54 research outputs found
Working conditions and risk exposure of employees whose occupations require driving on public roads - Factorial analysis and classification
Several studies of the working conditions of drivers, and in particular on their pace of work, have enabled a better understanding of the risk factors for road accidents that occur during work. However, few studies are available on the risk exposure and working conditions of employees whose occupations involve driving. The purpose of this paper is to identify the different groups of employees occupationally exposed to road risk and to classify them according to working conditions. Methodology A Multiple Correspondence Analysis (MCA) was implemented on the 41,727 individuals from the SUMER 2010 survey (Medical Monitoring of Occupational Risk Exposure: SUrveillance Médicale des Expositions aux Risques professionnels) and for 45 variables about working conditions. The analysis used 5 categories of weekly driving exposure as a supplementary variable (variable which is not used to perform the MCA): Non-exposure; Exposed 20?h. The results of the MCA were used to construct an ascending hierarchical classification. Results The first factorial axis differentiates between conventional and unconventional work schedules. Axis 2 differentiates modalities corresponding to the working hours of the most recent working week. The third axis chiefly contrasts persons who have rules to follow with those who have none. An ascending hierarchical classification distinguishes 10 clusters of individuals according to working conditions. Four clusters of employees were excessively exposed to occupational driving. Clusters also have distinct demographic, occupational and psychosocial characteristics. Conclusion Analysis of data from the SUMER survey confirms that employees exposed to road risk are particularly affected by atypical work time characteristics, but can be found in all activity sectors and in all types of job
Estimation of the number of seriously injured road users in France, 2006-2015
European Congress of Epidemiology, LYON, FRANCE, 04-/07/2018 - 06/07/2018Background The European Commission requests its member states to provide the number of serious road injuries, according to MAIS 3+=Maximum AIS 3+, where AIS=Abbreviated Injury Scale. This challenges in all countries the issue of under-reporting of road injuries in the official police data and the issue of using a medical trauma scale. Methods In France, as in most countries, police data provide the frequency of road casualties, but they suffer from large under-reporting and strong selection bias (on severity, mode of transport, etc). In the Rhone county (pop 1.6M inhabitants). Other data are available: a road trauma registry has been set up in 1996. It covers fatalities, hospitalized, and those attending the Emergency departments only. All injuries are directly coded into the Abbreviated Injury Scale, by the registry physician. At the Rhône county level, both databases are linked. Annually, on the 2006-2012 period, the police reports 2800 casualties, the road trauma registry 7400 by the registry and 1700 are identified as common to both sources. A capture-recapture approach is then used, so that we can estimate the real number of road casualties (in the Rhône). More importantly the corrections factors between the police data and the estimated real subgroup of road causalities in the Rhône. In particular, to account for some conditions for applying capture-recapture, a multivariate model is used, including the variables that are associated with lower probability of reporting by the police: type of police, road network, severity measured by hospitalised (yes/no), MAIS3+, road user type (pedestrian, cyclist, car occupant...), whether the crash involved a crash opponent or not, etc. The police correction factors are finally applied to the national police data with the assumption that police recording practices are rather homogenous across France, by type of police force, and type of road casualties, This corresponds to indirect standardization, not on age and sex as usual but on the characteristics influencing police reporting. Results The national number of injured road casualties, respectively for all severity, and for MAIS3+, are estimated at 285,000 and 24,000 resp. in 2015. The 2015 frequency of sMAIS3+ roadusers consists of 6850 motorized two-wheel users, 6500 car occupants, 3550 cyclists, 3500 pedestrians and 800 others (van, bus, truck users). This confirms the heavy burden suffered by Motorized two-wheel users. Moreover, they only account for 2% of traveled kilometers whereas car occupants account for 70% of traveled kilometers. Also, these results show a different pattern than the number of fatalities, where it is the number of killed car occupants that is the highest. Conclusions The frequency of injured road users, all severities, has been confirmed by other sources, namely: the French national Travel Survey, and by the annual firemen data (they provide first aid on crash scene). Concerning the number of seriously injured road users, the ratio of the number of MAIS3+ casualties divided by the number of fatalities enables country to country comparison
A Model for Promoting Poultry Industry Development in Togo: Part 1. Management Practices and Incubation Conditions
