - F Savall
- Service de médecine légale, CHU Toulouse-Rangueil, 1, avenue Professeur-Jean-Poulhès, 31059 Toulouse cedex 9, France.
| | | | - N Telmon
- Service de médecine légale, CHU Toulouse-Rangueil, 1, avenue Professeur-Jean-Poulhès, 31059 Toulouse cedex 9, France
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Matrat M, Gain M, Haioun C, Le Bras F, Nisse C, Morschhauser F, Clin B, Baldi I, Verdun-Esquer C, Garnier R, Laborde-Castérot H, Hérin F, Esquirol Y, Andujar P, Belacel M, Chouaïd C, Chauvet C, Lasfargues G, Pairon JC. Development of a Questionnaire for the Search for Occupational Causes in Patients with Non-Hodgkin Lymphoma: The RHELYPRO Study. Int J Environ Res Public Health 2021; 18:4008. [PMID: 33920383 PMCID: PMC8068898 DOI: 10.3390/ijerph18084008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Revised: 04/06/2021] [Accepted: 04/07/2021] [Indexed: 11/17/2022]
Abstract
Non-Hodgkin lymphoma (NHL), multiple myeloma and chronic lymphocytic leukemia are possibly related to environmental and/or occupational exposure. The primary objective of this study was to develop a questionnaire for screening patients with these blood disorders who might benefit from a specialized consultation for possible recognition of the disease as an occupational disease. The study included 205 subjects (male gender, 67.3%; mean age, 60 years; NHL, 78.5%). The questionnaire performed very satisfactorily in identifying the exposures most frequently retained by experts for their potential involvement in the occurrence of NHL. Its sensitivity and specificity in relation to the final expertise were 96% and 96% for trichloroethylene, 85% and 82% for benzene, 78% and 87% for solvents other than trichloroethylene and dichloromethane, 87% and 95% for pesticides, respectively. Overall, 15% of the subjects were invited to ask National Social Insurance for compensation as occupational disease. These declarations concerned exposure to pesticides (64%), solvents (trichloroethylene: 29%; benzene: 18%; other than chlorinated solvents: 18%) and sometimes multiple exposures. In conclusion, this questionnaire appears as a useful tool to identify NHL patients for a specialized consultation, in order to ask for compensation for occupational disease.
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Affiliation(s)
- Mireille Matrat
- Service des Pathologies Professionnelles et de l’Environnement, CHI Créteil, F-94010 Créteil, France; (M.M.); (M.G.); (P.A.)
| | - Murielle Gain
- Service des Pathologies Professionnelles et de l’Environnement, CHI Créteil, F-94010 Créteil, France; (M.M.); (M.G.); (P.A.)
| | - Corinne Haioun
- INSERM, IMRB, Paris Est Créteil University, F-94010 Créteil, France;
- AP-HP, Hôpital Henri Mondor, Unité Hémopathies Lymphoïdes, F-94010 Créteil, France;
| | - Fabien Le Bras
- AP-HP, Hôpital Henri Mondor, Unité Hémopathies Lymphoïdes, F-94010 Créteil, France;
| | - Catherine Nisse
- CHU Lille, Institut Pasteur de Lille, Université de Lille, 4483-IMPECS-Impact de l’environnement Chimique sur la Santé Humaine, F-59000 Lille, France;
| | - Franck Morschhauser
- ULR 7365-GRITA-Groupe de Recherche sur les Formes Injectables et les Technologies Associées, Université de Lille, CHU Lille, F-59000 Lille, France;
| | - Bénédicte Clin
- Centre Régional de Pathologies Professionnelles et Environnementales, CHU de Caen, INSERM U1086, Cancers et Préventions, Université de Caen Normandie, F-14033 Caen, France;
| | - Isabelle Baldi
- Service Santé Travail Environnement, CHU Bordeaux, INSERM U1219, EPICENE, Bordeaux University, F-33076 Bordeaux, France; (I.B.); (C.V.-E.)
