Journal of Health and Safety at Work

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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: Nowadays, HEPA filters is used in hospitals, clean rooms, microbiology hoods, ventilation of surgery rooms, and Pharmacy for removing microorganisms and reduce health hazard. The aim of this study is to increase the efficiency of HEPA filters with UVC radiation to reduce the density of airborne microorganisms.

Material and Method:  The closed–loop chamber was made to evaluate Staphylococcus epidermidis, Bacillus subtilis bacteria and Aspergillus Niger, Penicillium fungi. The concentration of fungi and bacteria suspension Respectively was 106, 107 CFU/ml. After the suspension was prepared, it was sprayed into the closed loop chamber by nebulizer. Sampling was done with UVC radiation (1.8 mW/cm2 Illuminance) and no radiation (dark) that included time periods 60, 90 and 120 minutes. Microorganisms density was determined in term of CFU/m3.

Result: The result showed that there was a significant difference between UVC radiation and dark section for all the microorganisms (epidermidis, subtilis, Niger and Penicillium) at each time periods (P value< 0.05). This indicates that concentration of four microorganisms were decreased at all the time periods. UVC radiation could change the essential molecular substances for cellular factor. UVC can penetrate the cell walls of microorganisms. thus nucleic acids and other cellular vital material affected and will cause the destruction or inactivation of microorganisms.

Conclusion: UVC radiation is effectiveness to decrease concentration of four microorganisms. because UVC radiation could remove both bacteria and fungi. While the other studies in other countries, UVA radiation is only effective in reducing bacteria. Therefore, achieved greater efficiencies of HEPA filters, using HEPA filters with UVC will have a significant effect on reducing the density of microorganisms.

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Introduction: Heat stress is caused by many factors such as individual factors, environmental factors, and management factors. Individual risk factors can decrease the heat tolerance, and play an important role in heat stress disorders incidence. The aim of this study was to review individual parameters influencing the thermal stress and review the preceding studies.

Material and Method: In this review study sites such as Web of Science, Scopus, Pubmed, Iran Medex, Magiran, Google Scholar and SID databases were used for search. The keywords included heat stress, personal factors and heat exposure. The period of 1995 to 2015 was investigated, and finally 75 original articles were identified.

Result: At the individual level, exposure with a single risk factor may reduce the workers’ heat tolerance; while exposure with a combination of several risk factors probably synergistically increases the risk of heat-related disorders. Individual risk factors include age, gender, obesity, fatigue, race, and previous heat disorders and dehydration. In addition, some diseases (such as cardiovascular disease, diabetes and infectious diseases) or use of certain drugs or alcohol can reduce the heat tolerance.

Conclusion: It is necessary to pay attention to the mentioned items when selecting workers in the hot environments. Also, due to the lack of awareness and knowledge of workers, it is necessary to provide appropriate training programs to reduce the effects of heat stress.

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Introduction: Hexavalent chromium (VI) is a very strong oxidizing agent that, despite its many uses in various industries, duration of the exposure can lead to lung cancer, deep wounds (in the hands, arm, tongue and palate), nasal septum perforation, burning and inflammation in the nose, lung and upper respiratory tract, asthma, contact dermatitis, damage to the kidneys and liver, and skin allergy. This study aimed to determine the activated carbon efficiency in chromium adsorption (VI) from air flow and its effective parameters. 

Material and Method: In this experimental study, chromium mists were generated by a nebulizer (3A model, Italy). Performance of activated carbon in the Cr (VI) adsorption and its influencing factors such as air flow rate (1 and 3L/min), the initial Cr concentration (0.05, 0.15, 1 and 10 mg/m3) and bed depth (2.5, 5 and 10 cm) were investigated. Yoon-Nelson and Thomas models were used to predict performance of adsorbent column and correlation test was used to determine accordance between the model and actual data.

