Journal of Health and Safety at Work

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Introduction: Process industries, often work with hazardous and operational chemical units with high temperature and pressure conditions, such as reactors and storage tanks. Thus, probabilities of incidence such as explosions, and fire are extremely high, The purpose of this study was to present a comprehensive and efficient method for the quantitative risk assessment of fire and explosion in the process units.

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Material and Method: The proposed method in this study is known as the QRA and includes seven steps. After determination of study objectives and perfect identification of study process, first, qualitative methods are used to screen and identify hazard points and the possible scenarios appropriate are identified and prioritized. Then, estimation of frequency rate are done using past records and statistics or Fault Tree Analysis along whit Event Tree. PAHST professional software and probit equations are used in order to consequence modeling and consequence evaluation, respectively. In the last step by combination of consequence and frequency of each scenario, individual and social risk and overall risk of process or under study unit was calculated.

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Result: Applying the proposed method showed that the jet fire, flash fire and explosion are most dangerous consequence of hydrogen generation unit. Results showed that social risk of the both fire and explosion caused by full bore rupture in Desulphrizing reactor (Scenari3), Reformer (scenario 9) and Hydrogen purification absorbers are unacceptable. All of the hydrogen generation unit fall in ARARP zone of fire individual risk (FIR) and FIR up to 160 m of boundary limit unit is unacceptable. This distance is not only beyond of hydrogen generation unit boundary limit, but also beyond of complex boundary limit. Desulphurization Reactor (75%) and Reformer (34%) had the highest role in explosion individual risk in the control room and their risks are unacceptable.

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Conclusion: Since the proposed method is applicable in all phases of process or system design, and estimates the risk of fire and explosion by a quantitative, comprehensive and mathematical-based equations approach. It can be used as an alternative method instead of qualitative and semi quantitative methods.

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Introduction: Following the presentation of Domino model by Heinrich in 1931 this idea was formed that human is the most important cause of accidents. According to Heinrich, unsafe behavior (88%), unsafe condition (10%) and unexpected factors (2%) are involved in accidents causation. Thus, the aim of this study was to investigates workers safety, culture and its influencing factors in detergent and cleaner company.

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Material and Method: In order to determine the level of safety culture in the understudy detergent producing company a questioner developed in 2010 was used. It was included dimensions of management commitment, training and information exchange, protective environment, inhibitory factors and priority to safety. After collecting the questionnaires, data were analyzed using SPSS version 17.

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Result: The mean age of the participants of 37.5 years old and the mean work experience 13.7 years. 52.3 % of workers had not experienced any accident during their working year. Moreover, mean (SD) score of safety culture was 180.51 (±35.216).

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Conclusion: The difference of safety culture score were statistically different among occupational groups and also between workers with and without accidents.

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Introduction: The power tiller is a multipurpose hand tractor designed primarily for rotary tilling and other farm operations. Vibration, transmitted from the handles of the tiller to the operators’ body, causes many injuries such as, pain, musculoskeletal disorders and white finger syndrome. The aim of this study was to evaluate the hand-arm vibration exposure in the operators of tiller model HT900, as the most frequently used model of tillers.

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Material and Method: In this study, 40 operators tiller of model HT900 in the city of Kashmar, Khorasan Razavi were examined. Hand-arm vibration measurement was done according to ISO 5349-1 and ISO 5349-2 in three different modes including, static and neutral (mode), transition to the ground mode and plowing the land mode in different gears. In order to measure the vibrations, human response vibration meter of B and K model 2512 was utilized.

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Result: Results of the present study indicated that in all measured situations, exposure to hand arm vibration was higher than the standard limit suggested by Iranian occupational health committee and there was risk of vibration-induced disorders. The maximum exposure to vibration is in plowing ground. Exposure to hand arm vibration in three modes of plowing, transmission and natural, were respectively 16.95, 14.16 and 8.65 meters per second squared. Additionally, in all situations, vibration exposure was highest in the X-axis in comparison with Z- and Y-axes.

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Conclusion: This study emphasizes on the need to provide intervention and controlling and managing strategies in order to eliminate or reduce vibration transmitted from tiller to operators hand and arm and also prevent to serious problems including neurovascular disorders, discomfort and white finger syndrome. Meanwhile, more studies are necessary to identify the sources of vibration on different models of tiller.

