Publications by authors named "Pascal Wild"

Propylene glycol ethers (PGEs) consist of a major α-isomer (secondary alcohol group) and a minor β-isomer (primary alcohol group). Animal studies have reported toxic effects of the β-isomer metabolites, but human metabolism of PGEs remains poorly understood. We aimed to characterize the metabolism of two common PGEs in humans.

View Article and Find Full Text PDF

Background: Transforming primary care (PC) through the development of multidisciplinary teams can represent a challenge in terms of occupational well-being.

Aim: This study aimed to investigate associations between occupational stress, job satisfaction among general practitioners (GPs) and the professional composition of PC teams.

Desing And Setting: We conducted a secondary analysis of the data from 11 Western countries that participated in the 2019 Commonwealth Fund International Health Policy Survey of Primary Care Physicians ( = 13,200).

View Article and Find Full Text PDF

Organic solvents such as propylene glycol ethers (PGEs) represents more than 20 different substances and are incorporated in thousands of commercial and professional products. Two PGEs commonly used in Europe and found mainly in cleaning and water-based paint products are propylene glycol ethyl ether (PGEE) and propylene glycol propyl ether (PGPE). Given their volatile properties, inhalation is the most common route of exposure.

View Article and Find Full Text PDF

BackgroundOccupational exposures can endanger the health of pregnant workers and their unborn children. The Department of Occupational and Environmental Health of Unisanté has established a specialized occupational health consultation to assist pregnant workers, employers and gynecologists in implementing maternity protection provisions in the workplace.ObjectiveThe study aims to assess the satisfaction of the users of the consultation, describe their overall experience and identify the benefits and limitations of the consultation.

View Article and Find Full Text PDF

Purpose: In aging populations, the Global Initiative for Obstructive Lung Disease (GOLD) spirometry threshold may misclassify normal spirometry as airflow limitation. The Global Lung Initiative (GLI) method provides age-adjusted criteria. We investigated how the use of GOLD or GLI thresholds in an algorithm affects the classification of elderly smokers into COPD risk phenotypes.

View Article and Find Full Text PDF
Article Synopsis
  • Exposure assessments of metalworking fluids (MWF) can be challenging due to their complex nature; this study aimed to evaluate both straight and water-based MWF exposure among workers in 20 workshops.
  • The research measured metal and organic carbon content in both new and used MWF, and analyzed air samples for particulate matter, metals, organic carbon, and aldehydes over full work shifts.
  • Key findings indicated that while inhalable particle exposure levels were similar for both types of MWF, the gaseous fraction was a significant contributor to overall exposure, highlighting the need for better management and control measures to reduce harmful gaseous emissions.
View Article and Find Full Text PDF
Article Synopsis
  • Nanomaterials are increasingly used in various industries, leading to concerns about their potential health effects, especially for workers exposed to them through inhalation, which may affect respiratory health.
  • A study involving 136 workers found a significant association between 10-year exposure to nanomaterials and decreased pulmonary function, independent of other factors like tobacco use.
  • The research suggests that airway inflammation, indicated by specific biomarkers, may mediate this negative impact on lung function, highlighting the need for better safety measures in workplaces using nanomaterials.*
View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates the use of nitrosative/oxidative stress and metabolic biomarkers in exhaled breath condensate (EBC) to help diagnose chronic obstructive pulmonary disease (COPD), which is a major health issue affecting millions globally.
  • - A cohort of 303 participants, mostly transit workers, underwent spirometry testing, with 7% being diagnosed with COPD, including mostly mild cases, highlighting difficulties in early detection.
  • - Two specific biomarkers, Lactate and Malondialdehyde (MDA), showed promise in distinguishing COPD patients from non-COPD individuals with high accuracy, suggesting EBC testing could improve non-invasive COPD diagnostics in the future.
View Article and Find Full Text PDF

More than eight million premature deaths annually can be attributed to air pollution, with 99% of the world's population residing in areas below recommended air quality standards. Hence, the present study aimed to examine the association between primary DNA damage and air pollution data among 123 participants enrolled between 2011 and 2015 in Zagreb, Croatia. While most measured air pollutants adhered to regulatory limits, benzo[a]pyrene concentrations bound to PM exceeded them.

View Article and Find Full Text PDF

Exposure to ambient PM10 may increase the risk of chronic obstructive pulmonary disease (COPD) and lung function decline. We evaluated the long-term exposure to PM10 and its relationship with COPD prevalence and lung function in Parisian subway workers. Participants were randomly selected from a 15,000-subway worker cohort.

View Article and Find Full Text PDF

Introduction: Health effects after long-term exposure to subway particulate matter (PM) remain unknown due to the lack of individual PM exposure data. This study aimed to apply the job exposure matrix (JEM) approach to retrospectively assess occupational exposure to PM in the Parisian subway.

Methods: Job, the line and sector of the transport network, as well as calendar period were four JEM dimensions.

