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This study aimed to intervene in the organization processes based on the HSE perspective and designing the processes of Health, Safety and Environment (HSE). Methods: This study is mixed methods re...

Background and Objective: Silica dust is present in almost all mining operations and can cause various health problems such as silicosis in workers. The present study aimed to determine the total and respirable dust levels and the crystalline silica content of the soil in the breathing zone of workers in Iranian mines. Methods: This cross-sectional study was carried out in 2016-2017 on six Iranian silica mines. Dust sampling was performed according to the National Institute of Occupational Safety and Health (NIOSH) method No. 0600. The samples were collected from the respiratory zone of workers at 114 stations in different units of the mines. The silica content was measured using the standard NIOSH method No. 7601. The crystalline silica content in bulk samples collected from the soil was determined by using the X-Ray Diffraction (XRD) spectroscopy method. Results: The highest concentration of crystalline silica dust was 2.81±0.49 mg/m3 and was observed in the air of crushing unit of mine no. 6, and the lowest was 0.08±0.208 mg/m3 and was measured in the management/administration unit of mine no.1. The mean silica content in the solid surface of the mines was 91%. The total and respirable dust levels in all units of the mines except management/administration were higher than the permissible limit. The free silica content of all collected samples was substantially higher than the permissible limits, and in some cases, it was as much as 100 times above the standard level, which reflects the extremely high risk of working in these mines. Conclusion: Exposure of workers with crystalline silica dust in all units was higher than the standard recommended limits. It is imperative to adopt immediate measures based on technical, managerial, and personal protection solutions to reduce the exposure of workers to silica.

Background and Objective: Many indices are used to assess occupational heat stress at the work environments. The aim of this study was to evaluate heat stress using Wet Bulb Globe Temperature (WBGT) index and Discomfort Index (DI), and by measuring physiological responses in the workers of the rolling industry and comparing the appropriateness of these indices for measuring heat stress. Methods: This cross-sectional study was carried out on 90 healthy workers of a rolling industry in eastern Tehran in 2017. Physiological parameters of core body temperature (Tcr) and Heart Rate (HR) were measured during the working shift according to ISO9886 standard. At the same time, environmental variables such as the natural wet temperature (Tnw), dry temperature (Td) and globe temperature (Tg) were measured and recorded at the workstations. Then, the DI and the WBGT indices were calculated using the related formulae. Data were analyzed using SPSS v. 21, t-test and Pearson correlation coefficient. Results: The mean heat stress indices were significantly higher in working conditions than resting conditions, and there was a significant difference between the physiological parameters of Tcr and HR in resting and working conditions (Pcr and HR (r=0.317, P=0.002; r=0.434, P Conclusion: The results showed that WBGT is a more appropriate index for evaluating the heat stress of workers in the rolling industry. High heat stress levels at the workstations along with heavy physical activity are health risks for workers in this industry; therefore, interventions must be undertaken to reduce exposure.

Background and Objectives:Occupational exposure to silica dust has multiple consequences, including genetic complications. One of the genetic complications is Micronucleus (MN) changes; therefore, this study aims to evaluate the rate of MN formation in mouse lymphocyte cells due to exposure to silica dust.Materials and Methods:Totally 72 male mice BALB/c were selected and categorized into five exposure groups with 12 mice in exposure to the concentrations of 1.3, 3, 8, 12, and 17 mg/m3of 99% pure silica dust and a control group. The mice were exposed to silica dust in which they were exposed for 8 hours a day, 6 days a week, and for 1, 2, 3, and 4 months. Then, blood samples were taken from the mice and the rate of MN formation in their lymphocyte cells was evaluated. The results were analyzed via SPSS software version 21 (PResults:Maximum and minimum averages of dust concentration, related to boxes 1 and 5, were 17 mg/m3and 1.3 mg/m3, respectively. Maximum rate of MN formation was observed in the fourth month of exposure and in group 1 with the value of 21.6±1.15, and minimum rate of MN formation was observed in the third month of exposure and in control group with the value of 3±1. Average of MN frequencies in each of the exposure month was significant related to the control group (P=0.001). There was a direct and significant correlation between exposure concentrations of exposed group and average rate of MN formation (r=0.679).Conclusions:More than 3 months exposure to silica dust may lead to significant MN formation in lymphocytes of mice BALB/c in comparison with the control group.

