INTEROCC case–control study: lack of association between glioma tumors and occupational exposure to selected combustion products, dusts and other chemical agents
Identifieur interne : 004648 ( Main/Exploration ); précédent : 004647; suivant : 004649INTEROCC case–control study: lack of association between glioma tumors and occupational exposure to selected combustion products, dusts and other chemical agents
Auteurs : Aude Lacourt [Canada] ; Elisabeth Cardis [Espagne] ; Javier Pintos [Canada] ; Lesley Richardson [Canada, Espagne] ; Laurel Kincl [Espagne, États-Unis] ; Geza Benke [Australie] ; Sarah Fleming [Royaume-Uni] ; Martine Hours [France] ; Daniel Krewski [Canada] ; Dave Mclean [Nouvelle-Zélande] ; Marie-Elise Parent [Canada] ; Siegal Sadetzki [Israël] ; Klaus Schlaefer [Allemagne] ; Brigitte Schlehofer [Allemagne] ; Jerome Lavoue [Canada] ; Martie Van Tongeren [Royaume-Uni] ; Jack Siemiatycki [Canada]Source :
- BMC Public Health [ 1471-2458 ] ; 2013.
Abstract
The aim was to investigate possible associations between glioma (an aggressive type of brain cancer) and occupational exposure to selected agents: combustion products (diesel and gasoline exhaust emissions, benzo(a)pyrene), dusts (animal dust, asbestos, crystalline silica, wood dust) and some other chemical agents (formaldehyde, oil mist, sulphur dioxide).
The INTEROCC study included cases diagnosed with glioma during 2000–2004 in sub-regions of seven countries. Population controls, selected from various sampling frames in different centers, were frequency or individually matched to cases by sex, age and center. Face-to-face interviews with the subject or a proxy respondent were conducted by trained interviewers. Detailed information was collected on socio-economic and lifestyle characteristics, medical history and work history. Occupational exposure to the 10 selected agents was assessed by a job exposure matrix (JEM) which provides estimates of the probability and level of exposure for different occupations. Using a 25% probability of exposure in a given occupation in the JEM as the threshold for considering a worker exposed, the lifetime prevalence of exposure varied from about 1% to about 15% for the different agents. Associations between glioma and each of the 10 agents were estimated by conditional logistic regression, and using three separate exposure indices: i) ever
The study sample consisted of 1,800 glioma cases and 5,160 controls. Most odds ratio estimates were close to the null value. None of the ten agents displayed a significantly increased odds ratio nor any indication of dose–response relationships with cumulative exposure or with duration of exposure.
Thus, there was no evidence that these exposures influence risk of glioma.
Url:
DOI: 10.1186/1471-2458-13-340
PubMed: 23587105
PubMed Central: 3637633
Affiliations:
- Allemagne, Australie, Canada, Espagne, France, Israël, Nouvelle-Zélande, Royaume-Uni, États-Unis
- Angleterre, Auvergne-Rhône-Alpes, Bade-Wurtemberg, Catalogne, District de Karlsruhe, Québec, Rhône-Alpes, Victoria (État), Yorkshire-et-Humber, Écosse
- Barcelone, Heidelberg, Leeds, Lyon, Melbourne, Montréal, Édimbourg
- Université de Leeds
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combustion products, dusts and other chemical agents</title><author><name sortKey="Lacourt, Aude" sort="Lacourt, Aude" uniqKey="Lacourt A" first="Aude" last="Lacourt">Aude Lacourt</name><affiliation wicri:level="3"><nlm:aff id="I1">University of Montreal Hospital Research Centre (CRCHUM), Montreal, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University of Montreal Hospital Research Centre (CRCHUM), Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Cardis, Elisabeth" sort="Cardis, Elisabeth" uniqKey="Cardis E" first="Elisabeth" last="Cardis">Elisabeth Cardis</name><affiliation wicri:level="3"><nlm:aff id="I2">Center for Research on Environmental Epidemiology (CREAL), Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Center for