Maximal tachycardia and high cardiac strain during night shifts of emergency physicians.
Identifieur interne : 000820 ( PubMed/Checkpoint ); précédent : 000819; suivant : 000821Maximal tachycardia and high cardiac strain during night shifts of emergency physicians.
Auteurs : Frédéric Dutheil [France] ; Fouad Marhar [France] ; Gil Boudet [France] ; Christophe Perrier [France] ; Geraldine Naughton [Australie] ; Alain Chamoux [France] ; Pascal Huguet [France] ; Martial Mermillod [France] ; Foued Saâdaoui [Arabie saoudite] ; Farès Moustafa [France] ; Jeannot Schmidt [France]Source :
- International archives of occupational and environmental health [ 1432-1246 ] ; 2017.
Abstract
To compare tachycardia and cardiac strain between 24-hour shifts (24hS) and 14-hour night shifts (14hS) in emergency physicians (EPs), and to investigate key factors influencing tachycardia and cardiac strain.
DOI: 10.1007/s00420-017-1211-5
PubMed: 28271382
Affiliations:
- Arabie saoudite, Australie, France
- Auvergne (région administrative), Auvergne-Rhône-Alpes, Midi-Pyrénées, Occitanie (région administrative), Rhône-Alpes
- Clermont-Ferrand, Grenoble, Toulouse
- Université Grenoble-Alpes
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Catholic University, Faculty of Health, School of Exercise Science, Melbourne, VIC 3065, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Catholic University, Faculty of Health, School of Exercise Science, Melbourne, VIC 3065</wicri:regionArea><wicri:noRegion>VIC 3065</wicri:noRegion></affiliation></author><author><name sortKey="Chamoux, Alain" sort="Chamoux, Alain" uniqKey="Chamoux A" first="Alain" last="Chamoux">Alain Chamoux</name><affiliation wicri:level="1"><nlm:affiliation>University Hospital of Clermont-Ferrand (CHU), Occupational and Preventive Medicine, F-63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Clermont-Ferrand (CHU), Occupational and Preventive Medicine, F-63000, Clermont-Ferrand</wicri:regionArea><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion></affiliation></author><author><name sortKey="Huguet, Pascal" sort="Huguet, Pascal" uniqKey="Huguet P" first="Pascal" last="Huguet">Pascal Huguet</name><affiliation wicri:level="1"><nlm:affiliation>Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, F-63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, F-63000, Clermont-Ferrand</wicri:regionArea><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion></affiliation></author><author><name sortKey="Mermillod, Martial" sort="Mermillod, Martial" uniqKey="Mermillod M" first="Martial" last="Mermillod">Martial Mermillod</name><affiliation wicri:level="4"><nlm:affiliation>Université Grenoble Alpes, CNRS, Laboratory of Cognition and NeuroPsyhology (LPNC), F-38000, Grenoble, 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13316</wicri:regionArea><wicri:noRegion>13316</wicri:noRegion></affiliation></author><author><name sortKey="Moustafa, Fares" sort="Moustafa, Fares" uniqKey="Moustafa F" first="Farès" last="Moustafa">Farès Moustafa</name><affiliation wicri:level="1"><nlm:affiliation>University Hospital of Clermont-Ferrand (CHU), Emergency department, F-63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Clermont-Ferrand (CHU), Emergency department, F-63000, Clermont-Ferrand</wicri:regionArea><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion></affiliation></author><author><name sortKey="Schmidt, Jeannot" sort="Schmidt, Jeannot" uniqKey="Schmidt J" first="Jeannot" last="Schmidt">Jeannot Schmidt</name><affiliation wicri:level="1"><nlm:affiliation>University Hospital of Clermont-Ferrand (CHU), Emergency department, F-63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Clermont-Ferrand (CHU), Emergency department, F-63000, Clermont-Ferrand</wicri:regionArea><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28271382</idno><idno type="pmid">28271382</idno><idno type="doi">10.1007/s00420-017-1211-5</idno><idno type="wicri:Area/PubMed/Corpus">000847</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000847</idno><idno type="wicri:Area/PubMed/Curation">000844</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000844</idno><idno type="wicri:Area/PubMed/Checkpoint">000844</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000844</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Maximal tachycardia and high cardiac strain during night shifts of emergency physicians.</title><author><name sortKey="Dutheil, Frederic" sort="Dutheil, Frederic" uniqKey="Dutheil F" first="Frédéric" last="Dutheil">Frédéric Dutheil</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Clermont-Ferrand (CHU), Occupational and Preventive Medicine, F-63000, Clermont-Ferrand, France. frederic.dutheil@uca.