Result: Activated carbon adsorption capacity increased with increasing of bed depth but decreased with increasing of flow rate and inlet concentration. The results showed that the Yoon-Nelson and Thomas models with a correlation coefficient above 0.9953 matched with the experimental data.

Conclusion: The results indicated that activated carbon has a high efficiency in Cr (VI) adsorption, so that its efficiency at flow rate of 3 L/m, depth of 5 cm and concentration of 20 TLV and TLV was 85.42 and 71.83 percent respectively.

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Introduction: Electrospun nanofibers are suitable option to synthesize filtering mats for nanoparticles. This study was aimed to fabricate polyurethane nanofiber mats through electrospinning process and to investigate the effect of different parameters such as packing density, face velocity and particle type on the filtration efficiency and quality factor of electrospun polyurethane nanofiber mats.
 

Material and Method: The nanofiber mats were produced by electrospinning  process. Polyurethane granules were dissolved (15w/w%) in a solvent system consisting of dimethylformamide and tetrahydrofuran (3:2). Then, the filtration performance testing system was made at the Fluid Mechanics Department of Hanyang University of South Korea and the filtration efficiency and pressure drop of prepared nanofiber mats were studied.
 

Result: Findings showed that by increasing the duration of electrospinning, the basis weight, thickness, packing density, initial pressure drop and filtration efficiency of the mats increased, and the quality factor of the mats decreased due to the increase of the pressure drop. The increase in electrospinning duration from 15 to 45 minutes was led to the increase in pressure drop from 7 to 32 Pa and the average filtration efficiency was increased about 9-10% for KCl and DEHS test particles. The filtration efficiency and quality factor of the prepared polyurethane nanofiber mats were declined with the increase of filtration face velocity from 2 to 5 and 10 cm/s. The reduction in filtration efficiency was more obvious for particles smaller than 425 nm.
 

Conclusion: The results demonstrated that prepared polyurethan naofiber mats provide acceptable filtration performance. What is more, such nanofiber mats can have other potential benefits such as light basis weight, low thickness and simple production.

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Introduction: Adverse effects of volatile organic compounds (VOCs) including general and specific effects like carcinogenic of benzene are well known. The aim of this study was to evaluate occupational exposure to BTEX compounds in the painting unit of an automotive industry and subsequently health risk assessment of exposure to these compounds.

Material and Method: This cross-sectional study was conducted in the paint unit of an automotive industry including painting cabin, pre-painting salon and painting salon sections. After analyzing samples, gathered from different sections, by GC-MS, BTEX compound were identified as the main contaminants. In the next step, NIOSH1501 and EPA methods were used to measure and analysis of BTEX and risk assessment, respectively.

Result: Findings showed that benzene concentration in painting cabin was higher than occupational exposure limits provided by the Environmental and Occupational Health Center of Iran. Life time cancer risk for benzene per 1000 has been reported10, 3.63 and 1.27in the painting cabin, pre-painting and salon sections, respectively. It was also for ethyl benzene 2.5m 1.8 and 38.0 in the mentioned sections, respectively. The non-cancer risk for benzene and xylene in the painting cabin and pre-painting sections were higher than recommended allowable level.

Conclusion: Regarding the high level of cancer risk values obtained for benzene and ethylbenzene in the studied units and also high values of non-cancer risk for benzene and xylene, it is recommended to conduct biological exposure assessmnet of the workers and improve existence control systems using modern engineering control systems.

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Introduction: Considering the necessity of evaluating novel thermal indices for different individual and environmental conditions, the aim of this study was validation of a new enthalpy index for evaluation of heat stress in hot and dry climate.

Material and Method: In this descriptive analytical 97 city services outdoor workers were randomly selected and evaluated in spring and summer seasons in Qom city, Iran. Correlation between new enthalpy index and standard WBGT index, as well as physiological response of deep body temperature was studied and analyzed.

