Journal of Health and Safety at Work

---

Introduction: Occupational exposure to manganese can cause neurobehavioral symptoms. The aim of present study was to survey neurobehavioral symptoms of welders exposed to manganese- containing welding fumes and compare the frequency of these symptoms with unexposed group.

.

Material and Method: Twenty seven of welders as exposed group, and 30 administrative workers as unexposed controls, were participated in this study. Neurobehavioral symptoms data were gathered using Q16 questionnaire. Manganese concentrations were determined according to the NIOSH 7300 method. After preparing of blood samples using microwave assisted acid digestion method, all samples were analyzed to determine manganese by graphite furnace- atomic absorption spectroscopy (GF-AAS).

.

Result: The mean exposure to air manganese was 0.023± 0.012 mg/m3. Manganese concentrations in blood samples of welders (15.88± 7.11 µg/l) were significantly higher than unexposed workers (9.37± 8.70 µg/l), (P-V<0.05). The frequency of neurobehavioral symptoms of welders was significantly higher compared to unexposed workers (P-V<0.05). The correlation between neurobehavioral symptoms and blood manganese was significant for welders (P-V<0.05).

.

Conclusion: Welders’ exposure to manganese and its potential health effects should be evaluated periodically and effective control measures should be applied in order to to prevent neurobehavioral symptoms.

---

Introduction: Volatile organic compounds such as xylene, which are the main constituents of the oil and petrochemical industries, have serious impacts on health and can cause adverse effects on the environment. It is clear that release of these compounds into the environment should be controlled. The two-phases partitioning stirred tank bio-reactor is one of the newest methods for treating these compounds which have few side-effects besides of having appropriate efficiency since itdestroyscontaminant completely and transform it tosafer compounds.

.

Material and Method: In this study, a two phase partitioning stirred tank bio-reactor, in lab scale, was used for treating the gas stream containing xylene vapors. The aqueous phase containing the bacteria Pseudomonas putida and nutrients inserted into the bioreactor with 3:1 ratio and system performance was evaluated for 432 hours in the concentration range of 1000 mg/m3 to 3500 mg/m3

.

Result: Empirical findings of this study showed that the maximum, minimum and average of removal of xylene vapors by stirred two phase bioreactor containing a pure strain of Pseudomonas putida were 94.00, 54.00 and 84.94 percent, respectively.Furthermore, maximum, minimum and average of elimination capacity of xylene were obtained 93.00,24.00 and 62.02 g/m3/h, respectively

.

Conclusion: Overall, the results of the present research revealed that the application of two phase stirred tank bioreactors (TPPBs) containing pure strains of Pseudomonas putida was successful for treatment of air streams with xylene.

---

Introduction: Noise pollution in urban areas has been recognized as a major problem. Since hearing damages are the main concern of noise exposure, other physical and psychological effects should not be ignored. Noise-induced annoyance and consequently its side-effects, such as fatigue and loss of concentration, would increase the probability of human errors occurrence and occasionally irreversible occupational accidents. This matter show the importance of noise exposure level from the standpoint of both community health and workplace safety.

Material and Method: This cross-sectional study was conducted to investigate the annoyance caused by air transportation noise in tehran, 2014. In this sense, a sample of 200 individuals were selected from residential and nonindustrial noise-exposed population in four southwest regions in Tehran. Following, the study questionnaires including annoyance (Recommended based on ISO 15666-2003), visibility of airplane, noise perception, and demographic variables were distributed and completed by the participants. Data obtained from Integrated Noise Model (INM) and geographic coordinates of measurement stations, recorded by Glopal Positioning System (GPS), were entered into the GIS software in order to estimate air traffic noise.

Result: The present study showed that the equivalent sound level of all regions during night, the day average sound level only in the Simetry Jey area, and the average night noise level in all regions except Dorahi Ghopan were more than the acceptable level; and the most precentage of people with high annoyance was belonged to night annoyance rate. On the other hand, the correlation between day level (DL) and day annoyance rate (P=0.01, R=0.142), night level and night annoyance rate (P=0.004, R=0.334), and Day-Night Average Sound Level (DNL) and the day-night annoyance rate (P<0.0001, R=0.235) were obtained statistically significant.