BACKGROUND: In developing countries, construction is a largely manual job that imposes awkward postures on workers, thus facilitating a variety of musculoskeletal disorders. Ergonomic training is known as an effective way to reduce these disorders. OBJECTIVE: This study aimed to evaluate the effectiveness of ergonomic training intervention in reducing the ergonomic risk of concrete form workers. METHODS: This quasi-experimental study was carried out on 144 concrete form workers employed in the construction projects of Gonbad-e Kāvus, Iran, Iran. Data was collected using the Nordic Musculoskeletal Questionnaire (at the pre-intervention stage) and the Rapid Entire Body Assessment (REBA) worksheet (at the pre- and post-intervention stages). Ergonomic training was provided via face-to-face educational meetings along with presenting informative pamphlets, which took place over 45 days duration of time. Data were analyzed by the use of SPSS software version 21, t-test and Wilcoxon test. Significant level was considered at P-value less than 0.05. RESULTS: Musculoskeletal disorders were observed in all limbs of the studied workers. The most prevalent disorders were the pain in the shoulder region of lift operators (86.1%) and the pain in the back area of mixer operators (77.8%). About 99.3% of all concrete form workers were exposed to a moderate level of ergonomic risk and needed posture correction. Pre- and post-training REBA scores showed a statistically significant difference (P

BACKGROUND: The general public has an important role in controlling the spread of infectious diseases by pursuing prophylactic measures. AIM: The aim of the present systematic review was to describe public perceptions, knowledge, attitudes, and behaviors toward COVID-19. METHODS: In this review, articles were extracted from the Google Scholar, Embase, Scopus, Web of Science, and PubMed search engines. The main keywords for the search were coronavirus, COVID-19, public perceptions, knowledge, attitudes, and behaviors. RESULTS: The knowledge level toward novel coronavirus in different countries was generally high, and it had an increasing pattern during the pandemic phase. Furthermore, the insight self-efficacy, perceived severity of the COVID-19, and intention to meet the needs of preventive measures have increased notably. Furthermore, there are several misconceptions and unconfirmed beliefs in the general public in the case of preventive measures recommended, in particular. CONCLUSIONS: Health authorities and other disease control centers should monitor public misconceptions and perceptions continuously and manage a trusting platform to be presented to the public, especially in the case of a novel disease outbreak.

BACKGROUND:Students use a school bag to carry their school supplies which may not have the required standards and ergonomic factors. OBJECTIVE:This study was aimed to examine the ergonomic factors of schoolbags and their adaptation to the weight of elementary school students. METHODS:This cross-sectional study was carried out on 721 primary schoolchildren. To collecting data a checklist, which its final version was approved by the experts, was designed by researchers. Data were analyzed by using SPSS ver. 22 and Chi-square test, One-Way ANOVA, and univariate and multivariate logistic regression models. RESULTS:In this study, about 90.1% of students used a backpack to carry their items and most students carried backpacks with a weight up to 10% of their body weight. In 43.5% of the students, waist width was appropriate with backpack width at the bottom, and in 96.6% shoulder width was appropriate with backpack width at the top. Multivariate logistic regression showed that girls in compared to boys were more likely tolerated ratio of backpack weight to body weight, and also had more likely proportion of waist width and the backpack width at the bottom. The grades of the first, second, and fourth used more heavy backpacks. Students who their mothers were employee compared to housewives, carried heavier backpacks and had more likely proportion of waist width and the backpack width at the bottom. As the mother’s age increased, the proportion of waist width and the backpack width at the bottom is diminished. CONCLUSION:The schoolbags weight of many students was more than the standard weight, and their schoolbags did not have the required standards. Educational interventions can increase the knowledge of students and parents about the ideal weight of a schoolbag and the criteria for choosing a proper school bag. Keywords: Children health, backpack standards, elementary school, anthropometrics