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Introduction: Tractor drivers are continuously exposed to whole body vibration during driving that, this may cause disorders in the system of musculoskeletal, nervous, circulatory and occupational diseases. The aim of this study was to evaluate exposed to whole body vibration among tractor driver.

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Material and Method: In this study, whole-body vibration parameters such as root mean square (rms) of acceleration , total equivalent acceleration, vibration dose value (VDV) and crest factor (CF) were separately compared in three directions (x, y, and z) , in 3 Massey Ferguson Model 165 Tractor it was done during 3 different modes of transport (without trailer, with empty trailer and with a trailer load of soil) , plowing the land and loading trailer in working conditions with various gear according to the guidelines of ISO 2631 standard.

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Result: The results showed that in all measuring points, exposure to whole body vibration was higher than permissible level and the risks of disorders exist. Exposure to vibration were as with empty trailer (43.11m/s2). The maximum of crest factor was obtained for transportation mode of empty trailer with 3 gear (10.7), then plowing (7.35) and loading soil(6.50). The maximum of vibration dose value was eventuated for transportation mode with empty trailer with 4 gear (189.92 m/s1.75) and 3 gear (108.15m/s1.75). In all measuring modes exposure with vibration in Y direction was greater than X and Z axes.

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Conclusion: This study shows that the need to provide intervention , controlling and managing measures to eliminate or reduce exposure to whole body vibration among tractor drivers its necessary. And, preventing main disorder Including musculoskeletal disorders, discomfort and early fatigue is of circular importance. More studies are also necessary to identify the sources of vibration among various of tractors.

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Introduction: Electromagnetic field emitted by laptops are known as extremely low frequency (ELF) Waves. The aim of this study was to investigate the intensity of electric and magnetic field with extremely low frequency emitted by common laptops.

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Material and Method: Intensity of electric and magnetic field were measured on four sides of 40 common by used laptop at the distance of 30, 60 and 90 cm. Measurements ere done according to standard in four functional model including: non-performing turned on, sleep mode, performing office program and performing audio visual files.

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Result: Magnetic field values for all laptops were almost constant and about 28-32 mA/m. The results of measurements related to the electric field showed different values at distances of 30, 60 and 90 cm around the laptops on four sides. Moreover, mean electric field on the keyboard at the four operating modes were statistically different for DELL and hp laptops (P< 0/05).

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Conclusion: The results of this study showed that laptops produce extremely low frequency (ELF) electric and magnetic fields which their intensity depends on laptop type, laptop operation mode and the location of the measurement.

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Introduction: Job design approach is one of the significant concepts in ergonomics Experts believe that integration of macro ergonomics and job design can lead to improved productivity in the organizations. Therefore, this study examined the relationships between job design, performance and job satisfaction.

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Methods and Materials: This cross - sectional study was done in 11 branches of one of the bank in Hamadan. Job Design Questionnaire, Job Satisfaction Questionnaires and Bank Performance Indicator were used in order to collect data. spearman correlation coefficient was used for determining the correlation between each two variables.

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Results: This study showed that the motivational approach was the minimum approach (3.8%), and the mechanical approach, was the dominant approach (74.7%) in the study branches and the majority of branches had an average level of job satisfaction. Moreover, there was a significant positive correlation between job design (motivational and cognitive approaches) and job satisfaction. In addition, the results showed that between job design (Motivational approach) and satisfaction were significantly correlated with performance, (p = 0.05).

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Conclusion: Regarding the role of job design in job satisfaction and employees, performance, it can be stated that job redesign towards a motivational approach and considering the principles of ergonomics in the workplace, can play an important role in efficiency and productivity of an organization.

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Introduction: The Power plants are as the major industries that have a large number of workers, providing they health is important. Exposure to occupational noise is the pervasive physical agent in industries like power plants and may impact health and for safety status for people. Determination of the sources of noise in workplaces is important step in noise control plans. This study aimed to assess noise pollution and determine the main sources of noise in a power plant for.