| | - Catherine Verdun-Esquer
- Service Santé Travail Environnement, CHU Bordeaux, INSERM U1219, EPICENE, Bordeaux University, F-33076 Bordeaux, France; (I.B.); (C.V.-E.)
| | - Robert Garnier
- Centre Antipoison de Paris, Consultation de Pathologie Professionnelle et de l’Environnement, AP-HP, Nord-Université de Paris, Hôpital Lariboisière-Fernand Widal-St Louis, F-75475 Paris, France; (R.G.); (H.L.-C.)
| | - Hervé Laborde-Castérot
- Centre Antipoison de Paris, Consultation de Pathologie Professionnelle et de l’Environnement, AP-HP, Nord-Université de Paris, Hôpital Lariboisière-Fernand Widal-St Louis, F-75475 Paris, France; (R.G.); (H.L.-C.)
| | - Fabrice Hérin
- Centre Régional de Pathologies Professionnelles et Environnementales, CHU Toulouse, F-31059 Toulouse, France; (F.H.); (Y.E.)
| | - Yolande Esquirol
- Centre Régional de Pathologies Professionnelles et Environnementales, CHU Toulouse, F-31059 Toulouse, France; (F.H.); (Y.E.)
| | - Pascal Andujar
- Service des Pathologies Professionnelles et de l’Environnement, CHI Créteil, F-94010 Créteil, France; (M.M.); (M.G.); (P.A.)
- INSERM, IMRB, Paris Est Créteil University, F-94010 Créteil, France;
| | - Milia Belacel
- Institut Santé-Travail Paris-Est, CHI Créteil, F-94010 Créteil, France;
| | - Christos Chouaïd
- Centre de Recherche Clinique, CHI Créteil, F-94010 Créteil, France;
| | - Claire Chauvet
- Anses, Agence Nationale de Sécurité Sanitaire de l’alimentation, de l’environnement et du Travail, F-94700 Maisons-Alfort, France; (C.C.); (G.L.)
| | - Gérard Lasfargues
- Anses, Agence Nationale de Sécurité Sanitaire de l’alimentation, de l’environnement et du Travail, F-94700 Maisons-Alfort, France; (C.C.); (G.L.)
| | - Jean-Claude Pairon
- Service des Pathologies Professionnelles et de l’Environnement, CHI Créteil, F-94010 Créteil, France; (M.M.); (M.G.); (P.A.)
- INSERM, IMRB, Paris Est Créteil University, F-94010 Créteil, France;
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Hérin F, Savall F, Saint-Martin P, Telmon N. [Compensation of damage in cancerology]. Bull Cancer 2021; 108:352-358. [PMID: 33678407 DOI: 10.1016/j.bulcan.2020.11.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 11/25/2020] [Accepted: 11/26/2020] [Indexed: 11/26/2022]
Abstract
In a few situations, the consequences secondary to a carcinological pathology require an assessment of damages for compensatory purposes. This is particularly the case when liable parties have been found to be at cause of the disease: occupational pathologies in the case of inexcusable employer's fault, exposure to a radioactive risk, for example in the context of full compensation for damages suffered by the victims of nuclear experiments performed by France, or lastly, in the after-effects of late diagnosis. This article does not discuss the imputability of cancer pathologies to an event, but it proposes an adaptation of methods for assessing damages, in an attempt to provide full compensation for damages.
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Affiliation(s)
- Fabrice Hérin
- Service de médecine légale CHU Toulouse-Rangueil, 1, avenue Professeur-Jean-Poulhès, TSA 50032, 31059 Toulouse cedex9, France
| | - Frédéric Savall
- Service de médecine légale CHU Toulouse-Rangueil, 1, avenue Professeur-Jean-Poulhès, TSA 50032, 31059 Toulouse cedex9, France
| | - Pauline Saint-Martin
- Service de médecine légale CHU Tours, hôpital trousseau, avenue de la République, 37170 Chambray-lès-Tours, France
| | - Norbert Telmon
- Service de médecine légale CHU Toulouse-Rangueil, 1, avenue Professeur-Jean-Poulhès, TSA 50032, 31059 Toulouse cedex9, France.
