Journal of Health and Safety at Work

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Introduction: Heat stress in workplaces cause multiple problems such as thermal stresses, thermal discomfort and in more severe cases may lead to accidents and diseases related to excessive heat. The aim of this study was to evaluate heat stress adopting WBGT Index in some small enterprise in Qom city and also to examine the relationship between WBGT and physiological indices.

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Material and Method: This Cross-sectional study was conducted in 25 small workshops in Qom city including of 10 indoor and 15 outdoor workshops in August 2012. WBGT were measured according to the ISO7243 standard. The physiological responses including pulse rate, systolic and diastolic blood pressure were measured among 25 workers (one from each workshop).

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Result: The average WBGT index for indoor job were 27.55 Ċ among auto body repair, 27.45 Ċ in mechanics, 24.64 Ċ in painters, 26.73Ċ in welder and 25.89 Ċ in manufacturing doors and windows makers. For outdoor jobs as auto body repair, mechanics and painters it was 30.01 Ċ, and for welders and doors and windows makers 28.52 Ċ. Compared to the standard of ISO7243 WBGT all small workshops were higher than threshold limit. Auto body repair (30.22 Ċ) and painting (30.03 Ċ) workshops had highest WBGT. Average WBGT in auto body repair (as a job with most exposed to the open space and solar radiation) with welder and doors and windows, showed statistically significant differences T-test using WBGT with pulse rate, systolic and diastolic blood pressure did not have statistically significant (P>0.05). The findings indicated that workers are exposing to heat stress and doing more researches and representing preventive counter measures for the workers in this field are essential.

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Conclusion: Heat stress in almost all of the studied workplaces are higher than the recommended limits, and the outdoor workshops had the highest thermal stress, although heat stress did not show a significant correlation with the studied strains.

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Introduction: Heat stress is considered as a serious risk factor to the health and safety of workers in most working environments, especially in outdoor works and jobs that workers are exposed to heat due to the working process. This study aimed to evaluate heat stress among workers of brick-manufacturing units in Qom city based on WBGT index as well as the relationship between WBGT and physiological indicators.
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Material and Method: The present study was conducted in 40 brick-manufacturing units in Qom city. WBGT measurements were performed according to ISO7243 standard. Physiological responses of 184 workers (up to 5 people per unit) and also atmospheric parameters were measured. The physiological responses included oral temperature, skin temperature, and temperature for the carotid artery of the ear, heart rate, systolic and diastolic blood pressure. Statistical analysis was done using SPSS software version 16.
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Result: Mean WBGT index for various brick-manufacturing jobs including firing, manual material handling, working with conveyors, molding, and tempering were 30.8 °C, 26.74 °C 26.58 °C and 24.25 °C, respectively and the average WBGT was estimated 27.98 °C. WBGT levels measured in all units exceeded the level provided in ISO7243 standard. The highest mean WBGT was belonged to kiln section (30.8 °C). The mean WBGT at three heights of head, abdomen and legs were not statistically different (using t-test). The correlation coefficients between mean WBGT and mean oral, skin and ears temperatures were 0.203, 0.319, and 0.490, respectively, with the highest correlation belonged to the carotid arteries of ears. Moreover, WBGT showed no significant association with the mean heart rate, systolic, and diastolic blood pressure (P-value>0.05). Indoor and outdoor WBGT index was significantly different (P-value<0.05).

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Conclusion: The level of heat stress in all brick-manufacturing units was higher than the recommended limits, and the workers in kiln unit were more exposed to heat stress, in comparison with other units. Therefore, special countermeasures should be adopted to control heat stress for this occupational group.

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Introduction: Traffic noise has been thought as a major environmental stress in modern societies, and the cause of physiological and psychological disorders according to the World Health Organization. Moreover, traffic noise can interfere with mental performance. However, there is little coherent evidence showing the effect of traffic noise on individuals’ performance. Hence, this paper aimed to address the role of traffic noise in participants’ mental performance considering the complexity of the activity.
 

Material and methods: Thirty-five master students studying in Tehran University of Medical Science were recruited for this study. Traffic noise was recorded by tape recorder and the traffic noise level was simultaneously measured by sound meter. Then, participants had been separately sitting in silent compared to traffic noise environment before they performed the tests including “S₃”-type Choice Reaction Time (CRT) test as a simple activity and “S1”-type Determine Test (DT) as a complex activity taken from “Vienna Test System” software package.
 

Results: The comparison between scores resulted from DT and CRT tests ,before and after exposure to traffic noise under simple activity conditions, showed that there was little increase in mean score of reaction time (P-value=0.47) and motor time (P-value=0.49), showing no statistically significant changes in these variables. On the contrary, following exposure to traffic noise, the DT test under complex activity condition revealed that there is a clear decreasing trend in median reaction time(P=0.001), number of stimuli (P=0.014) and number of reactions (p=0.009) in participants, and also, no significant differences were found in correct responses (P=0.091) and incorrect responses (P=0.073).
 