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Material and Method: This descriptive cross-sectional study was conducted on the ground floor of the turbine unit of a thermal power plant. Measurements was done based on the ISO-9612 and ISO-11200 standard using by the calibrated sound level meter model TES-1389 on “A” frequency weighting and “Slow” mode for time response. Surfer V.10 software was used for interpolation and noise maps producing. Based on grid method measuring for indicating of noise propagation, we set buffer of danger areas to determine main sources of noise. Also, we used the minimized grid method for measuring and study of noise denotation in vertical surface in each main sources.

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Result: The results showed that the measured indoor sound pressure level in all areas where at the risk category of the units. The highest average sound pressure level was belonged to the unit 2, with 93.1 dB(A). We find the feed water pumps were the main sources in all of the studied units. Among the four main components of the main sources, the highest noise levels associated with the main pump and the gearbox section with about 100 9B(L) and dominant frequency of 2000 Hz.

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Conclusion: Considering that feed water pumps had major sources in indoor power plant noise pollution, engineering noise control such as providing enclosures is necessary to reduce noise pollution to safe levels in the studied plant it is necessary.

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Introduction: Children have been known to spend most of their time at school. They learn their sitting habits in this period of time. Incorrect sitting postures and inappropriate school furniture can result in abnormalities in the vertebral column, back pain, neck pain, Fatigue and discomfort. Hence, this study was aimed to examine the match between students’ body dimensions and existing benches and desks dimensions in Hamadan female primary schools.

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Material and Method: In this study, 624 students of Hamadan female primary schools were investigated and some of their anthropometric dimensions including shoulder height, elbow height, knee height, popliteal height, popliteal-buttock length and hip breadth were measured. In this sense, a chair (with adjustable height, depth and elbow support) and a caliper with movable jaw were used for measurement of anthropometric dimensions. The measurements were performed in a way that thighs were in full contact with the seat, there was a right angle between the thighs and legs, the feet were in full contact with the movable pedal, the trunk was straight and the back and hips were in full contact with the backrest. Following, the match of the dimensions of existing benches and desks with the appropriate dimensions (based on the students’ anthropometric dimensions) were examined.

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Result: The results showed that the seat height, seat depth, seat width, back rest height, desk height, underneath desk height were in acceptable rangefor 10.1%, 17.3%, 5.6%, 53.5%, 1.9% and 31.1% of students, respectively.

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Conclusion: Despite differences in the body dimensions of primary school students, there is no regularity in using of school furniture. Overall, the dimensions of existing benches and desks are not matched with the anthropometric dimensions of students.

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Introduction: The bank employees usually require the use of computers for long duration in a static position to get the work done. The present study aimed to evaluate the risk factors for musculoskeletal disorder using the ROSA method among the employees of Sepah Bank. An ergonomic intervention was also performed in order to improve the working conditions.

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Material and Methods: This interventional descriptive-analytical study was carried out among 165 office employees of central building of Sepah Bank. Using random sampling, the subjects were initially divided into two groups of case and control. Before and after the intervention, ROSA method and Nordic questionnaire was respectively used to evaluate the risk factors that cause musculoskeletal disorders and the prevalence of musculoskeletal disorders. The data were collected two weeks prior the interventions and 9 months after the interventions. SPSS software version 16 was utilized for data analysis and the effectiveness of intervention was determined.

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Results: Before the intervention, the mean ROSA scores of all groups' workstations were above 5 with high risk. The results obtained 9 months after the interventions manifested a statistically significant decrease (P<0.001) in the ROSA mean scores and its components in the groups who received the interventions. 9 months after the intervention, the prevalence of musculoskeletal disorders among the subjects who had received intervention showed a significant reduction, as well (0.001> p).

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Conclusion: Using the ROSA technique was seemed to be beneficialto assess the ergonomic risk factors of office works, and the deficiencies in the workstation can be identified through this method. Moreover,by design and implementation of an educational intervention program along with engineering interventions which comply with the elements of this technique, the defects can be eliminated.

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Introduction: Studies have shown that bank clerks experience high levels of stress. Stress is known as the main cause of reduction of job satisfaction and staff commitment and overall organization performance. This study aimed to investigate the association between psychosocial stressors, organizational structure, and job satisfaction.
 