Research on Environmental Epidemiology (CREAL), Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Pintos, Javier" sort="Pintos, Javier" uniqKey="Pintos J" first="Javier" last="Pintos">Javier Pintos</name><affiliation wicri:level="3"><nlm:aff id="I1">University of Montreal Hospital Research Centre (CRCHUM), Montreal, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University of Montreal Hospital Research Centre (CRCHUM), Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Richardson, Lesley" sort="Richardson, Lesley" uniqKey="Richardson L" first="Lesley" last="Richardson">Lesley Richardson</name><affiliation wicri:level="3"><nlm:aff id="I1">University of Montreal Hospital Research Centre (CRCHUM), Montreal, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University of Montreal Hospital Research Centre (CRCHUM), Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I2">Center for Research on Environmental Epidemiology (CREAL), Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Center for Research on Environmental Epidemiology (CREAL), Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Kincl, Laurel" sort="Kincl, Laurel" uniqKey="Kincl L" first="Laurel" last="Kincl">Laurel Kincl</name><affiliation wicri:level="3"><nlm:aff id="I2">Center for Research on Environmental Epidemiology (CREAL), Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Center for Research on Environmental Epidemiology (CREAL), Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Oregon State University, Corvallis, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Oregon State University, Corvallis</wicri:regionArea><wicri:noRegion>Corvallis</wicri:noRegion></affiliation></author><author><name sortKey="Benke, Geza" sort="Benke, Geza" uniqKey="Benke G" first="Geza" last="Benke">Geza Benke</name><affiliation wicri:level="3"><nlm:aff id="I4">Monash University, Melbourne, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Monash University, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Fleming, Sarah" sort="Fleming, Sarah" uniqKey="Fleming S" first="Sarah" last="Fleming">Sarah Fleming</name><affiliation wicri:level="4"><nlm:aff id="I5">University of Leeds, Leeds, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>University of Leeds, Leeds</wicri:regionArea><orgName type="university">Université de Leeds</orgName><placeName><settlement type="city">Leeds</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Yorkshire-et-Humber</region></placeName></affiliation></author><author><name sortKey="Hours, Martine" sort="Hours, Martine" uniqKey="Hours M" first="Martine" last="Hours">Martine Hours</name><affiliation wicri:level="3"><nlm:aff id="I6">INRETS, Lyon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>INRETS, Lyon</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Krewski, Daniel" sort="Krewski, Daniel" uniqKey="Krewski D" first="Daniel" last="Krewski">Daniel Krewski</name><affiliation wicri:level="1"><nlm:aff id="I7">University of Ottawa, Ottawa, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University of Ottawa, Ottawa</wicri:regionArea><wicri:noRegion>Ottawa</wicri:noRegion></affiliation></author><author><name sortKey="Mclean, Dave" sort="Mclean, Dave" uniqKey="Mclean D" first="Dave" last="Mclean">Dave Mclean</name><affiliation wicri:level="1"><nlm:aff id="I8">Massey University, Wellington, New Zealand</nlm:aff><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Massey University, Wellington</wicri:regionArea><wicri:noRegion>Wellington</wicri:noRegion></affiliation></author><author><name sortKey="Parent, Marie Elise" sort="Parent, Marie Elise" uniqKey="Parent M" first="Marie-Elise" last="Parent">Marie-Elise Parent</name><affiliation wicri:level="3"><nlm:aff id="I9">INRS-Institut Armand-Frappier|, Montreal, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>INRS-Institut Armand-Frappier|, Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Sadetzki, Siegal" sort="Sadetzki, Siegal" uniqKey="Sadetzki