Background: Dust exposure at quarry mines is inevitable and can result in poor air quality. This research aimed to assess pulmonary symptoms and lung functions of dust-exposed workers at an iron-ore mine in eastern Iran. Methods: An environmental cross-sectional study sampled 174 dust-exposed mine workers and 93 unexposed administrative employees as the reference group. A standardized questionnaire on respiratory symptoms was completed in accordance with recommendations of the American Thoracic Society(ATS). Calibrated spirometer measured Pulmonary Function Tests (PFTs). Data were analyzed via SPSS-21, integrating independent samples t-test, Chi-square and linear or logistic-regression models. Results: There was no significant variation between dust-exposed and reference groups in terms of age, weight, height, work experience and the number of smokers (P>0.05). Mean levels of exposure to inhalable and respirable mineral-dust were 15.09±2.34 and 3.45±2.57 mg/m3 respectively. Pulmonary capacities of dust-exposed group were considerably decreased as compared to others (Forced Vital Capacity [FVC] 86.55±13.77 vs. 105.05±21.5; Forced Expiratory Volume in 1 second [FEV1] 88.06±16.8 vs. 105.81±21.55; FEV1/FVC 103.03±18.17 vs. 93.3±12.49; and Peak Expiratory Flow [PEF] 89.82±22.58 vs. 98.09±20.60) (PP=0.041), wheezing (P=0.032), and dyspnea (P=0.035) among formers. Age along with exposure to respirable-dust significantly reduced FVC, FEV1 and FEV1/FVC. Cigarette consumption attenuated FVC and FEV1 on an average of 5 to 9 units. Conclusion: Controlled occupational dust-exposure is a definitive pre-requisite to reduce respiratory problems among quarry workers, with an explicit consideration towards mineral- mine workers. Modifiable accomplices like smoking and non-compliance of PPEs usage should be amicably resolved.

Objective: To compare the efficacy of single versus double burr-hole for drainage of chronic subdural hematoma, keeping in consideration pertinent demographic, pre and postoperative associations. Methods: A prospective cohort study carried out in Combined Military Hospital, Multan, (December 2016-August 2018), on adults with diagnosed chronic subdural hematoma (CSDH); being segregated by randomized control trial, non-probability purposive sampling into Group-A and Group-B (who underwent single and double burr-holes for CSDH-drainage respectively). Utilizing SPSS-21, data expressed as frequencies/percentages and mean± standard deviation (SD) and cross-tabulated; p-value

Quarry workers are at high risk of developing musculoskeletal complaints. The aim of this study was to evaluate the working postures and prevalence of musculoskeletal problems among quarry workers. In this cross-sectional study 78 male quarry workers were assessed using the method of Rapid Entire Body Assessment (REBA), and musculoskeletal complaints data were obtained by the Standardized Nordic Musculoskeletal questionnaire (NMQs). Results of the prevalence of musculoskeletal problems in body parts of stonemasonry workers was higher found than in the stonecutting workers. The highest prevalence rate of musculoskeletal problems in both stonemasonry and stonecutting workers was 65.7% and 54.8% respectively related to waist. The stonemasons with 62% had high level of risk and stone cutting workers with 47.6% had moderate risk level. Significant correlation was found among age, work experience, BMI, and prevalence of musculoskeletal problems. There was also a significant relationship between the wrist and lower back pain with the risk level of REBA score. The study results showed that musculoskeletal problems of workers had high prevalence and accordingly most of the work conditions and postures needed to be improved, so prioritizing the necessity of corrective actions and intervention are to be gained.