Result: Findings showed that regardless of the time of measurements, correlation between enthalpy and WBGT index was better than its correlation with tympanic temperature (R2= 0.756 versus R2= 0.391). Considering the time of measurement, it was found that with increasing temperature and decreasing humidity, the correlation between indices was reduced, although the correlation ratio was maintained similar.

Conclusion: Due to the simplicity of the enthalpy index measurement ,its independency to measure the globe temperature and the possibility of estimation of this index using daily climate parameters in meteorological stations, and on the other hand, appropriate validity of enthalpy against WBGT and core temperature, it can be a good alternative for WBGT index and as a screening index for thermal environments in hot and dry condition.

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Introduction: Anesthetic gases used in hospitals include N2O and halogenated hydrocarbons (such as sevoflurane) which can be released through leakages and uncontrolled exhalation by the patient into the ambient air of clinical staff. These gases have greenhouse effect and damage to the ozone layer and serious risks such as reproductive, preterm delivery and fetal abnormalities and increased spontaneous abortion on the health of operating room personnel. Therefore, removal of these gases from the workplaces is essential especially in the treatment centers. The purpose of the present study was to investigate the adsorption of sevoflurane from air by using activated Charcoal and also the effect of acid modification on its performance.
 

Material and Method: In this study, two adsorbents of unmodified and modified activated charcoal with nitric acid were used to remove sevoflurane. After preparation, the adsorbents were characterized using XRD, FT-IR, BET and FE-SEM methods. After characterization, the breakthrough and adsorption capacity of sevoflurane on both adsorbents were determined using the modified wheeler equation.
 

Result: The results of characterization showed that acid modification did not affect the crystalline structure of activated charcoal and increased the adsorption and microporous of acid-modified activated charcoal in comparison with unmodified activated charcoal. It also reduces surface functional groups of the activated carbon. The results of determination of adsorption capacity indicated that the adsorption capacity of modified activated charcoal was improved in comparison with unmodified activated charcoal.
 

Conclusion: The results demonstrated that both adsorbents have the ability to absorb sevoflurane and modified activated charcoal have a better performance in this process. This effect may be due to the surface area of adsorption and volume of micro pores more than the unmodified activated charcoal.

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Introduction: Heat stress is one of the hazardous agents in the steel industries which can threaten the health and safety of workers and lead to serious occupational diseases. The aim of the study was to assess the heat stress in the steel industries and compare PHS (Physiological Strain Index), WBGT (Wet-Bulb Globe Temperature), DI (Discomfort Index) and HSI (Heat Stress Index) indices for the estimation of heat stress and to determine the optimum index for steel industries.
 

Material and Method: This descriptive-analytic study was conducted among 220 workers engaged in two steel industries in Iran. Environmental and physiological parameters were measured according to ISO 7726 and ISO 9886 in three times of measurement, and finally the time-weight average of the heat stress indices were calculated. All data were analyzed using SPSS ver.  20.
 

Result: The time-weight average of WBGT (28.28 oC), DI (29.11 oC), HIS (65.7 %) indices were higher than the recommended limits. Physiological parameters (oral, tympanic and skin temperatures, systolic and diastolic pressures and heart rate) had the greatest value in the second time of measurement (afternoon). WBGT index comparing to the PHS, DI and HSI indices had highest correlation with oral, tympanic and skin temperatures and heartbeat (r=0.314 , 0.408 , 0.459 , 0.302, respectively; P < 0.05), while systolic and diastolic blood pressures showed no significant correlation with WBGT (P > 0.05). The WBGT index had the highest correlation with studied indices which was 0.945, 0.681 and 0.600 for DI, PHS and HSI, respectively.
 

Conclusion: This study assessed the optimal index with regard to the physiological parameters, and it was concluded that the WBGT index has the highest correlation with the most of physiological parameters, and therefore, WBGT index can be the most optimum index to heat stress assessment   in the studied steal industries.

