Expositions professionnelles et santé des travailleurs intérimaires

International audienceAccording to data from the DARES Condition of Work Survey 2016, temporary and permanent workers have similar physical work conditions, but their employment situations are very different. Subjected to frequent interruptions of activity, temporary workers are exposed to specific psychosocial risk factors and, although they report a better health status, there is a possible selection effect of healthy workers. According to data from the EPICEA database of serious and fatal accidents at work, temporary workers appear to be overexposed to this type of accident due to their recent arrival.D’après les données de l’enquête Condition de travail 2016 de la DARES, intérimaires et permanents ont des conditions physiques de travail similaires, mais leur situation d’emploi sont très différentes. Soumis à des interruptions d’activité fréquentes, les intérimaires sont exposés à des facteurs de risques psychosociaux spécifiques et, bien qu’ils déclarent un meilleur état de santé, on constate un possible effet de sélection des travailleurs sains. D’après les données de la base EPICEA répertoriant les accidents du travail graves et mortels, les intérimaires apparaissent surexposés à ce type d’accidents du fait de leur arrivée récente et de leur manque de formation et d’information

Expositions professionnelles et santé des travailleurs intérimaires

International audienceAccording to data from the DARES Condition of Work Survey 2016, temporary and permanent workers have similar physical work conditions, but their employment situations are very different. Subjected to frequent interruptions of activity, temporary workers are exposed to specific psychosocial risk factors and, although they report a better health status, there is a possible selection effect of healthy workers. According to data from the EPICEA database of serious and fatal accidents at work, temporary workers appear to be overexposed to this type of accident due to their recent arrival.D’après les données de l’enquête Condition de travail 2016 de la DARES, intérimaires et permanents ont des conditions physiques de travail similaires, mais leur situation d’emploi sont très différentes. Soumis à des interruptions d’activité fréquentes, les intérimaires sont exposés à des facteurs de risques psychosociaux spécifiques et, bien qu’ils déclarent un meilleur état de santé, on constate un possible effet de sélection des travailleurs sains. D’après les données de la base EPICEA répertoriant les accidents du travail graves et mortels, les intérimaires apparaissent surexposés à ce type d’accidents du fait de leur arrivée récente et de leur manque de formation et d’information

Is the structuring effect of environment elements on route learning absolute or relative?: Comparative study of Alzheimer and healthy elderly subjects

International audienceIntroductionTo memorize a path and then be able to retrace its steps in a new environment, one of the strategies consists in memorizing a succession of landmarks associated with a given direction. It has been shown that Alzheimer's disease (AD) leads to a deficit in route memory, from the early stage of the disease [1-2]. However, health care facilities in which the studies are generally conducted have been described as poor in terms of land-marks and may thus increase disorientation.The purpose of this comparative study was to assess the structuring effect of the elements of a real environment, rich in landmarks, on route learning (forward and return trips), in a population of AD and healthy control (HC) subjects.2 MethodologyThirty subjects at mild to moderate stage of the disease and 30 matched HC underwent route learning: after 1 learning route (forward trip), they were asked to reproduce it in the same direction 2 times, then a third time in the opposite direction (return trip). The task was carried out in the healing garden "art, memory and life" of the CHRU of Nancy, designed to contribute among others, to mitigate spatial disorientation [3].3 ResultsAs expected, subjects with AD committed significantly more errors than the HC, re-gardless of the trip. However, contrary to the literature data, the AD subjects did not make more mistakes in the return trip than in the forward trip, which is a more complex task [4-5].In addition, the analysis of the location of the errors along the route showed that they were not located in the same areas of the route in forward and return trips. According to the qualitative analyzes, the salience of the elements of the environment but also their "perceived affordance" [6] (their possibilities of action) have influenced the directional choices and this in a different way according to the trip (forward-return) and the group (AD-HC).4 DiscussionAfter several trials, the subjects with Alzheimer have thus acquired some knowledge of the "route" type. The nature of the environment, rich in landmarks, seemed to favor this acquisition.To reproduce a route requires, at least, memorizing a direction associated with a given place / landmark. This association was favored by the "perceived affordance" of the elements which depended on: 1) the point of view of the subject and thus, varied according to the direction of the trip: backward/return; 2) cognitive control abilities, and so, varied by group: HC/AD.This study shows that the elements of the environment have a structuring effect on learning performance that is not absolute but relative to these 2 factors: direction of the trip and the cognitive control abilities of the subjects

ACPA-positive versus ACPA-negative rheumatoid arthritis: two distinct erosive disease entities on radiography and ultrasonography

International audienc

Is early outpatient satisfaction with substance dependence care a predictor of early dropout ? Results of the SUBUSQOL cohort

International audienc

The effects of patient and physician characteristics on early outpatient satisfaction with substance dependence care: results of the SUBUSQOL study

International audienc

A Magnetic Resonance Imaging Index to Predict Crohn’s Disease Postoperative Recurrence: The MONITOR Index

Background & aims: We developed and validated a magnetic resonance imaging-based index to predict Crohn's disease (CD) postoperative recurrence (POR).Methods: Patients with CD who underwent a postoperative evaluation for recurrence (with colonoscopy and MRI no longer than 105 days apart) were included between 2006 and 2016 in University Hospital of Nancy, France. MRI items with good levels of intra-rater and inter-rater agreement (Gwet's coefficient ≥0.5) were selected. The MRI in Crohn's Disease to Predict Postoperative Recurrence (MONITOR) index's performance was assessed in terms of the area under the receiver operating characteristic curve (AUROC) and accuracy, by considering the Rutgeerts score as the gold standard. The MONITOR index was validated with a bootstrap method and an independent cohort.Results: Seventy-three MRI datasets were interpreted by 2 radiologists. Seven items (bowel wall thickness, contrast enhancement, T2 signal increase, diffusion-weighted signal increase, edema, ulcers, and the length of the diseased segment) had a Gwet's coefficient ≥0.5 and were significantly associated with the Rutgeerts score, leading to their inclusion in the MONITOR index. All the items had a weighting of 1, except the "ulcers" item weighting 2.5, reflecting the higher adjusted odds ratio. The AUROC [95% confidence interval] for the prediction of endoscopic POR (Rutgeerts score >i1) was 0.80 [0.70-0.90]. The optimal threshold was a MONITOR index ≥1, giving a sensitivity of 79%, a specificity of 55%, a predictive positive value of 68%, and a predictive negative value of 68%. The bootstrap validation gave an AUROC of 0.85 [0.73-0.97]. In the validation cohort, a MONITOR index ≥1 gave a sensitivity of 87%, a specificity of 75%, a predictive positive value of 84.6%, and a predictive negative value of 75%.Conclusions: The MONITOR index is an efficient, reliable, easy-to-apply tool that can be used in clinical practice to predict the POR of CD