Methods and Materials: This cross-sectional study was performed in 11 branches of a bank in Hamadan. In order to collect data, General Nordic Questionnaire (QPS Nordic 34+), Organizational Structure and Job Satisfaction Questionnaires were used. For determining the relationship between the two variables spearman correlation coefficient was used. Moreover, chi-square test was used to investigate the association between qualitative variables.
 

Results: Job stress (57%) and job satisfaction (39%) of the subjects were in the average level, and structure of the majority of the branches was somewhat inflexible (69%). What is more, there was a significant positive correlation between job stress and dimensions of organizational structure (centralization, formalization). Results manifested a significant correlation between organizational structure and job satisfaction (P-value= 0.05).
 

Conclusion: Considering the effect of organizational structure and work-related psychosocial stressors on job satisfaction, it can be stated that organizational restructuring to achieve organic structures and paying more attention to psychosocial stressors in the workplace, can play an effective role in the efficiency and productivity of the organization.

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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: Exposure to crystalline silica dust can seriously threaten health of workers engaged in processes such as casting, stone crushing, grinding, construction activities, insulator manufacturing, and glassblowing and sandblasting. The aim of this study was to assess occupational exposure to crystalline silica and to determine the risk of mortality from silicosis and lung cancer in an insulator manufacturer.

Material and Method: Air personal sampling was performed using 10 mm nylon cyclone and mixed cellulose ester (MCE) membrane filters (5 mm diameter, 0.8 μm pore size) for 60 male workers. Samples were prepared and analyzed according to the National Institute for Occupational Safety and Health (NIOSH) 7601 standard method. The risk assessment of mortality due to silicosis resulting from crystalline silica exposure was done by using model of Mannetje et al. for the period of 10 years. The mortality rate of lung cancer was determined using a linear regression model derived from the study Rice et al.  

Result: The highest and lowest exposure levels to silica were belonged to the packing unit (0.54±0.28 mg/m3) and the furnace (0.02±0.01 mg/m3), respectively. Crystalline silica concentrations for all samples were higher than Threshold Limit Values (0.025 mg/m3) recommended by the American Conference of Governmental Industrial Hygienists (ACGIH). According to Mannetje et al. model, the cumulative exposure of 25% workers was in the range 0 to 0.99 that it represents 1 death per 1,000 people. The risk of mortality due to lung cancer was obtained in the range of 7-94 persons per 1000 workers exposed to silica.

Conclusion: In general, the geometric and arithmetic mean of crystalline silica exposure was higher than threshold limit value for most of the subjects. For all workers of the insulator manufacturer, the risk of silicosis related mortality was higher than 1/1,000 (unacceptable level of risk). Predicting the lung cancer mortality from silica exposure indicated a high level of mortality risk among understudied workers.

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Introduction: Exposure to vibration as one of the consequences of industrial noise or the use of vibration generators can cause discomfort, reduce the efficiency and level of safety in workplaces. Therefore, in this study, the effect of whole body vibration on individual’s mental performance and response time was investigated.

Material and Method: In this study, 40 male students of Tehran University of Medical Sciences were selected randomly and divided into two 20 subjects groups. Each group participated in two Pegboard Board and Math Calculations tests. Subjects in each stage of test were exposed to whole body vibration with acceleration in 0.8 and 1.1 m/s2 as well as background mode without vibration and were investigated response time and mental performance.

Result: In the present study, the mean response time to the manual Purdue Pegboard test in the vibrational acceleration of 0.0, 0.8 and 1.1 m/s2 with a decreasing trend was 197.55 ± 2.7, 176.25 ± 5.38 and 177.58 ± 2.92, respectively, which results in a significant reduction in the accuracy of the test. Also, the results showed that whole body vibration does not affect mental performance in shallow levels. But, in the intermediate and deep levels, this difference is statistically significant (p <0.001).

Conclusion: Based on the results, whole body vibration is an effective factor in individual’s response time and mental performance, which can lead to a reduction in the accuracy of the work.

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Introduction: Impairment of alertness, attention and performance associated with sleepiness and fatigue in nurses occur in night and long-term shifts that in the end of night shift reach to the maximum level can lead to traffic accidents when they returning home. The purpose of this study was to determine the effect of night shift on psychomotor abilities of driving in nurses after shiftwork.
 