View Article and Find Full Text PDF

The current evidence on nanomaterial toxicity is mostly derived from experimental studies making it challenging to translate it into human health risks. We established an international cohort (N = 141 workers) within the EU-LIFE project "NanoExplore" to address possible health effects from occupational exposures to nanomaterials. We used a handheld direct-reading optical particle counter to measure airborne nanoparticle number concentrations (PNC) and lung-deposited surface areas (LDSAs).

View Article and Find Full Text PDF

Objective: Sustained return to work after surgery for work-related rotator cuff syndrome (WRRCS) remains quite difficult. The main purpose of the present study was to identify predictive factors of a return-to-work (RTW) trajectory.

Methods: A total of 96 workers with WRRCS were identified by 4 surgeons.

View Article and Find Full Text PDF

Background: Chronic obstructive pulmonary disease (COPD) case-finding aims to detect airflow obstruction in symptomatic smokers and ex-smokers. We used a clinical algorithm including smoking, symptoms, and spirometry to classify smokers into COPD risk phenotypes. In addition, we evaluated the acceptability and effectiveness of including smoking cessation advice in the case-finding intervention.

View Article and Find Full Text PDF

Glycol ethers are solvents used in a plethora of occupational and household products exposing the users to potential toxic effects. Several glycol ethers derived from ethylene glycol induce hematological toxicity, such as anemia in workers. The exposure effects on blood cells of glycol ethers derived from propylene glycol are unknown in humans.

View Article and Find Full Text PDF

Nanotechnology applications are fast-growing in many industrial fields. Consequently, health effects of engineered nanomaterials (ENMs) should be investigated. Within the EU-Life project NanoExplore, we developed a harmonized protocol of an international multicenter prospective cohort study of workers in ENM-producing companies.

View Article and Find Full Text PDF
Article Synopsis
  • Previous studies on the link between refractory ceramic fibers (RCFs), mineral wool fibers (MWFs), and pleural plaques have been inconsistent, often relying on chest radiographs, which are not very accurate.
  • This research investigates whether cumulative exposure to RCFs, MWFs, and silica increases the risk of pleural plaques, and how this risk interacts with co-exposure to asbestos.
  • Among 5,457 subjects screened with CT scans, the study found significant dose-response relationships, with higher cumulative exposure to RCFs and MWFs leading to an increased risk of pleural plaques, especially in individuals also exposed to asbestos.
View Article and Find Full Text PDF

Background: High workloads generated by a few patients who consult very frequently can become huge burdens for general practitioners (GPs). Patient-related factors have been repeatedly associated with frequent consultations, but there is evidence that GPs can also influence that frequency. We investigated how patients, GPs and their practices' organisational characteristics were associated with consultation frequency.

View Article and Find Full Text PDF

Objective: The aim of this study was to analyze the effect of co-exposures to physical and psychosocial factors (PSF) regarding the incidence of workplace injuries (WI) among care workers. Additional objective was to identify the work factors associated with the co-exposure combinations leading to the highest rates of WI.

Methods: The study sample consisted of 4,418 care workers participating to the French Working Conditions Survey both in 2013 and 2016.

View Article and Find Full Text PDF
Article Synopsis
  • - The study tracked 166 COVID-19 patients to analyze the prevalence and duration of symptoms over 18 months after their diagnosis, finding a mean of 2.3 symptoms initially, decreasing to 1.8 at 3 months and 0.6 at 18 months post-recovery.
  • - Some symptoms, like cough and loss of smell, significantly decreased after 3 months, while others like dyspnea (difficulty breathing) and weakness showed an increase during this time.
  • - By 18 months, all symptoms had generally reduced, but dyspnea, weakness, and brain fog remained notably present, indicating that some issues may persist long after recovery and should be addressed in post-COVID care.
View Article and Find Full Text PDF

Purpose: To investigate how useful the Intermed-Self Assessment (IMSA) questionnaire and its components were for identifying which patient candidates would benefit most from case management (CM) in general practice.

Methods: The study was carried out in a group family medicine practice in Lausanne comprising seven GPs and four medical assistants, from February to April 2019. All the patients attending the practice between February and April 2019 were invited to complete the IMSA questionnaire.

View Article and Find Full Text PDF

Exposure to particular microbiome compositions in the built environment can affect human health and well-being. Identifying the drivers of these indoor microbial assemblages is key to controlling the microbiota of the built environment. In the present study, we used culture and metabarcoding of the fungal Internal Transcribed Spacer ribosomal RNA region to assess whether small-scale variation in the built environment influences the diversity, composition and structure of indoor air fungal communities between a heating and an unheated season.

View Article and Find Full Text PDF

In a pilot clinical study, OPEA allowed for distinguishing participants with and without chronic obstructive pulmonary disease. This study aimed to assess whether abnormal spirometry parameters and immunity against SARS-CoV-2 are associated with increased OPEA and estimating the OPEA reference interval. Swiss adult residents of the Vaud Canton aged 20-69 years randomly selected from the Federal Statistical Office's registries, speaking French or German, were included and examined between 1 October 2020 and 31 December 2021.

View Article and Find Full Text PDF