Conclusion: Adopting management srategies for reduction of number of night flights or engineering measures such as improving construction to decrease the rate of receiving noise by exposed people can have a positive considerable effect on declining noise pollution and individuals’ annoyance rate.

---

Introduction: Resilience engineering (RE), as a new approach in the system safety domain, is intended to preserve the performance of socio-technical systems in various conditions; and accentuates the positive activities instead of the failure modes. The aim of this study was to develop a new framework for safety assessment on the basis of RE, using the Fuzzy Analytical Hierarchy Process (AHP) method.  

Material and Method: Current study is an analytical cross-sectional survey performed in a petrochemical industry. Initially, six RE indicators were selected, including top management commitment, just culture, learning culture, awareness, flexibility and emergency preparedness and accordingly an assessment framework was established. Then, the selected RE indicators were evaluated and validated by experts in a specialized panel. Following, an indicator was proposed named “resilience early warning indicator”. Finally, the RE indicator score of the total process was determined using the fuzzy evaluating vector.   

Result: Findings revealed that top management commitment and learning indicators have the most and the least effects on the RE level of the process, respectively. Besides, the flexibility (C3) indicator was located in orange early warning zone (OEWZ) while other indicators were positioned in the no early warning zone (NEWZ). Furthermore, the overall resilience level of the process was evaluated as level III (NEWZ).

Conclusion: Management commitment and emergency preparedness are two main indicators of RE and can carry out the most important effect for remaining the RE in the NEWZ level.

---

Diazinon is commonly used for pest control in the agricultural fields because of its relatively low cost and high efficiency. Due to the increasing application of pesticides, reliable and accurate analytical methods are necessary for their monitoring. This work was aimed to design the high selective electrochemical sensor for determining of diazinon in biological and environmental samples. The composition of sensor was modified with multi-walls carbon nanotubes and a molecularly imprinted polymer (MIP). A diazinon MIP was synthesized and applied in the carbon paste electrode (CP). The prepared sensor was used to determine the concentration of analyte. Parameters affecting the sensor response, such as sample pH, electrolyte concentration and its pH, and the instrumental parameters of square wave voltammetry, were optimized in different levels to select the optimum conditions for analysis of diazinon. The MIP-CP electrode showed very high specificity for determining the analyte. The obtained linear range was 1×10-6 to 5×10-10 mol L-1. The detection limit was 2.7×10-10 molL-1. This sensor was successfully used to determine the diazinon in environmental and biological real samples without special sample pretreatment before analysis.

---

Introduction: Teaching has been reported stressful. Although, the majority of teachers aren’t anxious or unmotivated and they even consider their job valuable and satisfying. Job demands-resources (JD-R) is a comprehensive model in occupational stress domain that simultaneously examines the stressful and motivational aspects of occupations and their related outcomes. Accordingly, the objective of this paper is to investigate job characteristics of teaching (job demands and job resources) and their subsequent outcomes by utilizing proposed model.

Material and Method: This study was a cross-sectional design among 247 high school teachers in Tehran city who were selected by two-stage cluster sampling in spring and summer of 1391. Three aspects of job demands (pupil misbehavior, work-family conflict, and cognitive demand), 2 aspects of job resources (supervisory support and job condition), emotional exhaustion, vigor, teacher’s illness symptoms, and organizational commitment were assessed using job demands-resources model. The data were analyzed by means of SPSS 21 program and path analysis by using AMOS 23 program.

Result: According to the results, model fit indices were in acceptable range and all the coefficient paths were significant (p<0.001). Considering model, Job demands were a better predictor for emotional exhaustion (β=0.3) than job resources (β=0.2). However, they had an equal but opposite impact on vigor (β=±0.27). Moreover, we observed partial mediation relationships between job demands and illness symptoms and job resources and organizational commitment via emotional exhaustion and vigor respectively.

Conclusion: Based on the findings, fostering initiatives with priorities of firstly regulating job demands and secondly improving job resources can be effective strategies to reduce job related burnout and promoting job engagement, health and organizational commitment of teachers

---

Introduction: The use of hearing protective devices (HPDs) is the last way for noise control. It is important to know the information about the duration time using these devices to ensure protetion effectiveness. The aim of this study was to investigate the effect of increasing duration time of the using of the devices on hearing loss in tile industry workers with application of the BASNEF education model.  