Conclusion: One of the most significant findings emerged from this study is that traffic noise seems to have no effect on the mentioned variables under simple activity condition. However, traffic noise has devastating effects on median reaction time, number of appeared stimuli and reactions under complex activity condition.

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Introduction: Nowadays, exposure to extremely low frequency (ELF) magnetic field has been interested in many studies due to possible effects on human physical-mental health. Therefore, this study aimed to assess arc welders’ exposure to extremely low frequency magnetic field and to determine its relationship with the secretion of paratormone (PTH) hormone and mood states.

Material and Method: The present study has been conducted among 35 healthy production workers (as exposed group) and 35 healthy administrative personnel (as unexposed group). After checking the work activities of participants according to the guide recommended by the National Institute for Occupational Safety and Health (NIOSH), ELF magnetic fields were measured using an ELF measurement device in the regions including trunk, head, and neck. The plasma levels of PTH hormone of both groups were evaluated by the Electrochemiluminescence method. Stress-Arousal Checklist (SACL) was used to assess the mode states of subjects in both groups. The collected data were analyzed by SPSS software version 16.

Result: There was a significant difference between the exposed and unexposed groups with respect to the exposure level to ELF magnetic fields (P-value<0.0001). Mean PTH hormone level in exposed group (34.54 pg/ml) was lower than unexposed ones (37 pg/ml), however these mean values weren’t significantly different (P-value=0.67). Score of “stress” subscale related to the “pleasure” and score of “arousal” subscale  related to the “activities and alertness” in the unexposed group were significantly higher than those in exposed group (p<0.0001). Regarding the relationship between exposure level to ELF electromagnetic field and scores of  stress, arousal, and PTH hormone level in the two groups, it should be stated that only a significant and positive association was found between the average exposure to ELF magnetic fields and PTH levels in the exposed group (P-value<0.009, r=0.44).

Conclusion: The results of this study showed that continuous welding can be considered as an exposure source to extremely low frequency electromagnetic fields. More accurate and comprehensive laboratory and field studies are needed to prove the hypothesis of the potential impact of extremely low frequency magnetic fields on people’s psychological states and mood through changes of parathyroid hormone level.

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Introduction: One of the important consequences of globalization and development, especially in developing countries, are occupational accidents. As, today the economic burden due to these accidents is remarkable on the country’s economy. The aim of this study was financial estimate of the productivity loss due to work-related deaths in Iran in 2013.

Material and Method: In this study, occupational accident data were used registered in the environmental and occupational health center, in Iranian Ministry of Health and Medical Education. A formula used by the Centers for Disease Control and Prevention America (CDC) was used to estimate the productivity loss. Finally, after replacing the necessary parameters amount of productivity loss was calculated.

Result: The total lost years of life were calculated 1293.15 years due to the deaths caused by occupational accidents. The total amount of monetary loss due to the productivity loss in the country, was estimated 730513.06 Rials. The greatest loss was in the 59-50 years old age group.

Conclusion: The negative rate of productivity, the large quantity of the discount rate, low life expectancy in the country as well as the low wages of the workers, are the likely reasons for minimal negative impact of the workforce deaths on the country’s productivity.

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Introduction: Noise is one of the most harmful industrial agents and there are different methods to control it. Fuzzy analytical hierarchy process is an appropriate technique for selecting the best choice among several control methods. Therefore, the aim of this study was the selection of the most suitable sound control method using fuzzy hierarchical analysis (FAHP) technique in a refinery plant.
Material and Method: The present study was a cross-sectional research in a refinery plant. After identifying the main sources of the noise in the studied palnt, five criteria and ten noise control methods were selected using a questionnaire and Delphi methods. Then, Fuzzy hierarchy analysis was applied for the selection of the best noise control alternative.
Result: The results showed that the performance with a final weight of 0.277 and the non-interference in the process with a final weight of 0.06 were most and least important criteria, respectively. Meanwhile, worker enclosure had highest score (0.207) of the control methods.
Conclusion: In general, the results showed that best criterion for selection of the suitable noise control method is performance. What’s more, based on the results, worker enclosure was selected as best noise control method in the refinery.

