Journal of Health and Safety at Work

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Introduction: Heat stress is a critical problem in hot industries, especially in incredibly hot climates. It can greatly impair the work process and put the health of workers at risk. This study aims to investigate the applicability of the WBGT index in determining the allowable working time in very hot weather conditions in one of the steel industries in Ahvaz.
Material and Methods: This study was conducted in different sectors of a steel industry in Ahwaz. The physiological parameters of sixty workers working in different parts of the industry were evaluated. Environmental variables and the Wet-Bulb globe temperature (WBGT) Index were also simultaneously measured during work shifts. The acceptable work time was calculated based on the reserve heart rate (RHR) and the WBGT index.
Results: The heat stress index among all occupational groups, based on the WBGT index, was incredibly high and surpassed the recommended level (P<0.05). The statistical test results also indicated a significant difference between the two indices in predicting the adequate work time at different work stations (P <0.05).
Conclusion: The current study results revealed that using the WBGT index for assessing and managing the risk of heat exposure in a hot climate may not have sufficient reliability and performance. Consequently, it is recommended to use optimal indices based on environmental and physiological assessments in a hot climate in order to monitor and control the heat stress associated with heat exposure. 

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Introduction: Prevention of heat-related diseases requires the participation of the workers. For this reason, the aim of this study was the development and validation of the tools for evaluating awareness and practice related to heat stress among the workers of warm workplaces.
Material and Methods: The various items and factors related to the awareness and practice of the workers were identified by the literature review. Then, several questions for evaluating these items were designed. In the next step, the reliability and validity of the questionnaires were appraised using calculating the content validity ratio (CVR) and content validity index (CVI), and Cronbach’s alpha coefficient, respectively. After that, these questionnaires were completed by 2338 employees of six industries in various regions of Iran. Finally, collected data were analyzed using SPSS software.
Results: In total, 77 questions, including 53 questions on awareness and 24 questions on practice in six groups of water and beverages, food, snacks and additives, heat exchange, thermal strain risk factors, clothing and heat protection equipment, and heat-related disorders and body reactions, were designed. The values of content validity index (CVI) of remained questions in the questionnaires of awareness and practice were equal to 0.954 and 0.824, respectively. The values of Cronbach’s alpha coefficients of these questionnaires were calculated by 0.755 and 0.716, respectively. The values of the chi-square divided by degrees of freedom (CMIN/DF) and root mean square error of approximation (RMSEA) in the construction of the awareness questionnaire were computed as 4.58 and 0.079, respectively. These values in the construction of the practice questionnaire were calculated by 2.33 and 0.084, respectively.
Conclusion: The results showed that the designed questionnaires had appropriate reliability and validity and could be used to evaluate the awareness and practice in warm workplaces.

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Introduction: Many industries have multiple factors harmful to health, leading to simultaneous exposure of these factors to each other. Noise is one of the most common physical parameters in the work environment. On the other hand, heat is also increasing due to various energy processes in industries. Therefore, this study was conducted with the aim of determining changes in physiological parameters and visual-auditory attention in acute exposure to heat and noise.
Material and Methods: In this experimental study, 72 individuals (36 men and 36 women) aged between 23 and 33 years participated according to the inclusion criteria. In total, 12 different test modes were performed (3 temperature levels and 4 noise pressure levels). The test was conducted for each person in 4 steps during a specific day. The duration of exposure to each condition was half an hour, and a half-hour rest was given between each test condition. Saliva samples of each subject were collected before and immediately after exposure to noise and heat. Also, The Integrated Visual and Auditory (IVA) was recorded by the participants simultaneously.
Results: The results of combined exposure to noise and heat on visual and auditory attention showed that only two modes of combined exposure, SPL95+WBGT34 and SPL95+WBGT29, caused a significant increase (P < 0.05) in mental workload and a significant decrease (P < 0.05) in visual and auditory attention. In addition, the results showed that independent exposure to noise at the levels of 85 and 95 dB and exposure to heat at higher temperature levels of 34 and 29 degrees Celsius cause a significant increase (P < 0.05) in salivary cortisol after exposure. The results of the effect of combined exposure to noise and heat on salivary cortisol showed that three experimental modes of combined exposure (SPL85+WBGT34, SPL95+WBGT29, and SPL95+WBGT34) caused a noticeable and significant (P<0.001) increase in salivary cortisol.
Conclusion: Indeed, salivary cortisol can be recommended as a physiological index to evaluate noise and heat exposure. It’s also noteworthy that salivary cortisol is more affected by noise and heat exposure than cognitive performance.

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Introduction: Workers who work in warm situations need clothes with better thermal regulation. Nowadays, improving the thermal regulation properties of cotton fabric by treating it with phase change materials (PCMs) has been considered. The type of fabric plays an important role in providing thermal comfort. Cotton fabric is the most popular raw material in the textile industry due to its distinctive features. Therefore, this systematic review aims to investigate the effects of PCM nanoencapsulation in commonly used cotton fabrics, including morphology, thermal properties, thermal stability, tensile strength, abrasion resistance, leakage, water absorption, washing ability, and breathability of the fabric, related challenges, and future research trends.
Material and Methods: This research was conducted with the papers obtained from the systematic search in Science Direct, Web of Sciences, Scopus, and PubMed databases. Keywords “nanoencapsulated phase change materials”, “nanoenhanced phase change materials”, “cotton”, “cotton fabric”, and “cotton textiles” were used.
Results: Of the 1251 studies identified through search databases, 13 were selected according to the entry criteria. The results revealed that in all the studies, PCM nanocapsules were successfully synthesized and inserted into the cotton fabric, improving the fabric’s thermal properties. Most studies used in situ polymerization and mini-emulsion polymerization for nanoencapsulation. The pad-dry-cure method was also widely used for applying nanocapsules to cotton fabric.
Conclusion: This systematic review showed that synthesized nanocapsules of phase change materials and applied them to cotton fabric can improve the thermoregulating properties of the fabric. It is suggested to expand the research to design thermoregulating clothes made from treated fabrics and investigate their cooling performance.