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Clermont-Ferrand (CHU), Occupational and Preventive Medicine, F-63000, Clermont-Ferrand</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Marhar, Fouad" sort="Marhar, Fouad" uniqKey="Marhar F" first="Fouad" last="Marhar">Fouad Marhar</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Toulouse, Anesthesiology and Intensive Care Unit, F-31000, Toulouse, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Toulouse, Anesthesiology and Intensive Care Unit, F-31000, Toulouse</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Midi-Pyrénées</region><settlement type="city">Toulouse</settlement></placeName></affiliation></author><author><name sortKey="Boudet, Gil" sort="Boudet, Gil" uniqKey="Boudet G" first="Gil" last="Boudet">Gil Boudet</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Clermont-Ferrand (CHU), Occupational and Preventive Medicine, F-63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Clermont-Ferrand (CHU), Occupational and Preventive Medicine, F-63000, Clermont-Ferrand</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Perrier, Christophe" sort="Perrier, Christophe" uniqKey="Perrier C" first="Christophe" last="Perrier">Christophe Perrier</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital of Clermont-Ferrand (CHU), Emergency department, F-63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Clermont-Ferrand (CHU), Emergency department, F-63000, Clermont-Ferrand</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Naughton, Geraldine" sort="Naughton, Geraldine" uniqKey="Naughton G" first="Geraldine" last="Naughton">Geraldine Naughton</name><affiliation wicri:level="1"><nlm:affiliation>Australian Catholic University, Faculty of Health, School of Exercise Science, Melbourne, VIC 3065, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Catholic University, Faculty of Health, School of Exercise Science, Melbourne, VIC 3065</wicri:regionArea><wicri:noRegion>VIC 3065</wicri:noRegion></affiliation></author><author><name sortKey="Chamoux, Alain" sort="Chamoux, Alain" uniqKey="Chamoux A" first="Alain" last="Chamoux">Alain Chamoux</name><affiliation wicri:level="1"><nlm:affiliation>University Hospital of Clermont-Ferrand (CHU), Occupational and Preventive Medicine, F-63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Clermont-Ferrand (CHU), Occupational and Preventive Medicine, F-63000, Clermont-Ferrand</wicri:regionArea><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion></affiliation></author><author><name sortKey="Huguet, Pascal" sort="Huguet, Pascal" uniqKey="Huguet P" first="Pascal" last="Huguet">Pascal Huguet</name><affiliation wicri:level="1"><nlm:affiliation>Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, F-63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, F-63000, Clermont-Ferrand</wicri:regionArea><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion></affiliation></author><author><name sortKey="Mermillod, Martial" sort="Mermillod, Martial" uniqKey="Mermillod M" first="Martial" last="Mermillod">Martial Mermillod</name><affiliation wicri:level="4"><nlm:affiliation>Université Grenoble Alpes, CNRS, Laboratory of Cognition and NeuroPsyhology (LPNC), F-38000, Grenoble, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Grenoble Alpes, CNRS, Laboratory of Cognition and NeuroPsyhology (LPNC), F-38000, Grenoble</wicri:regionArea><placeName><settlement type="city">Grenoble</settlement><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">Grenoble</settlement></placeName><orgName type="university">Université Grenoble-Alpes</orgName></affiliation></author><author><name sortKey="Saadaoui, Foued" sort="Saadaoui, Foued" uniqKey="Saadaoui F" first="Foued" last="Saâdaoui">Foued Saâdaoui</name><affiliation wicri:level="1"><nlm:affiliation>Saudi Electronic University, College of Sciences and Theoretical Studies, Riyadh, 13316, Saudi Arabia.</nlm:affiliation><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Saudi Electronic University, College of Sciences and Theoretical Studies, Riyadh, 13316</wicri:regionArea><wicri:noRegion>13316</wicri:noRegion></affiliation></author><author><name sortKey="Moustafa, Fares" sort="Moustafa, Fares" uniqKey="Moustafa F" first="Farès" last="Moustafa">Farès Moustafa</name><affiliation wicri:level="1"><nlm:affiliation>University Hospital of Clermont-Ferrand (CHU), Emergency department, F-63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Clermont-Ferrand (CHU), Emergency department, F-63000, Clermont-Ferrand</wicri:regionArea><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion></affiliation></author><author><name sortKey="Schmidt, Jeannot" sort="Schmidt, Jeannot" uniqKey="Schmidt J" first="Jeannot" last="Schmidt">Jeannot Schmidt</name><affiliation wicri:level="1"><nlm:affiliation>University Hospital of Clermont-Ferrand (CHU), Emergency department, F-63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital of Clermont-Ferrand (CHU), Emergency department, F-63000, Clermont-Ferrand</wicri:regionArea><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion><wicri:noRegion>63000, Clermont-Ferrand</wicri:noRegion></affiliation></author></analytic><series><title level="j">International archives of occupational and environmental health</title><idno type="eISSN">1432-1246</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To compare tachycardia and cardiac strain between 24-hour shifts (24hS) and 14-hour night shifts (14hS) in emergency physicians (EPs), and to investigate key factors influencing tachycardia and cardiac strain.