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Issany L, Jaoul V, Jouanjus E, Hérin F, Lapeyre-Mestre M. État de santé, consommation de médicaments et substances psychoactives d’une population d’étudiants selon le statut à l’emploi. Therapie 2021. [DOI: 10.1016/j.therap.2021.01.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Sommé J, Descazaux T, Jouglen J, Ducrest V, Jougla I, Weider MC, Weider A, Schmitt L, Delobel P, Didier A, Lauque D, Soulat JM, Hérin F. Grippe saisonnière : amélioration de la couverture vaccinale du personnel hospitalier. ARCH MAL PROF ENVIRO 2020. [DOI: 10.1016/j.admp.2020.03.440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Tison L, Gain M, Sergent É, Matrat M, Belacel M, Andujar P, Chouaïd C, Haioun C, Baldi I, Leclerc I, Verdun-Esquer C, Clin-Godard B, Nisse C, Garnier R, Hérin F, Vongmany N, Chauvet C, Bloch J, Lasfargues G, Pairon JC. Repérage des expositions professionnelles au cours des hémopathies lymphoïdes : programme Rhelypro. ARCH MAL PROF ENVIRO 2020. [DOI: 10.1016/j.admp.2020.03.693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Michaud A, Niezborala M, Diène E, Hérin F, Lapeyre-mestre M. Consommation médicamenteuses et vécu du travail de 3132 salariés de la région toulousaine. ARCH MAL PROF ENVIRO 2020. [DOI: 10.1016/j.admp.2020.03.657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Gernigon C, Othenin J, Michaud A, Vayr F, Rousseau V, Montastier E, Lapeyre-Mestre M, Niezborala M, Hérin F. Évaluation de la consommation médicamenteuse d’une population de travailleurs de la région Toulousaine en 2016. ARCH MAL PROF ENVIRO 2020. [DOI: 10.1016/j.admp.2019.12.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Chouaïd C, Bigay-Game L, Hérin F. Nouvelles thérapies en cancérologie et impact professionnel. ARCH MAL PROF ENVIRO 2020. [DOI: 10.1016/j.admp.2019.12.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Paris C, Baldi I, Bensefa-Colas L, Bloch J, Bonneterre V, Brunel S, Clin-Godard B, Durand-Moreau Q, Gain M, Hérin F, Larabi L, Nisse C, Nourry N, Vanrullen I, Vongmany N. Cancer bronchopulmonaire et expositions professionnelles : données du Réseau national de vigilance et de prévention des pathologies professionnelles (RNV3P) 2001–2016. ARCH MAL PROF ENVIRO 2018. [DOI: 10.1016/j.admp.2018.03.504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Paris C, Baldi I, Bensefa-Colas L, Bloc J, Bonneterre V, Brunel S, Clin-Godard B, Durand-Moreau Q, Gain M, Hérin F, Larabi L, Nisse C, Nourry N, Vanrullen I, Vongmany N. Cancers et expositions professionnelles : données du Réseau national de vigilance et de prévention des pathologies professionnelles (RNV3P) 2001–2016. ARCH MAL PROF ENVIRO 2018. [DOI: 10.1016/j.admp.2018.03.422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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Paris C, Thaon I, Hérin F, Clin B, Lacourt A, Luc A, Coureau G, Brochard P, Chamming’s S, Gislard A, Galan P, Hercberg S, Wild P, Pairon JC, Andujar P. Occupational Asbestos Exposure and Incidence of Colon and Rectal Cancers in French Men: The Asbestos-Related Diseases Cohort (ARDCo-Nut). Environ Health Perspect 2017; 125:409-415. [PMID: 27517294 PMCID: PMC5332175 DOI: 10.1289/ehp153] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/21/2015] [Revised: 07/15/2016] [Accepted: 07/18/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND The relationships between asbestos exposure and colorectal cancer remain controversial. OBJECTIVES We examined the association between asbestos exposure and colorectal cancer incidence. METHODS Volunteer retired workers previously exposed to asbestos were invited to participate in the French ARDCo screening program between 2003 and 2005. Additional data on risk factors for colorectal cancer were collected