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Introduction: Musculoskeletal disorders (MSDs) are prevalent in work settings and are associated with high rate of prevalence and costs. Musculoskeletal conditions have multifaceted nature, and occupational factors play an important role in their development. The aim of this study was to identify the risk factors of work-related musculoskeletal disorders in the working population in Iran during 2000 to 2015.
Material and Methods: Using the appropriate search terms, articles published in the journals, student thesis, and those presented at the conferences were searched through authentic English databases (Google Scholar, Scopus, PubMed) and Farsi ones (Magiran, SID, IranMedex, Irandoc). Following removal of duplicate citations and irrelevant studies, the full texts of the remaining publications were prepared and assessed for more detail.
Results: Perceived discomfort in low back region obtained the highest score in workers of industrial, administrative, service, and agricultural settings. However, in the handicraft and educational groups, the highest percentage of discomfort was belonged to neck (66.7%). Findings showed that the most commonly used techniques for evaluation of musculoskeletal disorders and risk factors were, respectively, Nordic questionnaire (NMQ) (76%) and REBA (13.9%). Moreover, all identified risk factors were classified into eleven groups including: biomechanical, work environment design, tools, equipment, temporal aspects of job design, job content, organizational aspects, economic and financial issues, social aspects, individual characteristics, and training.
Conclusion: Overall, a wide range of risk factors reported in the previous studies were categorized in the present review. The results are suggested to be considered by managers and decision makers as a framework to take measures for controlling musculoskeletal disorders to accomplish the goal of ergonomics, which is productivity and well-being.

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Introduction: Accidents caused by children’s play equipment are considered a serious threat to children’s health. The aim of this study was to design slide, swing and see-saw based on national standards and children’s anthropometric data.
Material and Methods: The present study is an applied research, in which the design of children’s play equipment, including slides, swing and see-saw was done according to national standards No. 6436-2, 6436-3 and 6436-6, as well as measuring the anthropometric dimensions. All anthropometric data of 385 children aged 2 to 12 years were measured and equipment design was performed using Minitab software.
Results: In the national standards No. 6436-2, 6436-3 and 6436-6, the size of more dimensions required for the design of the slides, swing, and see-saw is not stated. In the present study, the ergonomic and standard design of these types of equipment is shown. Comparison of designed see-saw with see-saw available in parks showed that the length and width of the see-saw should be 0.37 and 0.25 meters, respectively. In the current study, however,  they were 0.24 and 0.35 meters, respectively. Also, the height, width and depth of the swing chair should be 0.2, 0.35 and 0.37 meters, while their actual size in the studied parks was 0.25, 0.42 and 0.31 meters, respectively.
Conclusion: The result of this study is helpful for standard and ergonomic designing of children’s play equipment and is very useful for urban planning. This study emphasizes the revision of national standards.
 

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Introduction: Usability has been defined as the extent to which specific users can efficiently use a product to achieve specific goals. Along with the increased number of the elderly population, there is a need for user-centered products for this group of people. Smartphones are widely used products in modern society. USE (Usefulness, Satisfaction, and Ease of use) questionnaire is an easy-to-use, quick, and accurate instrument to assess product/service usability. Thus, this study was done to determine the validity and reliability of the Farsi version of the USE questionnaire to evaluate the usability of smartphones for elderly users.
Material and Methods: The USE questionnaire was developed by Lund (2001) to assess usability, considering four separate dimensions: usefulness, satisfaction, ease of use, and ease of learning. This is a 30-item questionnaire that evaluates usability on a 7-point Likert scale. In order to assess the face and content validity of the questionnaire, a panel of nine experts was asked to rate the relevancy, clarity, simplicity, and necessity of each question using the Likert scale. Subsequently, the Content Validity Ratio (CVR) and Content Validity Index (CVI) were computed. In order to confirm the reliability of the questionnaire, two methods of internal reliability and test-retest reliability were used. In this sense, Cronbach’s alpha was calculated as the measure of internal reliability. Cronbach’s alpha equal to and above 0.7 was considered the minimum acceptable value. To measure the test-retest, 50 old adults (aged 60 years old and above) were asked to answer the questionnaire twice at a two-week interval. Then, the Pearson correlation coefficient was calculated between the two sets of scores. Also, the receiver operating characteristic (ROC) curve was utilized for specifying its sensitivity, specificity, and cut -off point
Results: Based on the comments of the expert panel, CVI scores of all questionnaire items were above 0.78, whereas four items rated less than 0.78 in terms of CVR scores; and, consequently, were removed from the questionnaire. Moreover, according to the reliability assessment results, both internal correlation and test-retest scores obtained acceptable values. Specifically, Cronbach’s alpha coefficient for usefulness, satisfaction, ease of use, and ease of learning were 0.771, 0.862, 0.756, and 0.798, respectively. In the ROC curve, the cut-off point was reported as 4.88 with the sensitivity and specificity of 97.8% and 75%, respectively, and area under the ROC curve at this cut-off point was obtained 81%.
Conclusion: Comparing a product’s characteristics with standards is a prerequisite to determining the level of usability of that product. The Farsi version of the USE questionnaire is a reliable tool for measuring usability with satisfactory validity and reliability. This questionnaire can be used in future studies in smartphone usability.