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Introduction: Heat stress is a common environmental risk factor for many occupations, which can lead to increased fatigue during cognitive tasks. Fatigue is a multifactorial phenomenon that is affected by various environmental, physiological, and psychological factors, and can affect biomechanical, physiological, and psychological components. This study focuses on the impact of environmental, individual, and physiological factors, and burnout on general fatigue.
Material and Methods: This descriptive-analytical study was conducted among 189 employees of the Iran Oil Company at both indoor and outdoor workstations. Heat stress was measured using the (WBGT) index, and thermal strain risk was evaluated. Variables such as skin temperature, ear temperature, blood pressure, and heart rate were also monitored. To assess general fatigue and occupational burnout, (MFI) and the Maslach Burnout Inventory were completed by the employees.
Results: The results revealed that 79.9% of the employees were exposed to heat stress, with repair workers experiencing the highest levels of emotional exhaustion (23/38), depersonalization (15/34), general fatigue (10/00), and physical fatigue (9/05).  Statistically significant relationships were found between heat stress and fatigue and decreased motivation, between all components of burnout and general fatigue, and between core temperature, blood pressure, and general fatigue (p<0.05). Notably, demographic factors such as marital status, smoking status, and education level did not significantly influence fatigue scores.
Conclusion: Fatigue is strongly associated with heat stress, physiological variables such as body temperature and blood pressure, burnout, personal habits such as sleep duration and exercise, and the type of job. These findings suggest that in hot work environments, monitoring physiological variables and environmental factors can help identify and address fatigue issues.

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Introduction: Wearable thermal management systems and phase change materials (PCMs) have emerged as effective solutions for regulating body temperature and storing thermal energy. This study focuses on synthesizing and thermal optimizing a sodium sulfate decahydrate-based nanocomposite incorporating various nanoparticles to improve its performance for personal thermal regulation applications.
Material and Methods: The composite was prepared using sodium sulfate decahydrate as the base PCM. Potassium chloride (KCl) was added to adjust the melting point, borax (STD) served as a nucleating agent, and sodium polyacrylate (SPA) was included as a thickening agent to suppress phase separation. To evaluate the effect of nanoparticle additives, 0.05 wt.% of aluminum oxide (Al₂O₃), iron oxide (Fe₂O₃), graphene oxide (GO), and titanium dioxide (TiO₂) were separately incorporated into the base formulation. A field emission scanning electron microscope (FESEM) was used to analyze the surface morphology of the resulting nanocomposites. Differential scanning calorimetry (DSC) assessed thermal properties, including phase transition temperatures (melting and freezing points) and latent heat.
Results: Differential scanning calorimetry (DSC) analysis indicated that sample S-5-5 comprising sodium sulfate decahydrate with 3 wt.% KCl, 5 wt.% STD and SPA exhibited a melting temperature of 29.5 °C and a latent heat of 120 J/g. This composition remained stable without phase separation. The incorporation of nanoparticles raised the melting point of the base PCM by 0.6 to 1.72 °C. Aluminum oxide (Al₂O₃) and iron oxide (Fe₂O₃) reduced the latent heat of fusion, whereas GO and TiO₂ increased it.
Conclusion: These findings confirm that the thermal properties of sodium sulfate decahydrate-based PCMs can be tailored by including specific additives and nanoparticles. Hydrated salt nanocomposites demonstrate strong potential as PCMs for wearable body temperature regulation.

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Introduction: Climate change is a major global challenge, strongly influencing the Wet Bulb Globe Temperature (WBGT) index and heat stress among steel industry workers. This study evaluates the impact of geographical location and climate change on occupational heat stress exposure in Iran’s steel sector.
Material and Methods: This qualitative-analytical study used data from the SABA system and the Iranian Occupational Heat Stress Atlas. Information on steel industries, their distribution, and production capacities across eight climate zones was extracted. WBGT measurements were collected in collaboration with industrial units in different zones. Data analysis was performed using ArcGIS and SPSS. The effects of climate change on heat stress were assessed for three future horizons: 2040, 2060, and 2080.
Results: The findings revealed that climate zones G1 (eastern, southeastern, and desert regions) and G4 (Persian Gulf coastal provinces including Hormozgan, Bushehr, Fars, and Khuzestan), which host the highest steel production capacities, are exposed to the highest levels of heat stress (WBGT index) and water resource scarcity. WBGT values in zones G4 and G6 (Gilan province) exceeded permissible limits, whereas zones G2 (including North Khorasan, Razavi Khorasan, Tehran, Alborz, Qazvin, Hamedan, Markazi, and Chaharmahal-Bakhtiari), G5 (Kurdistan, Kermanshah, Lorestan), and G7 (Ilam, Kohgiluyeh and Boyer-Ahmad) showed the lowest WBGT levels. Considering projected temperature increases in the three future horizons and the acceptable correlation coefficient (0.40) between annual daytime temperature and WBGT index per climate zone, predicted temperature changes may lead to increased WBGT levels, particularly in zones G3, G6, and G8.
Conclusion: Given climate projections and the spatial distribution of steel industries, it is essential to develop climate-responsive policies, implement sustainable water resource management, and reconsider the siting of steel production units. These measures can enhance the resilience of Iran’s steel industry against future climate change and mitigate occupational health and environmental risks.