from the ARDCo-Nut subsample of 3,769 participants in 2011. Cases of colon and rectal cancer were ascertained each year through 2014 based on eligibility for free medical care following a cancer diagnosis. Survival regression based on the Cox model was used to estimate the relative risk of colon and rectal cancer separately, in relation to the time since first exposure (TSFE) and cumulative exposure index (CEI) to asbestos, and with adjustment for smoking in the overall cohort and for smoking, and certain risk factors for these cancers in the ARDCo-Nut subsample. RESULTS Mean follow-up was 10.2 years among 14,515 men, including 181 colon cancer and 62 rectal cancer cases (41 and 17, respectively, in the ARDCo-Nut subsample). In the overall cohort, after adjusting for smoking, colon cancer was significantly associated with cumulative exposure (HR = 1.14; 95% CI: 1.04, 1.26 for a 1-unit increase in ln-CEI) and ≥ 20-40 years since first exposure (HR = 4.67; 95% CI: 1.92, 11.46 vs. 0-20 years TSFE), and inversely associated with 60 years TSFE (HR = 0.26; 95% CI: 0.10, 0.70). Although rectal cancer was also associated with TSFE 20-40 years (HR = 4.57; 95% CI: 1.14, 18.27), it was not associated with ln-CEI, but these findings must be interpreted cautiously due to the small number of cases. CONCLUSIONS Our findings provide support for an association between occupational exposure to asbestos and colon cancer incidence in men. Citation: Paris C, Thaon I, Hérin F, Clin B, Lacourt A, Luc A, Coureau G, Brochard P, Chamming's S, Gislard A, Galan P, Hercberg S, Wild P, Pairon JC, Andujar P. 2017. Occupational asbestos exposure and incidence of colon and rectal cancers in French men: the Asbestos-Related Diseases Cohort (ARDCo-Nut). Environ Health Perspect 125:409-415; http://dx.doi.org/10.1289/EHP153.
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Affiliation(s)
- Christophe Paris
- EA7298 INGRES (Interactions gènes-risques environnementaux et effets sur la santé), Faculté de Médecine, Université de Lorraine, Vandoeuvre Les Nancy, France
- CHU (Centre Hospitalier Universitaire) Nancy, Vandoeuvre Les Nancy, France
| | - Isabelle Thaon
- EA7298 INGRES (Interactions gènes-risques environnementaux et effets sur la santé), Faculté de Médecine, Université de Lorraine, Vandoeuvre Les Nancy, France
- CHU (Centre Hospitalier Universitaire) Nancy, Vandoeuvre Les Nancy, France
| | - Fabrice Hérin
- UMR (Unité Mixte de Recherche) 1027, Université de Toulouse, Toulouse, France
- CHU Toulouse, Toulouse, France
| | - Benedicte Clin
- INSERM (Institut national de la santé et de la recherche médicale) U1086, Cancers et Populations, Caen, France
| | - Aude Lacourt
- Université Segalen, Bordeaux, France
- INSERM 1219, EPICENE (Epidémiologie du cancer et expositions environnementales), Bordeaux, France
| | - Amandine Luc
- EA7298 INGRES (Interactions gènes-risques environnementaux et effets sur la santé), Faculté de Médecine, Université de Lorraine, Vandoeuvre Les Nancy, France
| | - Gaelle Coureau
- Université Segalen, Bordeaux, France
- INSERM 1219, EPICENE (Epidémiologie du cancer et expositions environnementales), Bordeaux, France
- CHU Bordeaux, Bordeaux, France
| | - Patrick Brochard
- Université Segalen, Bordeaux, France
- INSERM 1219, EPICENE (Epidémiologie du cancer et expositions environnementales), Bordeaux, France
- CHU Bordeaux, Bordeaux, France
| | - Soizick Chamming’s
- IIMTPIF (Institut Interuniversitaire de Médecine du Travail de Paris Ile de France), Créteil, France
| | - Antoine Gislard
- CHU Rouen, Service de Pathologie professionnelle, Rouen, France
| | - Pilar Galan
- INSERM U1153, Nutritional Epidemiology Research Team (EREN), Bobigny, France
| | - Serge Hercberg
- INSERM U1153, Nutritional Epidemiology Research Team (EREN), Bobigny, France