Material and Method: Task Base Method (TBM) and ISO9612(2009) standard methods through a noise dosimeter device were used to exmine workers’ noise exposure level when they didn’t used of HPDs. Actual performance of HPDs was determined by using the NIOSH standard before and after training intervention and measuring time of use and protection device type. Data were analyzed using SPSSVv19 and conducting t-test and ANCOVA statistical tests.   

Result: Before training intervention, the actual noise level for case workers was 89.76 dBA. On the contrary, this value was 84.04 dBA for after intervention, with a significant difference with control group (P<0.0001) using ANCOVA analysis. In control group, the actual level of noise has not changed because this group has not received any training.

Conclusion: The results revealed that, based on BASNEF education model, duration time of using hearing protection devices is effective on increasing their function and performance.

---

Introduction: Designing behavioral modification interventions for the use of personal protective equipment (PPE) warrants the audiences identification and analysis. This study aimed to determine the predictive factors for using (PPE) based on Social Cognitive Theory (SCT) constructs among workers of Iran Aluminum Factory, 2018.
Material and Methods: In this descriptive analytical study with cross-sectional method, a researcher-made questionnaire including demographic information, knowledge questionnaire and designed items based on the SCT construct, was fulfilled by 188 workers employed in production line of Iran Aluminum Factory in Arak. The collected data was analyzed using descriptive statistics, Chi-square and logistic regression analysis on SPSS 24. The significance level was set at P< 0.05.
Results: Among the participants, 46.8% (n=88) and 52.2% (n=100) of workers had moderate and high level of knowledge, respectively. Demographic variables such as marital status, educational level, income, age, work experience and employment status (p <0.05), as well as all SCT constructs (p <0.05) had a significant relationship with knowledge. Logistic regression analysis revealed that the level of education and employment status with probability of 80.6% and self-control, environment and self-efficacy of perceived barriers constructs, with a 64% probability could explained workers in high-knowledge group.
Conclusion: The present study revealed that the variables such as level of education, employment status, self-control, environment and self-efficacy of perceived barriers could be effective in designing educational interventions to improve workers’ knowledge on using personal protective equipment.

---

Introduction: Workers in car manufacturing industry are at risk of a high prevalence of musculoskeletal disorders, especially low back pain. Therefore, in the present study aimed to design and fabricate a portable device to evaluate the low back kinematics and to compare these variables in workers with and without low back pain (LBP) in assembly lines of an automotive industry.
Material and Methods: In the present research workers postures were assessed using OWAS direct observational method. Moreover, simultaneously, prevalence and intensity of low back pain were evaluated by Dutch Musculoskeletal Questionnaire (DMQ) and Visual Analogue Scale (VAS). After fabricating motion analysis device, a field study was conducted using the designed device among 16 volunteers to investigate low back kinematic variables in two groups of workers: LBP and non-LBP.
Results: The results showed that 62.1 percent of all working postures were high risk with corrective action levels of 3 and 4. On average, 86.1 percent of workers experienced LBP in the previous 12 months. Regarding comparison of kinematic variable in the two groups of LBP and non-LBP, workers without LBP had higher degree and duration (in second) of movements (forward flexion, lateral bending, extension, and twisting), as compared to those with LBP. However, only movement range of forward flexion in non-LBP group (mean: 64.29 and SD: 8.41), was significantly higher than those with LBP (mean: 58.97 and SD: 11.34).  
Conclusion: The device can be used as an effective tool in the ergonomics studies in the field of back pain, due to its potential to record the kinematics of the trunk, as well as its lightweight and non-interference with the task. Device’s validity was acceptable based on the comparison of the results of this device with those obtained from inclinometer.