Material and Method: A cohort study was carried out on 23 night shift and 24 day shift female nurses aged 20 to 40 at Sina Hospital in Tehran city, using the Vienna Test System (VTS). The concentration and selective attention, reaction time, pheriperal perception, and coordination before and after night and day shifts were measured. A multiple linear regression model and Backward stepwise selection method was used for analyses.
 

Result: In the concentration and selective attention test, sum hits  (p = 0.038) and in the visual perception test , divided attention (p =0.006) and visual field (p =0.019), and in the  reaction time test the mean motor time  (p =0.034) showed a significant adverse relationship with working in night shift, but the visomotor coordination variables did not show any significant correlation.
 

Conclusion: The results showed that the concentration and selective attention, peripheral perception, and reaction time of psychomotor ability of driving were significantly adversely impaired in nurses after night shift. These results in evidence of the mechanism of increasing traffic accidents after night shift among nurses added to the previous studies in this subject.

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Introduction: Despite nanofibers have attracted great interests for filtering particulate matters from the air stream, fewer studies have been done on the feasibility of their use in the removal of gas pollutants, while the both pollutants are present in the most workplaces. Toluene is a toxic and mutagenic substance, and chronic exposure to its low levels can lead to a wide range of adverse health effects on people who exposed. The purpose of this study was to produce polymer /single-walled carbon nanotube hybrid nanofibers by electrospinning technique and doing plasma surface treatment and evaluating their removal efficiency of toluene from air stream.  
Material and Methods: The nanofiber layers were fabricated by electrospinning solution containing polyacrylonitrile polymer (PAN) and single-walled carbon nanotube (SWNT) with a 99: 1 ratio under following conditions: applied voltage 20 kV, distance between needle and collector: 10 cm, injection rate: 1 ml / h; needle diameter: 18 gauge and drum speed ranging from 1000 to 500 rpm. The surface of the manufactured nanofibers was treated by cold-plasma with a radio frequency power supply (13.56 MHz with a power of 20 watts), argon gas and operating pressure of 0.2 torr. Test conditions was prepared according to standard ISO 10121-1: 2014, which provides a method for testing the performance of gas-phase air filter for a variety of flat sheet media. In order to measure the concentration of toluene, the First check – handheld multi gas VOC detector equipped with a PID detector was used. The morphology characteristics of the fibers was performed using the analysis of scanning electron microscope images. Infrared spectroscopy-Fourier transform was used to identify organic compounds and functional groups in nanofibers.
Results: The results of the analysis of the images showed that the mean diameter of the fiber was 169.16 ± 7.19 nm and the mean coefficient of variation was 0.23. The uniform and bead nanofibers were obtained. The thickness, porosity and air permeability coefficient of test media was 0.15 mm, 43% and 5.75 Darcy, respectively. The mean removal efficiency of PAN / SWNT nanofiber treated with plasma was 98% and the mean pressure drop was 100 Pascal. The FTIR spectrum of the test filter media showed that the peaks appearing at certain wavelengths related to the vibration of C-H aliphatic groups of C-C and C=O bands related to PAN polymer and carbon nanotubes.
Conclusion: Removal of toluene was achieved through the fabrication of PAN/SWNT hybrid nanofibers treated with plasma. Uniform nanofibers were obtained and showed the proper removal efficiency and low pressure drop.