| | - Pascal Wild
- INRS (Institut national de recherche et de sécurité), Direction scientifique, Vandoeuvre Les Nancy, France
| | - Jean-Claude Pairon
- Institut Santé Travail Paris-Est, Université Paris-Est, Créteil, France
- Service de Pneumologie et Pathologie Professionnelle, DHU A-TVB (Ageing-Thorax-Vessels-Blood), CHI Créteil (Centre Hospitalier Intercommunal de Créteil), Créteil, France
- INSERM U955, Equipe 4, Créteil, France
- Faculté de Médecine, Université Paris-Est Créteil, Créteil, France
| | - Pascal Andujar
- Institut Santé Travail Paris-Est, Université Paris-Est, Créteil, France
- Service de Pneumologie et Pathologie Professionnelle, DHU A-TVB (Ageing-Thorax-Vessels-Blood), CHI Créteil (Centre Hospitalier Intercommunal de Créteil), Créteil, France
- INSERM U955, Equipe 4, Créteil, France
- Faculté de Médecine, Université Paris-Est Créteil, Créteil, France
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Savall F, Lechevalier A, Hérin F, Vergnault M, Telmon N, Bartoli C. A ten-year experience of physical Intimate partner violence (IPV) in a French forensic unit. J Forensic Leg Med 2016; 46:12-15. [PMID: 28039764 DOI: 10.1016/j.jflm.2016.12.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2016] [Revised: 12/02/2016] [Accepted: 12/19/2016] [Indexed: 10/20/2022]
Abstract
Forensic units have a central role to play in healthy public policy, by the collection and management of violence. This study aims to describe the characteristics of physical Intimate Partner Violence (IPV) against men reported over 10 years in the forensic unit of Toulouse (France) and to compare them with the characteristics of physical IPV against women over the same period. All the medico-legal reports of male victims over 18 years of age between 2005 and 2014 were analyzed. Female victims over 18 years of age in the same period were randomized by year in order to study a similar number of individuals. We analyzed 712 forensic reports of male victims and 865 forensic reports of female victims. Repeated consultation concerned 20.5% of women and 7.5% of men (p < 0.001). More male victims than female victims consulted in an emergency unit (p < 0.001). The most frequently alleged manner of attack was punching for male victims (34.1%) and grabbing or pushing for female victims (86.7%). There were fewer wounds and vascular or visceral injuries for female victims (p = 0.001). There were more reports of no injury for female victims (p < 0.001) and fewer reports with at least two injuries (p = 0.002). The most common injuries were superficial skin injuries (abrasion, bruise or hematoma) for both groups. On the one hand, physical IPV against women was more frequent than against men, while physical IPV against men seemed to be more severe than against women. The distribution of alleged manners of attack and injuries were consistent with previous studies. However, the mechanisms of the origin of the process of violence are difficult to apprehend in such a dyadic context. The findings should be interpreted with caution, but they provide original and substantial material, which can be useful in recognizing victims and in developing preventive strategies. With this aim, forensic units have a central role to play in the collection of violence and in individualized management. In France, this subject has not been extensively studied and future research is needed to emphasize the characteristics of IPV in order to better understand the phenomenon and to create and assess public policies in order to prevent it.
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Affiliation(s)
- Frédéric Savall
- Service de Médecine Légale, Centre Hospitalier Universitaire Rangueil, avenue du Professeur Jean Poulhès, 31059 Toulouse Cedex 9, France.