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Introduction: Indoor air environments contain a wide variety of microorganisms such as bacteria, fungi, and viruses in which some of them can affect the human health. Filtration is considered as one of the most common methods to remove microorganisms in these environments. The purpose of current study was to investigation the neat and photocatalytic HEPA filters performance at different face velocities and various intensity of UVC light source on the reduction of airborne microorganisms.

Material and Method: After installation of the neat and photocatalytic HEPA filters in a closed–loop chamber, suspension of Staphylococcus epidermidis and Bacillus subtilis bacteria with a concentration of 107 CFU / ml were sprayed into the closed–loop chamber by nebulizer. Sampling of penetrated microorganisms from filters were performed using the NIOSH 0800 method under ambient temperature 22±3oC, relative humidity 35±5%, and different air velocity (0.1 m/s and 0.3 m/s) and UVC different radiation intensity (1 mW/cm2, 1.8 mW/cm2 and no radiation (dark)) at 30 minutes time period. penetrated microorganisms density from filters was determined in term of CFU/m3.

Result: There were no significant differences in the penetration rates of microorganisms at the dark mode between the two neat and photocatalytic HEPA filters (p>0.05). The penetration rate of bacteria was significantly decreased in the neat and photocatalytic HEPA filters at UVC radiation mode with various intensities than dark mode (p<0.05). In addition, comparison of the filters in the illuminance modes of 1 mW/cm2 and 1.8 mW/cm2 were statistically significant (P <0.05). Also, UVC radiation with the 1.8mW/cm2 illuminance compared to the 1 mW/cm2 illuminance resulted in a greater reduction in the bacterial penetration from both types of filters, which is statistically significant(p<0.05). The bacteria penetration rate dramatically increased by increasing the face velocity from 0.1 m/s to 0.3 m/s under UVC radiation at an illuminance of 1mW/cm2, 1.8mW/cm2 and as well as in no radiation mode in both types of HEPA filters (P <0.05).

Conclusion: Photocatalytic HEPA filters and increasing UVC illuminance, especially at lower surface velocities, have a significant positive effect on reducing airborne microorganisms and increasing the efficiency of HEPA filters

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Introduction: Measurement of pesticides in biological matrices is become a serious challenge for researchers due to their very low concentration in different matrices. The aim of this study was to develop a new sample preparation method with high accuracy and validity and short retention time for determination of diazinon.
Material and Method: Dispersive liquid-liquid micro-extraction technique coupled with high performance liquid chromatography equipped with ultra violet detector was developed for trace extraction and determination of diazinon pesticide in human urine samples. One variable at a time method was used to optimize parameters affecting the diazinon extraction. Different parameters such as extraction solvent, disperser solvent, and volume of the extraction solvent, volume of the disperser solvent, centrifugation time and speed, salt addition, and sample pH were studied and optimized.
Result: Findings showed that optimal levels of these variables for diazinon pesticide were 150 μl of carbon tetrachloride as extraction solvent, 1.5 ml of methanol as dispersive solvent, pH of 6, 5 minutes centrifuge time at speed of 4000 rpm , 0% (w/v) salt addition. Correlation coefficient was 0.9965 indicating the linearity of a wide range of concentrations of the toxin. LOD and LOQ was calculated less than 0.7 and 5 µg L-1 respectively. The relative standard deviation for six replicate experiments in intra-day and inter-day at tree selected concentrations (50, 200 and 1000 µg L-1) was less than 4% that indicates the accuracy and precision of the optimized method. Enrichment factor and extraction recovery for diazinon were 245 and 99% respectively.
Conclusion: According to the results, dispersive liquid-liquid micro-extraction procedure was successfully developed for the extraction of diazinon from human urine samples. Compared to other extraction techniques, the proposed procedure had some advantages such as shorter extraction time, better reproducibility, and higher enrichment factor.