In commercial poultry husbandry practice, the hatchery takes over the incubation of bird eggs in order to provide as many day-old chicks as needed at any time to farmers. The main bottleneck for poultry industry development in Togo is the lack of day-old chick supply. Indeed, there is no proficient hatchery which can cover the needs of the farmers because of lack of information about hatchery management or people trained as hatchery managers. Also, there is lack of information about management practice aspects, etc. With the aim to promote poultry industry in Togo, an interuniversity project [Catholic University of Leuven (KUL) and University of Lome (UL)] as a model of poultry industry development was implemented. Specific objectives of the current project are to implement research and development activities on better conditions of incubation and adapted management practices focusing mainly on (1) Effect of early transferring of layer breeders hatching eggs on embryo parameters and hatchability, (2) Comparison of different chicken genotypes in Embryo Physiology, (3) Effects of heat conditioning at d 16 to 18 of incubation or during early broiler rearing on embryo physiology, post-hatch growth performance and heat tolerance, (4) Effect of low albumen quantity on chick embryo and post-hatch parameters, (5) Effects of In ovo-administration of L-carnitine on hatching events and juvenile performance of layer-type chick, (6) Interaction effects of mixing hatching eggs of differential embryo growth trajectory and incubator CO2 concentration on embryo physiological parameters, (7) Effect of delayed feed access on production and blood parameters of layer-type chicks and (8) Induced moulting of layer chickens
The burden of road traffic accidents in a French Departement: the description of the injuries and recent changes
International audienceBACKGROUND: 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. RESULTS: YLD and YLL that are related to road traffic accidents are at their maximum value between 15 and 24 years of age. For men, intracranial fractures and intracranial injuries dominate, and for women it is spinal cord injuries that account for highest rates of YLD. A reduction in the rates of YLL and YLD has been observed for both genders and all age groups between 1997-2001 and 2002-2006. CONCLUSION: The reduction in DALY between the two periods is explained both by the reduction in the number of fatalities and injuries but also by an increase in the age at which they occur
Prescription Medicines and the Risk of Road Traffic Crashes: A French Registry-Based Study
Using three nationwide databases in France, Ludivine Orriols, Emmanuel Lagarde, and colleagues provide evidence that prescribed medicines contribute to the risk of experiencing a road traffic crash
Genomic and clinical profiling of a national nephrotic syndrome cohort advocates a precision medicine approach to disease management
Abdominopelvic injuries due to road traffic accidents: Characteristics in a registry of 162,695 victims
Objective Road traffic accidents (RTA) are the first cause of abdominopelvic injuries (API). The objective of this study was to describe the characteristics and severity of API due to traffic accidents in a large French trauma registry and to identify risk factors for API. Methods All victims from the French Rhône registry of victims of RTA were analyzed from 1996 to 2013. This registry contained data that were issued over a 20-year period from 245 medical departments, from prehospital care until re-adaptation, and forensic medicine departments. All API, defined as an injury between the diaphragm and the pelvic bone, were extracted and studied. Results Among 162,695 victims, 10,165 had an API (6.7%)
INFORMATION AND ORIENTATION NEEDS OF BLIND AND PARTIALLY SIGHTED PEOPLE IN PUBLIC TRANSPORTATION: BIOVAM PROJECT
Presented are results of the BIOVAM project in France concerning the problems experienced by the visually impaired who use public transportation, such as buses, subways, and trains. The project focused on information gathering and orientation processes in the public transportation context. The BIOVAM approach uses a questionnaire survey to identify the main difficulties that public transportation users with visual impairment must manage. The approach includes a review of promising devices that could reduce these difficulties, such as personal information systems and tactile pavements. An overview of the results obtained from the survey is presented, addressing the use of buses and subways. The main technical solutions considered by the project are described, and the research protocols that are to be used in the field experiments are presented. The results of the BIOVAM project could be used to make concrete recommendations to include the specific needs of travelers with visual impairment in the design of a public transport infrastructure
Abdominopelvic injuries due to road traffic accidents: Characteristics in a registry of 162,695 victims
Limits of the quasi-induced exposure method when compared with the standard case-control design. Application to the estimation of risks associated with driving under the influence of cannabis or alcohol
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