| | - Agathe Lechevalier
- Département Universitaire de Médecine Générale, Centre Hospitalier Universitaire Rangueil, avenue du Professeur Jean Poulhès, 31059 Toulouse Cedex 9, France
| | - Fabrice Hérin
- UMR 1027, Epidémiologie et analyses en santé publique, Faculté de médecine, 37 allées J. Guesde, 31000 Toulouse, France
| | - Marion Vergnault
- Service de Médecine Légale, Centre Hospitalier Universitaire Rangueil, avenue du Professeur Jean Poulhès, 31059 Toulouse Cedex 9, France
| | - Norbert Telmon
- Service de Médecine Légale, Centre Hospitalier Universitaire Rangueil, avenue du Professeur Jean Poulhès, 31059 Toulouse Cedex 9, France
| | - Christophe Bartoli
- Service de Médecine Légale, Centre Hospitalier Universitaire La Timone, 264 Rue Saint-Pierre, 13005 Marseille, France
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Savall F, Rérolle C, Hérin F, Dédouit F, Rougé D, Telmon N, Saint-Martin P. Reliability of the Suchey-Brooks method for a French contemporary population. Forensic Sci Int 2016; 266:586.e1-586.e5. [PMID: 27181588 DOI: 10.1016/j.forsciint.2016.04.030] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2015] [Revised: 02/09/2016] [Accepted: 04/26/2016] [Indexed: 11/29/2022]
Abstract
The Suchey-Brooks method is commonly used for pubic symphyseal aging in forensic cases. However, inter-population variability is a problem affected by several factors such as geographical location and secular trends. The aim of our study was to test the reliability of the Suchey-Brooks method on a virtual sample of contemporary French males. We carried out a retrospective study of 680 pubic symphysis from adult males undergoing clinical Multislice Computed Tomography in two hospitals between January 2013 and July 2014 (Toulouse and Tours, France). The reliability of the Suchey-Brooks method was tested by the calculation of inaccuracy and bias between real and estimated ages, and the mean age for each stage and the mean stage for each 10-years age interval were compared. The degree of inaccuracy and bias increased with age and inaccuracy exceeded 20 years for individuals over 65 years of age. The results are consistent with an overestimation of the real age for stages I and II and an underestimation of the real age for stages IV, V and VI. Furthermore, the mean stages of the reference sample were significantly lower for the 14-25 age group and significantly higher for individuals over 35 years old. Age estimation is potentially limited by differential inter-population error rates between geographical locations. Furthermore, the effects of secular trends are also supported by research in European countries showing a reduction in the age of attainment of indicators of biological maturity during the past few decades. The results suggest that the Suchey-Brooks method should be used with caution in France. Our study supports previous findings and in the future, the Suchey-Brooks method could benefit from re-evaluation of the aging standards by the establishment of new virtual reference samples.
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Affiliation(s)
- Frédéric Savall
- Laboratoire d'Anthropobiologie AMIS, UMR 5288 CNRS, Université Paul Sabatier, 37 allées Jules Guesde, 31000 Toulouse, France; Service de Médecine Légale, Centre Hospitalier Universitaire Rangueil, avenue du Professeur Jean Poulhès, 31059 Toulouse Cedex 9, France.
| | - Camille Rérolle
- Laboratoire d'Anthropobiologie AMIS, UMR 5288 CNRS, Université Paul Sabatier, 37 allées Jules Guesde, 31000 Toulouse, France; Service de Médecine Légale, Centre Hospitalier Universitaire Trousseau, avenue de la République, 37170 Chambray-lès-Tours, France
| | - Fabrice Hérin
- UMR 1027, Epidémiologie et analyses en santé publique, Faculté de médecine, 37 allées J. Guesde, 31000 Toulouse, France
| | - Fabrice Dédouit
- Laboratoire d'Anthropobiologie AMIS, UMR 5288 CNRS, Université Paul Sabatier, 37 allées Jules Guesde, 31000 Toulouse, France; Service de Médecine Légale, Centre Hospitalier Universitaire Rangueil, avenue du Professeur Jean Poulhès, 31059 Toulouse Cedex 9, France; Service de Radiologie, Centre Hospitalier Universitaire Rangueil, avenue du Professeur Jean Poulhès, 31059 Toulouse Cedex 9, France
| | - Daniel Rougé