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Introduction: Working in hot and harsh weather conditions can cause heat related diseases and in some cases, even can lead to death. Risk assessment of heat stress in these environments is of particular importance. As there are many factors that could affect the heat stress, therefore, an index should be applied that could properly reflect the effect of all of these factors.
Material and Method: Initially a five-member expert team was established. Then, the weight of each variable was determined by the fuzzy analytical hierarchy process (FAHP) method. In next step, five work stations of the casting process evaluated applying fuzzy TOPSIS (FTOPSIS) method and the risk of heat stress prioritized in these stations. Lastly, the Pearson’s correlation coefficient was used to determine correlation between the results of proposed method with WBGT index.
Result:  The weights of three main variables including task characteristics, working environment, and worker characteristics was determined as 0.279, 0.526, and 0.195. The risk priority of the five work stations including, stocking, melting furnace, pouring and casting, polishing, and warehousing was established as S1= 4, S2= 2, S3= 1, S4= 3, and S5= 5. The Pearson’s correlation coefficient between the similarity index (CCi) and WBGT was 0.97.
Conclusion: From three main variables that can affect the heat stress, “Working Environment” has main impact in the risk assessment process; therefore, the most efforts must be focused on controlling this variable. The proposed method in this study has the capability of concurrent quantitative and qualitative assessment of factors that could affect the heat stress and can minimize the uncertainties in the risk assessment process relying upon the fuzzy sets.

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Introduction: Nowadays, millions of people are exposed to the dusts in their workplaces. Occupational exposure to dusts is considered as one of the most common and serious occupational hazards to workers’ health. The purpose of this literature review was to review the literature related to the occupational exposure to dusts in Iran published over the past 14 years.  
Material and Methods: In this review, published articles were obtained from Web of Science, PubMed, Google Scholar, Scopus, ScienceDirect, Islamic World Sciences Citation (ISC), Magiran, SID، Iran Medex, and Civilica search engine. The main keywords for search were Occupational Exposure, Lung, Dust, Total Dust, and Respirable Dust. The relevant articles published in Iran over the past 14 years were searched and extracted after checking their relevancy. All articles were classified based on the titles, years of publication, places of publication, type of industries, geographic distributions, sampling and analysis methods, fields of study, and the amounts of exposure.
Results: Findings showed that in spite of increases in the rate of published literature in recent years and by considering geographical variation and the large number of dust generating firms and industries, a relatively small number of studies was conducted and published in this field. Majority of the studies in this field considered the levels of dust exposure and respiratory effects of dust exposures.  In most studies the levels of occupational exposure to dusts (and crystalline silica dusts) were higher than the recommended limit values.
Conclusion: Although an increasing number of studies can be seen in recent years on occupational exposure to dusts and their effect, by considering the presence of large and small size industries with dust generating pollution  in Iran, the large number of exposed people, adverse-health  effects,  and  the need for control measures, few studies have been published in this field and further works need to be done in this area.

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Introduction: Exposure to organic solvents cause adverse effects on various systems such as the central nervous system, behavioral and cognitive changes, sleep disorders, as well as changes in mood. This study was aimed to evaluate the effect of long term exposure to mixed organic solvents on positive and negative aspects of the mood of the workers of a painting industry.  
Material and Methods: In this cross-sectional study, based on the obtained results of Gas chromatography–mass spectrometry (GC-MS) analysis and neuro-behavioral effects of benzene, toluene, ethylbenzene and xylene (BTEX) compounds, these compounds were selected as the main organic solvents for the study and the amount of these compounds was quantitatively determined according to the National Institute for Occupational Safety and Health (NIOSH) 1501. Furthermore, the mood status of workers was evaluated by the validated Persian version of BRUMS (The Brunel Mood Scale) questionnaire and the obtained data were analyzed using SPSS software, version 24.
Results: The mean of exposure to mixed organic solvents in different sections of the exposed group was reported to be 0, 0.27, 0.76, and 2.6 ppm. By increasing exposure to mixed organic solvents from the first quartile to the fourth quartile, fatigue and calmness scores were increased with a strong correlation (r = 0.7). Also the fatigue and calmness scores in the groups having elevated exposure were significantly higher than the control group. Furthermore, the obtained scores for tension, depression and anger in the exposed group were significantly higher than control group (p- value <0.05). There was no significant relationship between demographic data such as age, work experience and smoking with different subscale of mood status.
Conclusion: Long term exposure to low level of BTEX compounds has made an adverse effect on positive and negative mood status in different aspects. Also, increasing the level of exposure to mixed organic solvents was positively correlated to the obtained scores for fatigue and calmness.