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28271382</PMID><DateCreated><Year>2017</Year><Month>03</Month><Day>08</Day></DateCreated><DateRevised><Year>2017</Year><Month>07</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1246</ISSN><JournalIssue CitedMedium="Internet"><Volume>90</Volume><Issue>6</Issue><PubDate><Year>2017</Year><Month>Aug</Month></PubDate></JournalIssue><Title>International archives of occupational and environmental health</Title><ISOAbbreviation>Int Arch Occup Environ Health</ISOAbbreviation></Journal><ArticleTitle>Maximal tachycardia and high cardiac strain during night shifts of emergency physicians.</ArticleTitle><Pagination><MedlinePgn>467-480</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00420-017-1211-5</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To compare tachycardia and cardiac strain between 24-hour shifts (24hS) and 14-hour night shifts (14hS) in emergency physicians (EPs), and to investigate key factors influencing tachycardia and cardiac strain.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We monitored heart rate (HR) with Holter-ECG in a shift-randomized trial comparing a 24hS, a 14hS, and a control day, within a potential for 19 EPs. We also measured 24-h HR the third day (D3) after both shifts. We measured perceived stress by visual analog scale and the number of life-and-death emergencies.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The 17 EPs completing the whole protocol reached maximal HR (180.9 ± 6.9 bpm) during both shifts. Minutes of tachycardia >100 bpm were higher in 24hS (208.3 ± 63.8) than in any other days (14hS: 142.3 ± 36.9; D3/14hS: 64.8 ± 31.4; D3/24hS: 57.6 ± 19.1; control day: 39.2 ± 11.6 min, p < .05). Shifts induced a cardiac strain twice higher than in days not involving patients contact. Each life-and-death emergency enhanced 26 min of tachycardia ≥100 bpm (p < .001), 7 min ≥ 110 bpm (p < .001), 2 min ≥ 120 bpm (p < .001) and 19 min of cardiac strain ≥30% (p = .014). Stress was associated with greater duration of tachycardia ≥100, 110 and 120 bpm, and of cardiac strain ≥30% (p < .001).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">We demonstrated several incidences of maximal HR during shifts combined with a high cardiac strain. Duration of tachycardia were the highest in 24hS and lasted several hours. Such values are comparable to those of workers exposed to high physical demanding tasks or heat. Therefore, we suggest that EPs limit their exposure to 24hS. We, furthermore, demonstrated benefits of HR monitoring for identifying stressful events. ClinicalTrials.gov identifier: NCT01874704.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dutheil</LastName><ForeName>Frédéric</ForeName><Initials>F</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-1468-6029</Identifier><AffiliationInfo><Affiliation>University Hospital of Clermont-Ferrand (CHU), Occupational and Preventive Medicine, F-63000, Clermont-Ferrand, France. frederic.dutheil@uca.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University Hospital of Clermont-Ferrand (CHU), Emergency department, F-63000, Clermont-Ferrand, France. frederic.dutheil@uca.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, F-63000, Clermont-Ferrand, France. frederic.dutheil@uca.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Australian Catholic University, Faculty of Health, School of Exercise Science, Melbourne, VIC 3065, Australia. frederic.dutheil@uca.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>WittyFit, F-75000, Paris, France. frederic.dutheil@uca.