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International audience; BackgroundLow income, a known prognostic indicator of various chronic respiratory diseases, has not been properly studied in idiopathic pulmonary fibrosis (IPF). We hypothesize that a low income has an adverse prognostic impact on IPF.MethodsPatients were selected from the French national prospective cohort COFI. Patients’ income was assessed through the median city-level income provided by the French National Institute of Statistics and Economic Studies according to their residential address. Patients were classified in two groups as “low income” vs. “higher income” depending on whether their annual income was estimated to be < or ≥18 170 €/year (the first quartile of the income distribution in the study population). The survival and progression-free survival (PFS) of the groups were compared by a log-rank test and a Cox model in multivariate analysis.Results200 patients were included. The average follow-up was 33.8 ± 22.7 months. Patients in the low income group were significantly more likely to be of non-European origin (p < 0.006), and to have at least one occupational exposure (p < 0.0001), and they tended to have a higher cumulative exposure to fine particles PM2.5 (p = 0.057). After adjusting for age, gender, forced vital capacity at inclusion, geographical origin, and occupational exposure having a low-income level was a factor associated with a worse PFS (HR: 1.81; CI95%: 1.24–2.62, p = 0.001) and overall survival (HR: 1.49; CI95%: 1.0006–2.23, p = 0.049).ConclusionsLow income appears to be a prognostic factor in IPF. IPF patients with low incomes may also be exposed more frequently to occupational exposures.

Submitted by Jorge Silva (jorgelmsilva@ufrrj.br) on 2022-09-08T19:18:28Z No. of bitstreams: 1 2019 - Caroline Haussman dos Santos.pdf: 1579301 bytes, checksum: 89ddfdff12ba8b2ac902b4b7c4c358c0 (MD5) Made available in DSpace on 2022-09-08T19:18:28Z (GMT). No. of bitstreams: 1 2019 - Caroline Haussman dos Santos.pdf: 1579301 bytes, checksum: 89ddfdff12ba8b2ac902b4b7c4c358c0 (MD5) Previous issue date: 2019-10-25 CAPES - Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior CNPq - Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico This study it is to investigate the psychometric properties of the Stress at Work Scale (Paschoal & Tamayo, 2004) considering the context of embedded work in platforms of the Rio de Janeiro oil sector. It is known that the carioca market has a longstanding operation abroad and that the country has had an impact on the international market. Therefore, in view of the statement, this paper comes up with the analysis of an offshore work stress assessment instrument, since the category has some characteristics that are distinct from other organizations. For data analysis an exploratory characteristics approach was used in parallel with a psychological network analysis. And it resulted in an alternative structure that embraces the offshore sector, stemming from two factors: organizational support and work overload. However, it was discovered the need to adapt the scale to the embedded context, since the items do not present in a more grounded and concrete way the reality of the context of the category in question. For this reason, further studies are necessary to validate a scale that contemplates the category. Este estudo possui como objetivo fim investigar as propriedades psicom?tricas da Escala de Estresse no Trabalho e sua fidedignidade frente ao contexto offshore (Paschoal & Tamayo, 2004) considerando as singularidades do contexto de trabalhadores embarcados em plataformas do setor petrol?fero do Rio de Janeiro. Sabe-se atualmente que litoral carioca possui uma vasta opera??o de trabalho offshore e que n?o existe uma escala validada espec?fica que aborde o estresse ocupacional na categoria mencionada. Por isso, tendo em vista tal afirmativa, este trabalho surge com a proposta de analisar se o instrumento estudado contempla a mensura??o do estresse no trabalho offshore, visto que a categoria possui algumas caracter?sticas de trabalho distintas das demais organiza??es. Para a an?lise de dados foi utilizado uma abordagem de car?ter explorat?rio em paralelo com a an?lise de rede psicol?gica. E teve como resultado uma estrutura alternativa que abra?a o setor offshore, decorrente de dois fatores: falta de suporte e Sobrecarga de trabalho. Foi descoberto, no entanto, a necessidade de adapta??o da escala para o contexto embarcado, visto que os itens n?o apresentam de forma mais embasada e concreta a realidade do contexto da categoria em quest?o. Por isso se faz necess?rio mais estudos para a valida??o de uma escala que contemple a categoria.

This article concerns the US half of the Canadian-US relationship in the medium future. Issues of focus include demographic and economic changes in the two countries and how the Trump presidential candidacy, aided in large part by consultant and former White House chief strategist Steve Bannon, tried to frame both negatively with respect to the US' history of a fairly open economy. Within the next 25 years, the United States, like most of the Organisation for Economic Co-operation and Development (OECD), will continue to have better job growth in the service industries than in manufacturing ones, necessitating an acknowledgement by both the public and private sectors that significant jobs retraining is necessary. In regard to Canada, this article argues that what is needed is more of a “tweak” to NAFTA, to recognize increased automation and include items like new computerized auto parts not covered in the original agreement, rather than a complete overhaul of the agreement. Canada and the US will still be talking to each other in 25 years' time.