Study of job stress, salivary cortisol and cardiovascular risk among bus drivers in Tunisia [Étude du stress au travail, du cortisol salivaire et du risque cardiovasculaire chez des conducteurs de bus Tunisiens]
El Maalel O.,Service de Medecine du Travail et de Pathologie Professionnelle |
Maoua M.,Service de Medecine du Travail et de Pathologie Professionnelle |
Boughattas W.,Service de Medecine du Travail et de Pathologie Professionnelle |
Zaouali M.,Laboratoire Of Physiologie |
And 5 more authors.
Archives des Maladies Professionnelles et de l'Environnement | Year: 2011
Aim of the study: To evaluate job-related stress and cardiovascular risk among bus drivers, and analyze relationships between them. Methods: we conducted a transversal epidemiologic study in 2010 among a population of Tunisian bus drivers based on Karasek's Job Content Questionnaire (JCQ), salivary cortisol assay, and on the evaluation of the cardiovascular risk with the Framingham score modified by D'Agostino et al. Results: Fifty-seven bus drivers were included in this study. They were all males and had an average age 38.73 + 8.23 years. High job demand at work was noted in 27 drivers (47.4%) and low job decision latitude in 24 drivers (42.1%). The job strain was noted in 13 of the drivers of our population (22.8%). The average concentration of salivary cortisol was 9.74 ± 2.12 nmol/L before work and 7.73 ± 0.78 nmol/L after work. The average overall cardiovascular risk in the next ten years was 7.22 ± 7.13%. The majority of bus drivers (87.7%) had a low overall cardiovascular risk less than 15%. A moderate positive statistically significant linear relationship between job demands and salivary cortisol concentrations before work was noted with P = 0.029 and r = 0.29. Similarly, a moderate negative and statistically significant linear relationship between job decision latitude and salivary cortisol before the job was found with P = 0.029 and r = -0.289. No statistically significant relationship was found between salivary cortisol and cardiovascular risk in the next decade. Conclusion: Our study represents a step in the screening of the social and occupational factors involved in cardiovascular and mental health at work among bus drivers. © 2011 Elsevier Masson SAS. All rights reserved.
Sacrum B cell-non-Hodgkins lymphoma complicating a chronic viral hepatitis C related to a blood exposure: A case report [Lymphome B non hodgkinien du sacrum compliquant une hépatite virale C chronique liée à un accident dexposition au sang: à propos dune observation]
Chaari N.,Service de Medecine du Travail et de Pathologie Professionnelle |
Chebel S.,Service de Neurology |
Mahfoudh A.,Service de Medecine du Travail et de Pathologie Professionnelle |
Drira A.,Service de Medecine du Travail et de Pathologie Professionnelle |
And 4 more authors.
Annales de Biologie Clinique | Year: 2011
Frequency of the association between non-Hodgkin's lymphoma (NHL) and the hepatitis C virus (HCV) infection is variable according to previous studies. Besides, direct and/or indirect implication of the HCV infection in the development of NHL is probable but, its pathophysiological mechanisms remain unclear. In this report, we described the case of a 49-year-old patient with a B-cell NHL of the sacrum complicating a chronic HCV related to a blood exposure, and we report the recent data of this association. Copyright 2010 American Association for Clinical Chemistry, Inc.