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Introduction: Air pollution is now recognized as an important environmental and health concern. Biological control processes, due to their durable, cost-effective and eco-friendly, have become a good alternative to physic-chemical methods. Biotechnology is based on the activity of microorganisms.
The aim of this study was to compare the capability of Pseudomonas Putida PTCC 1694 (bacteria) and Polarotus Stratus IRAN 1781C (mushroom) in the removal of toluene from the air stream and its biodegradation under same operating conditions.
Material and Methods: To this purpose, a bio filter containing two parallel columns was designed and constructed on a laboratory scale and the experiments were carried out based on measuring the removal efficiency (RE), elimination capacity (EC) and pressure drop in these two columns. Thus, the bacteria were inoculated in one of the columns and in the other the fungus was inoculated.
Results: The bacterial testing lasted for 20 days and the fungal testing lasted for 16 days. The contaminant loading rates (LR) for bacterial and fungal bio filters were 11.65±2.26 and 11.94±2.56 g/m3.h, respectively. The results showed that the fungal bio filter was more capable of eliminating of toluene vapor than bacterial bio filter (9.65±3.53 vs 9.18±2.6 g/m3.h). However, the pressure drop in the bacterial bio filter was lower than the fungal bio filter (1±0.28 vs 1.1±0.32 cm water).
Conclusion: According to the results, fungal bio filtration appeared to be more successful than bacterial bio filtration in the removal of toluene.

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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: Many studies, especially in recent years, have evaluated and controlled the occupational heat stress in Iran using environmental indices. However, so far, no comprehensive study has been conducted to review and classify these studies. Therefore, this study aimed to review and investigate the occupational studies performed by environmental heat stress indices in Iran.
Material and method:  In the present study, the published articles from 2000 to 2016 were searched using Persian and English keywords including heat stress, heat strain, hot condition, warm condition, occupational health, thermal environment and Iran. Search of articles was performed in databases such as Web of Science, Google Scholar, PubMed, Scopus, Science Direct, SID, Magiran, Civilica, Iran Medex, Barakatkns and Irandoc. In total, 323 articles were found and 134 articles of them, based on the exclusion criteria, were selected and included in this study. 
Results: Based on the results, most numbers of the studies, with 93.3 percent of the total researches related to published article, have been carried out between years of 2010 to 2016. As well as, most of studies with 61.9 percent were related to the indoor industrial environments. Most of studies were also performed in cities of Isfahan with 31.08 percent, Tehran with 16.89 percent, and Assaluyeh with 11.48 percent, respectively. As well as, WBGT index with 76 percent and the UTCI and PHS indices with 0.6 percent had the highest and lowest usage in all environments and industries, respectively. In addition, the results showed that WBGT index had most usage in industries of melting and casting with 15.7 percent, petroleum with 8.3 percent, and outdoor small occupations with 8.3 percent, respectively. Based on the results, the industries of the refinery, steel, glasswork, melting and casting, mines, and ship repairs have the highest mean values of WBGT index, respectively.
Conclusion: The results showed the need to more attention of researchers for conducting studies in outdoor environments, in different cities of Iran, on development and validation of novel heat stress indices, and on implementation and evaluation of control measures in the environments with high heat stress.