S" first="Siegal" last="Sadetzki">Siegal Sadetzki</name><affiliation wicri:level="1"><nlm:aff id="I10">Gertner Institute, Chaim Sheba Medical Center & Tel Aviv University, Tel Aviv, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Gertner Institute, Chaim Sheba Medical Center & Tel Aviv University, Tel Aviv</wicri:regionArea><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Schlaefer, Klaus" sort="Schlaefer, Klaus" uniqKey="Schlaefer K" first="Klaus" last="Schlaefer">Klaus Schlaefer</name><affiliation wicri:level="3"><nlm:aff id="I11">DFKZ, Heidelberg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>DFKZ, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Schlehofer, Brigitte" sort="Schlehofer, Brigitte" uniqKey="Schlehofer B" first="Brigitte" last="Schlehofer">Brigitte Schlehofer</name><affiliation wicri:level="3"><nlm:aff id="I11">DFKZ, Heidelberg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>DFKZ, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Lavoue, Jerome" sort="Lavoue, Jerome" uniqKey="Lavoue J" first="Jerome" last="Lavoue">Jerome Lavoue</name><affiliation wicri:level="3"><nlm:aff id="I1">University of Montreal Hospital Research Centre (CRCHUM), Montreal, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University of Montreal Hospital Research Centre (CRCHUM), Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Van Tongeren, Martie" sort="Van Tongeren, Martie" uniqKey="Van Tongeren M" first="Martie" last="Van Tongeren">Martie Van Tongeren</name><affiliation wicri:level="3"><nlm:aff id="I12">Centre for Human Exposure Science, Institute of Occupational Medicine, Edinburgh, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Human Exposure Science, Institute of Occupational Medicine, Edinburgh</wicri:regionArea><placeName><settlement type="city">Édimbourg</settlement><region type="country">Écosse</region></placeName></affiliation></author><author><name sortKey="Siemiatycki, Jack" sort="Siemiatycki, Jack" uniqKey="Siemiatycki J" first="Jack" last="Siemiatycki">Jack Siemiatycki</name><affiliation wicri:level="3"><nlm:aff id="I1">University of Montreal Hospital Research Centre (CRCHUM), Montreal, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University of Montreal Hospital Research Centre (CRCHUM), Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The aim was to investigate possible associations between glioma (an aggressive type of brain cancer) and occupational exposure to selected agents: combustion products (diesel and gasoline exhaust emissions, benzo(a)pyrene), dusts (animal dust, asbestos, crystalline silica, wood dust) and some other chemical agents (formaldehyde, oil mist, sulphur dioxide).</p></sec><sec><title>Methods</title><p>The INTEROCC study included cases diagnosed with glioma during 2000–2004 in sub-regions of seven countries. Population controls, selected from various sampling frames in different centers, were frequency or individually matched to cases by sex, age and center. Face-to-face interviews with the subject or a proxy respondent were conducted by trained interviewers. Detailed information was collected on socio-economic and lifestyle characteristics, medical history and work history. Occupational exposure to the 10 selected agents was assessed by a job exposure matrix (JEM) which provides estimates of the probability and level of exposure for different occupations. Using a 25% probability of exposure in a given occupation in the JEM as the threshold for considering a worker exposed, the lifetime prevalence of exposure varied from about 1% to about 15% for the different agents. Associations between glioma and each of the 10 agents were estimated by conditional logistic regression, and using three separate exposure indices: i) ever <italic>vs.</italic> never; ii) lifetime cumulative exposure; iii) total duration of exposure.