- Laboratoire d'Anthropobiologie AMIS, UMR 5288 CNRS, Université Paul Sabatier, 37 allées Jules Guesde, 31000 Toulouse, France; Service de Médecine Légale, Centre Hospitalier Universitaire Rangueil, avenue du Professeur Jean Poulhès, 31059 Toulouse Cedex 9, France
| | - Norbert Telmon
- Laboratoire d'Anthropobiologie AMIS, UMR 5288 CNRS, Université Paul Sabatier, 37 allées Jules Guesde, 31000 Toulouse, France; Service de Médecine Légale, Centre Hospitalier Universitaire Rangueil, avenue du Professeur Jean Poulhès, 31059 Toulouse Cedex 9, France
| | - Pauline Saint-Martin
- Laboratoire d'Anthropobiologie AMIS, UMR 5288 CNRS, Université Paul Sabatier, 37 allées Jules Guesde, 31000 Toulouse, France; Service de Médecine Légale, Centre Hospitalier Universitaire Trousseau, avenue de la République, 37170 Chambray-lès-Tours, France
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Hérin F, Vézina M, Thaon I, Paris C. Les facteurs professionnels prédicteurs de douleur chronique de l’épaule : à partir de l’étude ESTEV. ARCH MAL PROF ENVIRO 2012. [DOI: 10.1016/j.admp.2012.09.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Soulat JM, Hérin F. L’équipe pluridisciplinaire de santé au travail : un management impossible ? ARCH MAL PROF ENVIRO 2012. [DOI: 10.1016/j.admp.2012.02.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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de Gaudemaris R, Levant A, Ehlinger V, Hérin F, Lepage B, Soulat JM, Sobaszek A, Kelly-Irving M, Lang T. Blood pressure and working conditions in hospital nurses and nursing assistants. The ORSOSA study. Arch Cardiovasc Dis 2011; 104:97-103. [PMID: 21402344 DOI: 10.1016/j.acvd.2010.12.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2010] [Revised: 11/25/2010] [Accepted: 12/07/2010] [Indexed: 10/18/2022]
Abstract
BACKGROUND Healthcare workers often are unsatisfied with their working conditions despite declaring to like their jobs. Psychosocial constraints in the workplace have increased recently due to changes in work organization. These psychosocial constraints are linked to cardiovascular diseases. AIM To analyze the relationship between blood pressure levels and organizational occupational risk factors in female hospital workers, using a new questionnaire (the Nursing Work Index-Extended Organization [NWI-EO] questionnaire), which quantifies psychological and organizational work factors. METHODS The ORSOSA study is a national, multicentre, cohort study conducted in seven voluntary French university hospitals, including 214 work units with a total of 2307 nurses and 1530 nursing assistants. RESULTS Systolic and diastolic blood pressure appeared to be significantly associated with age (P<0.001) and excess weight (P<0.001). The difference between systolic blood pressure in day-shift and night-shift workers was 2.5mmHg (P<0.001). The NWI-EO dimension most strongly correlated with systolic and diastolic blood pressure was poor team relationships (P<0.01 for both). For a one-point difference in the NWI-EO stress score, systolic blood pressure was higher by a mean of 0.2mmHg. CONCLUSION These results suggest that poor relationships within teams are related to high blood pressure among hospital workers. They add to the evidence that working conditions should be considered and investigated further among other risk factors as a pathway to primary prevention of hypertension and cardiovascular diseases.
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Affiliation(s)
- Régis de Gaudemaris
- Laboratoire environnement et prédiction de la santé des populations (EPSP)-TIMC, UMR CNRS 5525, Grenoble, France
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Hérin F, Desroziers K, Soulat JM. Contraintes psycho-organisationnelles et douleurs des membres supérieurs chez les soignants : analyse transversale du recueil 2006 de la cohorte ORSOSA. ARCH MAL PROF ENVIRO 2010. [DOI: 10.1016/j.admp.2010.03.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Hérin F, Soulat JM. [Occupational environment and health. Occupational risks prevention. Occupational medicine organization]. Rev Prat 2008; 58:1717-1722. [PMID: 19044059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Affiliation(s)
- Fabrice Hérin
- Service des maladies professionnelles et environnementales, hôpital Purpan, 31059 Toulouse Cedex 9, France.
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