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Introduction: Work-related musculoskeletal disorders (WMSDs) are any disorders or injuries to the musculoskeletal system due to working procedure or conditions. WMSDs is one of the main causes of occupational injuries and disability in advanced and developing countries. The present study was conducted to evaluate the prevalence of musculoskeletal disorders in drivers in order to achieve complete results with high statistical power, using meta-analysis method.  
Material and Methods: This study is a systematic review and meta-analysis. In this study, the articles extracted from national and international databases, including Scientific Information Database (SID), Science Direct, PubMed (using the word MESH), Pre Quest, Scopus, Google Scholar, Iran Medix, SID, and MedLib. The main keywords for the search were Prevalence، Musculoskeletal and Drivers. The time for selecting articles was from 2000 to 2017. Data were analyzed using meta-analysis (random effect model). I2 and Q indexes were used to calculate heterogeneity. All statistical analysis was performed using STATA 14 software.
Results: In this study, 22 articles were entered into the meta-analysis process. The sample size was 7706 people with mean of 350 people in each study. The prevalence of musculoskeletal disorders in different organs of drivers was as follows: 26.19% (CI: 38-14.30), 18.07% (CI: 25.99-10.16), and 5.75% (CI: 8.27-3.22) in neck, shoulder, wrist / hand, and elbow respectively. The highest prevalence was related to low back pain 41.63% (confindence Interval (CI): 33.09-50.17), and the lowest prevalence was related to elbow disorder 7.45% with (CI: 95.46-9.43).  The significance level was set at 0.05.
Conclusion: The results of this study show that the prevalence of pains in the back, neck, and shoulder are high among drivers. Also, due to the high prevalence of predicting the incidence of impaired driving. in order to control and reduce these disorders, appropriate design of seats and equipment of vehicles, conducting periodic examinations of drivers,performing proper exercise, and considering adequate rest time in working hours are recommended. Ergonomics and occupational health education programs are also recommended to reduce the risk of developing musculoskeletal disorders associated with driving.

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Introduction: Among the pollutants present in the ceramic and tile industry, silica dust is particularly important, and many studies have investigated the effect of this material on the respiratory system. Many occupational exposures may result in a decrease in spirometric parameters.
Materials and Methods: In the present study, totally, 120 male workers and employees of the factory, who had work experience of over 5 years and were not changed during the study, were included. Demographic information, including age, height, weight, work experience, smoking status and spirometric indices,  were extracted from the medical records of the workers from different groups for 5 consecutive years. All spirometry tests were performed using the FUKUDA ST 300 digital spirometer (Italy) calibrated once a year. The generalized Estimation Equation (GEE) method was used to study the trend of changes in each of the spirometric indices more accurately. Research related data were analyzed using SPSS software version 23.
Results: The trend of changes was only significant for the FEV1 / FVC and FEF indices; for other indexes, the trend of changes was only observed in some years. The trend of changes was not significant for the FEV1 index, but smoking had a significant effect on the changes in this index. So, the level of this index was lower for cigarette smokers.
Conclusion: In this study, a clear downward trend was not found in the spirometric indices over 5 years, and only the FEF1 / FVC and FEF 2575% indices markedly were reduced in some occupational units, but due to the decline in some indices as well as proving the bad effect of Silica dust and other compounds on the respiratory system, there was an urgent need to implement management and engineering controls and protect the workers in the workplaces

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Introduction: Many studies have been carried out on the effects of heat stress on cognitive functions, but the results are contradictory. Therefore, this study was conducted to review the effect of heat stress on cognitive functions.
Material and method:  In this study, all English articles conducted on effect of heat stress on cognitive, perceptual, and psychomotor functions from 1970 to 2018 were reviewed. For this, articles with keywords such as heat strain, heat stress, cognitive function, memory, comprehension, psychomotor, reaction time, mental performance, mood, mental response, error, task performance, fatigue, alertness, hyperthermia, and heat exhaustion in the  Scopus, Web of Science, Science Direct, Pub Med, Springer, Wiley Online Library and ProQuest databases were searched. Out of 157 retrieved articles, 39 articles were finally reviewed according to the inclusion criteria.
Results: Out of 157 retrieved articles related to the topic, according to the inclusion criteria, 39 articles were finally considered for review. Among this articles, 9 (%23) articles were published before 2000 and 30 (%77) after 2000. Two articles were in athletes, four articles (%10.2) in workers, four articles (%10.2) in students, four articles (%10.2) in military soldiers and twenty-five articles (%64.2) were conducted in ordinary people.Based on the results, heat stress was identified as a detrimental factor for decreased cognitive functions such as reading comprehension, memory, focus, mathematical processing, tracking test, reaction time, perception  and decoding text and numeric messages, visual alertness, mental computing, text reading , hidden figures test and verbal fluency.
Conclusion: Based on the results of these studies, heat stress has been introduced as a detrimental factor for disrupting cognitive functions, but conclusion based on the results of studies is a systematic method is difficult because many confounding variables such as type of work, exposure time, skill and adaptation plays a big role.