</p></sec><sec><title>Results</title><p>The study sample consisted of 1,800 glioma cases and 5,160 controls. Most odds ratio estimates were close to the null value. None of the ten agents displayed a significantly increased odds ratio nor any indication of dose–response relationships with cumulative exposure or with duration of exposure.</p></sec><sec><title>Conclusion</title><p>Thus, there was no evidence that these exposures influence risk of glioma.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Schwartzbaum, Ja" uniqKey="Schwartzbaum J">JA Schwartzbaum</name></author><author><name sortKey="Fisher, Jl" uniqKey="Fisher J">JL Fisher</name></author><author><name sortKey="Aldape, Kd" uniqKey="Aldape K">KD Aldape</name></author><author><name sortKey="Wrensch, M" uniqKey="Wrensch M">M Wrensch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kleihues, P" uniqKey="Kleihues P">P Kleihues</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fisher, Jl" uniqKey="Fisher J">JL Fisher</name></author><author><name 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Deltour</name></author><author><name sortKey="Feychting, M" uniqKey="Feychting M">M Feychting</name></author><author><name sortKey="Giles, Gg" uniqKey="Giles G">GG Giles</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chakrabarti, I" uniqKey="Chakrabarti I">I Chakrabarti</name></author><author><name sortKey="Cockburn, M" uniqKey="Cockburn M">M Cockburn</name></author><author><name sortKey="Cozen, W" uniqKey="Cozen W">W Cozen</name></author><author><name sortKey="Wang, Yp" uniqKey="Wang Y">YP Wang</name></author><author><name sortKey="Preston Martin, S" uniqKey="Preston Martin S">S Preston-Martin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Inskip, Pd" uniqKey="Inskip P">PD Inskip</name></author><author><name sortKey="Tarone, Re" uniqKey="Tarone R">RE Tarone</name></author><author><name sortKey="Hatch, Ee" uniqKey="Hatch E">EE Hatch</name></author><author><name sortKey="Wilcosky, Tc" uniqKey="Wilcosky T">TC Wilcosky</name></author><author><name sortKey="Fine, Ha" uniqKey="Fine H">HA Fine</name></author><author><name sortKey="Black, Pm" uniqKey="Black P">PM Black</name></author><author><name sortKey="Loeffler, Js" uniqKey="Loeffler J">JS Loeffler</name></author><author><name sortKey="Shapiro, Wr" uniqKey="Shapiro W">WR Shapiro</name></author><author><name sortKey="Selker, Rg" uniqKey="Selker R">RG Selker</name></author><author><name sortKey="Linet, Ms" uniqKey="Linet M">MS Linet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fritschi, L" uniqKey="Fritschi L">L Fritschi</name></author><author><name sortKey="Siemiatycki, J" uniqKey="Siemiatycki J">J Siemiatycki</name></author><author><name sortKey="Richardson, L" uniqKey="Richardson L">L Richardson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bouyer, J" uniqKey="Bouyer J">J Bouyer</name></author><author><name sortKey="Dardenne, J" uniqKey="Dardenne J">J Dardenne</name></author><author><name sortKey="Hemon, D" uniqKey="Hemon D">D Hemon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burstyn, I" uniqKey="Burstyn I">I Burstyn</name></author><author><name sortKey="Lavoue, J" uniqKey="Lavoue J">J Lavoue</name></author><author><name sortKey="Van Tongeren, M" uniqKey="Van Tongeren M">M Van Tongeren</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Benke, G" uniqKey="Benke G">G Benke</name></author><author><name sortKey="Sim, M" uniqKey="Sim M">M Sim</name></author><author><name sortKey="Fritschi, L" uniqKey="Fritschi L">L Fritschi</name></author><author><name sortKey="Aldred, G" uniqKey="Aldred G">G Aldred</name></author><author><name sortKey="Forbes, A" uniqKey="Forbes A">A Forbes</name></author><author><name sortKey="Kauppinen, T" uniqKey="Kauppinen T">T Kauppinen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lavoue, J" uniqKey="Lavoue J">J Lavoue</name></author><author><name sortKey="Pintos, J" uniqKey="Pintos J">J Pintos</name></author><author><name sortKey="Van Tongeren, M" uniqKey="Van Tongeren M">M Van Tongeren</name></author><author><name sortKey="Kincl, L" uniqKey="Kincl L">L Kincl</name></author><author><name