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Introduction: Occupational exposure to sevoflurane as an anesthetic gases in hospitals, dental clinics and veterinary clinics has been reported in various studies. Considering the harmful effects of sevoflurane anesthetic gas on the health of exposed personnel such as reproductive, preterm delivery and fetal abnormalities and increased spontaneous abortion, it is necessary to remove them from the air of the work environment, especially the treatment centers, with inexpensive and optimal methods. This study was aimed to compare two oxide-titanium based on Activated Carbon/ Graphene Oxide Nanosheets in nano and non-nano scales.
Material and Methods: Titanium oxide particles and nanoparticles were coated on actived carbon/ Graphene Oxide Nanosheets adsorbents. The prepared sorbents were characterized by instrumental techniques such as BET, SEM, XRD, FTIR and SEM-EDS to determine their properties. After characterization, the breakthrough and adsorption capacity of sevoflurane on both adsorbents were determined using the modified wheeler equation. Finally, the software of Microsoft Office Excel 2016 and SPSS Statistic version 21 IBM were used for statistical analysis of data.
Results: the results of XRD, SEM-EDAX analysis confirmed the stabilization of titanium oxide particles and nanoparticles on the sorbents. Furthermore, the FTIR results determined the functional groups on the sorbents. The BET results also showed the coating of titanium oxide nanoparticles on composite decreased the specific surface area of adsorption in comparison to adsorption containing titanium oxide particles. The adsorption capacity of the activated carbon/ Graphene Oxide Nanosheets coated with titanium oxide nanoparticles and titanium oxide particles were 240.7 and 210.5 mg sevoflurane per gram of sorbent, respectively (p-value<0.001).
Conclusion: The results showed that composite of activated carbon/nano oxide graphene coated with titanium oxide nanoparticles has a higher adsorption capacity of sevoflurane than other composite coated with titanium oxide particle, under the same conditions. This increase can be as a result of changes in surface chemistry (increase of the functional groups) in composite.

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Introduction: Hydrogen sulfide is one of the most important impurities in natural gas. Due to the fact that this gas is hazardous, toxic, corrosive and volatile, therefore, the removal of hydrogen sulfide has been studied using several methods. One of the most known procedures is the adsorption process. In the present study, activated carbon and activated carbon-based composite scaffolds (MOF-5) were used as a cartridge mask to remove hydrogen sulfide from respiratory air.
Methods and Materials: First, activated carbon (AC) was converted to powder form by ball mill, and AC / MOF-5 composite with 10%, 25%, and 40% MOF-5 to AC was synthesized from the MOF-5 metal-organic scaffold. Then, the rates of adsorption and breakthrough time using a designed setup were tested in two ranges of temperatures, humidities and concentrations. XRD, SEM and BET were used to determine the properties of composite absorbents.  The Aeroqual S500 Direct-reading sensor with 0.01 ppm accuracy was used to measure the exact amount of hydrogen sulfide gas.
Results: The AC/MOF-5 composite showed higher adsorption and breakthrough time compare to the other adsorbents. The Specific surface area (BET), average pore diameter, and total pore volume of the adsorbent were 814 m² /g, 1.6795 nm, and 0.342 cm³ /g, respectively. The isotherm diagram showed that, according to IUPAC, most of the pore size of this adsorbent was classified in the micro-porous group. The maximum adsorption (mg/gS) and breakthrough time (min) were related to AC/MOF-5_{(40 Wt. %)} adsorbent with 60.41 mg/gS (SD = 1.08) and 56.26 min (SD =2.38) at a temperature of 15 ° C, a concentration of 9.88 ppm (SD = 0.70), a moisture content of 51.06% (SD = 0.15) and a pressure drop of 51.34 mm water. By adding more than 25% MOF-5 metal-metal scaffold to activated carbon, the amount of adsorption, breakthrough time and pressure drop were increased.
Conclusion: AC / MOF-5 composite adsorbent due to its porous structure, high specific surface area, and most importantly, having Zn-O-C groups increased the adsorption rate as well as the pollutant Breakthrough time. However, it showed a relatively higher pressure drop than commercial activated carbon (AC).

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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