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marhar</LastName><ForeName>Fouad</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>University Hospital of Toulouse, Anesthesiology and Intensive Care Unit, F-31000, Toulouse, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Boudet</LastName><ForeName>Gil</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>University Hospital of Clermont-Ferrand (CHU), Occupational and Preventive Medicine, F-63000, Clermont-Ferrand, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Perrier</LastName><ForeName>Christophe</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>University Hospital of Clermont-Ferrand (CHU), Emergency department, F-63000, Clermont-Ferrand, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Naughton</LastName><ForeName>Geraldine</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Australian Catholic University, Faculty of Health, School of Exercise Science, Melbourne, VIC 3065, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chamoux</LastName><ForeName>Alain</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>University Hospital of Clermont-Ferrand (CHU), Occupational and Preventive Medicine, F-63000, Clermont-Ferrand, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huguet</LastName><ForeName>Pascal</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, F-63000, Clermont-Ferrand, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mermillod</LastName><ForeName>Martial</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Université Grenoble Alpes, CNRS, Laboratory of Cognition and NeuroPsyhology (LPNC), F-38000, Grenoble, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut Universitaire de France, F-75000, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saâdaoui</LastName><ForeName>Foued</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Saudi Electronic University, College of Sciences and Theoretical Studies, Riyadh, 13316, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Moustafa</LastName><ForeName>Farès</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>University Hospital of Clermont-Ferrand (CHU), Emergency department, F-63000, Clermont-Ferrand, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schmidt</LastName><ForeName>Jeannot</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>University Hospital of Clermont-Ferrand (CHU), Emergency department, F-63000, Clermont-Ferrand, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>03</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Int Arch Occup Environ Health</MedlineTA><NlmUniqueID>7512134</NlmUniqueID><ISSNLinking>0340-0131</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Hypertension. 2000 Apr;35(4):880-6</RefSource><PMID Version="1">10775555</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>N Engl J Med. 1981 Feb 19;304(8):480-3</RefSource><PMID 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MajorTopicYN="N">Stress</Keyword><Keyword MajorTopicYN="N">Work</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>04</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>02</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>3</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>3</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>3</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28271382</ArticleId><ArticleId IdType="doi">10.1007/s00420-017-1211-5</ArticleId><ArticleId IdType="pii">10.1007/s00420-017-1211-5</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Arabie saoudite</li><li>Australie</li><li>France</li></country><region><li>Auvergne (région administrative)</li><li>Auvergne-Rhône-Alpes</li><li>Midi-Pyrénées</li><li>Occitanie (région administrative)</li><li>Rhône-Alpes</li></region><settlement><li>Clermont-Ferrand</li><li>Grenoble</li><li>Toulouse</li></settlement><orgName><li>Université Grenoble-Alpes</li></orgName></list><tree><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Dutheil, Frederic" sort="Dutheil, Frederic" uniqKey="Dutheil F" first="Frédéric" last="Dutheil">Frédéric Dutheil</name></region><name sortKey="Boudet, Gil" sort="Boudet, Gil" uniqKey="Boudet G" first="Gil" last="Boudet">Gil Boudet</name><name sortKey="Chamoux, Alain" sort="Chamoux, Alain" uniqKey="Chamoux A" first="Alain" last="Chamoux">Alain Chamoux</name><name sortKey="Huguet, Pascal" sort="Huguet, Pascal" uniqKey="Huguet P" first="Pascal" last="Huguet">Pascal Huguet</name><name sortKey="Marhar, Fouad" sort="Marhar, Fouad" uniqKey="Marhar F" first="Fouad" last="Marhar">Fouad Marhar</name><name sortKey="Mermillod, Martial" sort="Mermillod, Martial" uniqKey="Mermillod M" first="Martial" last="Mermillod">Martial Mermillod</name><name sortKey="Moustafa, Fares" sort="Moustafa, Fares" uniqKey="Moustafa F" first="Farès" last="Moustafa">Farès Moustafa</name><name sortKey="Perrier, Christophe" sort="Perrier, Christophe" uniqKey="Perrier C" first="Christophe" last="Perrier">Christophe Perrier</name><name sortKey="Schmidt, Jeannot" sort="Schmidt, Jeannot" uniqKey="Schmidt J" first="Jeannot" last="Schmidt">Jeannot Schmidt</name></country><country name="Australie"><noRegion><name sortKey="Naughton, Geraldine" sort="Naughton, Geraldine" uniqKey="Naughton G" first="Geraldine" last="Naughton">Geraldine Naughton</name></noRegion></country><country name="Arabie saoudite"><noRegion><name sortKey="Saadaoui, Foued" sort="Saadaoui, Foued" uniqKey="Saadaoui F" first="Foued" last="Saâdaoui">Foued Saâdaoui</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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