sortKey="Richardson, L" uniqKey="Richardson L">L Richardson</name></author><author><name sortKey="Kauppinen, T" uniqKey="Kauppinen T">T Kauppinen</name></author><author><name sortKey="Cardis, E" uniqKey="Cardis E">E Cardis</name></author><author><name sortKey="Siemiatycki, J" uniqKey="Siemiatycki J">J Siemiatycki</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Canada</li><li>Espagne</li><li>France</li><li>Israël</li><li>Nouvelle-Zélande</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Auvergne-Rhône-Alpes</li><li>Bade-Wurtemberg</li><li>Catalogne</li><li>District de Karlsruhe</li><li>Québec</li><li>Rhône-Alpes</li><li>Victoria (État)</li><li>Yorkshire-et-Humber</li><li>Écosse</li></region><settlement><li>Barcelone</li><li>Heidelberg</li><li>Leeds</li><li>Lyon</li><li>Melbourne</li><li>Montréal</li><li>Édimbourg</li></settlement><orgName><li>Université de Leeds</li></orgName></list><tree><country name="Canada"><region name="Québec"><name sortKey="Lacourt, Aude" sort="Lacourt, Aude" uniqKey="Lacourt A" first="Aude" last="Lacourt">Aude Lacourt</name></region><name sortKey="Krewski, Daniel" sort="Krewski, Daniel" uniqKey="Krewski D" first="Daniel" last="Krewski">Daniel Krewski</name><name sortKey="Lavoue, Jerome" sort="Lavoue, Jerome" uniqKey="Lavoue J" first="Jerome" last="Lavoue">Jerome Lavoue</name><name sortKey="Parent, Marie Elise" sort="Parent, Marie Elise" uniqKey="Parent M" first="Marie-Elise" last="Parent">Marie-Elise Parent</name><name sortKey="Pintos, Javier" sort="Pintos, Javier" uniqKey="Pintos J" first="Javier" last="Pintos">Javier Pintos</name><name sortKey="Richardson, Lesley" sort="Richardson, Lesley" uniqKey="Richardson L" first="Lesley" last="Richardson">Lesley Richardson</name><name sortKey="Siemiatycki, Jack" sort="Siemiatycki, Jack" uniqKey="Siemiatycki J" first="Jack" last="Siemiatycki">Jack Siemiatycki</name></country><country name="Espagne"><region name="Catalogne"><name sortKey="Cardis, Elisabeth" sort="Cardis, Elisabeth" uniqKey="Cardis E" first="Elisabeth" last="Cardis">Elisabeth Cardis</name></region><name sortKey="Kincl, Laurel" sort="Kincl, Laurel" uniqKey="Kincl L" first="Laurel" last="Kincl">Laurel Kincl</name><name sortKey="Richardson, Lesley" sort="Richardson, Lesley" uniqKey="Richardson L" first="Lesley" last="Richardson">Lesley Richardson</name></country><country name="États-Unis"><noRegion><name sortKey="Kincl, Laurel" sort="Kincl, Laurel" uniqKey="Kincl L" first="Laurel" last="Kincl">Laurel Kincl</name></noRegion></country><country name="Australie"><region name="Victoria (État)"><name sortKey="Benke, Geza" sort="Benke, Geza" uniqKey="Benke G" first="Geza" last="Benke">Geza Benke</name></region></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Fleming, Sarah" sort="Fleming, Sarah" uniqKey="Fleming S" first="Sarah" last="Fleming">Sarah Fleming</name></region><name sortKey="Van Tongeren, Martie" sort="Van Tongeren, Martie" uniqKey="Van Tongeren M" first="Martie" last="Van Tongeren">Martie Van Tongeren</name></country><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Hours, Martine" sort="Hours, Martine" uniqKey="Hours M" first="Martine" last="Hours">Martine Hours</name></region></country><country name="Nouvelle-Zélande"><noRegion><name sortKey="Mclean, Dave" sort="Mclean, Dave" uniqKey="Mclean D" first="Dave" last="Mclean">Dave Mclean</name></noRegion></country><country name="Israël"><noRegion><name sortKey="Sadetzki, Siegal" sort="Sadetzki, Siegal" uniqKey="Sadetzki S" first="Siegal" last="Sadetzki">Siegal Sadetzki</name></noRegion></country><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Schlaefer, Klaus" sort="Schlaefer, Klaus" uniqKey="Schlaefer K" first="Klaus" last="Schlaefer">Klaus Schlaefer</name></region><name sortKey="Schlehofer, Brigitte" sort="Schlehofer, Brigitte" uniqKey="Schlehofer B" first="Brigitte" last="Schlehofer">Brigitte Schlehofer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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