---

Introduction: Climate change and hot processes in the workplaces has led to an increase in the effects of heat stress on employed people, which has become a major concern, especially in tropical and subtropical countries. Early detection of biomarkers in induction of heat stress-related DNA damage can be used in the identification and evaluation of health and safety, including occupational health professionals, as well as to prevent serious diseases caused by heat stress in various occupations with the nature of hot processes or to help different warm seasons of the year. Therefore, this review study was conducted to identify diagnostic biomarkers heat stress induced- DNA damage in occupational exposure.
Material and Methods: Databases such as PubMed, Scopus, Google Scholar, and Web of Science were systematically searched to meet the study’s goals. Moreover, references to relevant publications were examined. Finally, suitable articles were selected and analyzed using the inclusion (studies on different occupations, different biomarkers in hot work environments, all articles published without time limit until the end of April 2022 , and English and Persian language)  and exclusion criteria.
Results: The results of search in databases showed that 9234 articles were found in the initial search. After removing duplicate and unrelated articles, 2209 eligible articles were selected. Based on abstract full-text screening, 7166 studies were excluded, and based on abstract full-text screening, 21 studies were not accessible. Finally, seven articles were selected to be reviewed. The evidence showed that diagnostic biomarkers included the measurement of 8-hydroxy-2-deoxyguanosine (8-OHdG), micronuclei semen quality, heat shock proteins (HSP70), and leukocytes were extracted to heat stress induced- DNA damage in occupational exposure.
Conclusion: Based on a review of studies,  biomarkers identified are suitable for heat stress induced- DNA damage as a result of occupational exposure to extremely high heat climate conditions. Understanding and identifying appropriate biomarkers in inducing DNA damage can help health and safety professionals determine the amount and magnitude of heat stress responses in occupational exposure to different temperatures and take appropriate measures and interventions to control and reduce the hazard effects of thermal stress. This study can also be considered as a preliminary study for research in the future.

---

Introduction: In recent years, the manufacture of air purification media, especially nanofiber filters using polymeric materials and the electrospinning method, has received much attention in air pollution control. The production of high-performance media and low-pressure drops is an important issue in air filtration. This study aimed to investigate the feasibility of fabricating electrospinning polyethylene terephthalate (PET) media to abduct submicron and micron particles from the air stream.
Material and Methods: To determine the optimal device conditions in the manufacture of PET media, different weight percentages of a PET polymer solution in a mixture of trifluoroacetic acid and dichloromethane solvents (70:30) were first prepared in a pilot study, and various parameters of the electrospinning device were examined and analyzed along with performing the electrospinning process. The surface and morphological characteristics of the media were evaluated using SEM. The pressure drop and efficiency of particle trapping were assessed using a mask and media pressure by a pressure drop test device.
Results: The optimal electrospinning conditions of the PET polymer solution were obtained at a concentration of 20%. The average diameter of nanofibers PET was 163 ± 600 nm with a pressure drop of 26.33 ± 5.5 pa, and average efficiencies of 97.42 ± 1.67% and 99.85 ± 0.21 were obtained for submicron and micron particles, respectively, with a quality factor (QF) value of 0.1740.
Conclusion: The produced media can abduct and remove particles from the air stream for submicron and micron particles in ranges of 96-99% and 99-100%, respectively, with an average pressure drop of 26.33±5.5 pa.

---

Introduction: The COVID-19 pandemic has been a significant global health challenge. Primary care services, such as screening health centers, were crucial in identifying infected individuals. However, these centers were often crowded and posed a high risk to staff and non-COVID-19 patients. This study aims to assess the risk of airborne transmission of SARS-CoV-2 in such settings through simulation.
Material and Methods: In this study, waiting and sampling rooms of a COVID-19 healthcare center were simulated using different scenarios. Then, the Quanta emission rate was estimated using the viral load in the sputum of infected individuals. Finally, the airborne transmission risk of SARS-CoV-2 was determined using the Wells-Riley method for scenarios of wearing and without masks.
Results: The study showed that the Quanta emission rate in an unmodulated speaking activity was higher than other expiratory activities in both units (p <0.001). Also, the total amount of Quanta was slightly higher in the sampling room than in the waiting room, which was not statistically significant. On the other hand, the calculation of transmission risk showed that the probability of airborne virus transmission in the sampling room was higher (about 2 to 8%). In addition, wearing masks reduced the possibility of airborne transmission of the virus significantly (77 to 81%).
Conclusion: This study shows that the level of risk in the sampling and waiting rooms is moderate. Masks also significantly reduce the possibility of airborne transmission of SARS-CoV-2. Taking appropriate health and safety measures such as avoiding crowds, wearing masks, whispering, and monitoring social distancing can reduce the plausibility of airborne transmission of the SARS-CoV-2 virus.