Disposable Nitrile Glove Resistance to Limonene: Dextrous Robot Hand Versus ASTM F739 Comparison.

The current technique to assess glove resistance to chemicals for worker protection relies on challenging a flat, 2.54 cm diameter glove piece at or near room temperature. This does not simulate a donned whole glove near the skin temperature subjected to work activity forces. Four different types of disposable nonpowdered unlined/unsupported nitrile gloves in triplicate were measured for thickness, porosity, and for the acrylonitrile content (A) of the challenge and collection sides. Limonene permeation at 35 °C through a whole glove on a clenching and nonclenching dextrous robot hand and with the standard ASTM F739 technique were facilitated by taking samples from the collection sides for GC-MS analysis. The standardized breakthrough time (SBT) when permeation reached 100 ng/cm2/min and the steady state permeation rate (SSPR) depended on A, thickness, and porosity. Only the thinnest glove (Lavender) showed statistically significant (p ≤ 0.05) increased average SSPR for the clenching hand relative to the nonclenching hand and for the ASTM technique. The ASTM test data for the three thickest gloves were not statistically different from those of the robot hand, but differed from the manufacturer's. More research with different chemicals and higher clenching forces is needed. Clenching forces can enhance the permeation. Workers wearing ultrathin disposable nitrile gloves have a higher potential for chemical penetration/permeation. Company glove permeation data obtained near room temperature may have a longer SBT and lower SSPR than in practice. Double gloving may be advisible in emergencies and for unknown chemicals when no appropriate thicker Chemical Protective glove is available.

Risk assessment of probable human errors in the scaffold erection and dismantling procedure: a fuzzy approach.

Objectives. Despite widespread use of scaffolds on construction sites, they are the most common causes of accidents, injuries and fatalities in this sector. About 80-90% of all occupational accidents occur as a result of human factors. On construction sites, proper erection/dismantling of scaffold is possibly the most essential factor in preventing accidents as it is one of the factors reported to be highly statistically significant in correlation to a high overall scaffold safety rating. Therefore, analysis of human errors (HEs) caused by scaffolders is important to be implemented. The main objective of this study was to evaluate possible HEs during scaffold erection and dismantling (SE&D). Methods. Stages involved were identified using hierarchical task analysis (HTA). Risk values of HEs were then evaluated using the fuzzy analytical hierarchy process (FAHP). Results. Our findings indicate that the highest and lowest risk values were related to the errors of 'failure to reattach braces and connections prior to dismantling scaffolds' and 'insufficient preparation of the firm foundation', respectively. Conclusion. This study formulates a method to estimate the risk of potential HEs in SE&D.

Safety culture maturity and resilience engineering in an oil drilling industry: A comparison study among government-owned and private companies.

BACKGROUND: Organizational factors including a proper safety culture are among the important contributors of major accidents in process industriesOBJECTIVE: This study evaluates and compares the dimensions of safety culture maturity (SCM) and resilience engineering (RE) among 423 employees of government-owned drilling companies (GODC) and private drilling companies (PDC) located in Azar oilfield, Ilam province, southwest of Iran. METHODS: The maturity of safety culture was measured using the modified version of Hudson safety culture maturity questionnaire and RE performance was studied using the resilience analysis gird (RAG). The relationship between RE and the SCM was discussed according to Hollnagel conceptual model. RESULTS: The results showed that lowest and highest levels of SCM in all dimensions were observed in the pathological (11.75%) and reactive (28%) levels, respectively. However, high levels of SCM have not been established in any of the studied drilling companies. The status of SCM dimensions and levels as well as RE performance was better in PDC compared to GODC which is consistent with their safety performance lagging indicators. CONCLUSION: This study showed that RE abilities could be improved by establishment of high levels of safety culture maturity.

Occupational health practices among dental care professionals before and during the COVID-19 pandemic.

BACKGROUND: The COVID-19 pandemic has posed a substantial burden on dental care professionals. While dentistry is known as one of the most exposed and high-risk professions, dental care professionals are indeed at even greater risk. OBJECTIVE: The aim of this study was to assess knowledge, attitudes, occupational health practices, personal protective equipment usage, and mental stressors during COVID-19 pandemic among dental care professionals. METHODS: A cross-sectional study was conducted among dental care professionals who were subscribers to a dental hygiene journal using a self-administered online survey (n = 1047 respondents). Cross-tabulations were performed to determine differences in the responses to the statements related to different domains. RESULTS: COVID-19 impacted the healthy work-life balance (p <  0.001) and caused sleeping difficulty among the respondents (p <  0.001). Moreover, a lower response on changing respirators and gloves for each patient compared with before viral pandemic was observed (p <  0.01). CONCLUSIONS: Ongoing training on infection control, occupational health practices, and PPE usage can prevent the transmission of COVID-19 among dental care professionals and the public. Lack of adequate personal protective equipment (PPE) is a burden for applying occupational health practices in dental clinics and present a risk to the public. COVID-19 may contribute to developing psychological stress and disrupt healthy work-life balance among dental professionals.

Qualitative fitting characteristics of elastomeric half face-piece respirators using Isoamyl acetate agent.

To examine the fit testing of elastomeric half face-piece respirators (EHRs), a total of 41 candidates were randomly assigned into seven EHRs equipped with organic vapor (OV) cartridges which were commonly used in the Iranian industrial workplaces. The qualitative fitting into the facial dimensions was assessed using the Allegro Isoamyl Acetate fit test kit. While the studied EHRs showed very low passing fit testing rates, the 3M, AoSafety (Medium), and AoSafety (Large) had the highest passing rates with 22.0%, 14.60%, and 9.76%, respectively. The AoSafety (All sizes) delivered a higher passing fit test rate than the 3M brand (29.30 vs. 22.0%). The one size fits all respirators including the DUO and Climax showed lower proportions of passing fit tests compared with AoSafety three-size system brands (2.40% and 4.90% vs. 29.30%). Low fit test passing rates were determined among different respirators. The respirators with various sizes and styles had more opportunities for different wearers to pass the fit test than single size models. The initial and annual fit testing requirements shall be developed by local government. Also, the manufacturers are required to pay attention to respirator features and subject characteristics during the production to obtain satisfactory protection for the end-users.

Occupational stressors among firefighters: application of multi-criteria decision making (MCDM)Techniques.

BACKGROUND: Firefighters are exposed to a wide range of occupational stressors due to the nature of their job. Multi-criteria decision-making technique (MCDM) is a method for identifying, evaluating, and preventing occupational stressors among firefighters. The purpose of this study was to identify and prioritize the occupational stressors among firefighters using the fuzzy delphi method (FDM) and fuzzy analytical hierarchy process (FAHP). METHODS: This qualitative-descriptive study was carried out in two stages. First, the most important occupational stressors of firefighters were identified and screened using a systematic review of scientific references and expert opinions based on the FDM. Then, all of the screened stressors were weighted and prioritized by the FAHP using the opinions of experts. All results were analyzed using Excel software. RESULTS: Among, the 52 occupational stressors of firefighters identified in the first stage, 27 stressors were selected to enter into the FAHP. The FAHP results showed that among the four main dimensions, the weight of managerial factors (0.358) was more than other dimensions. The overall result of the study, regardless of the stressors' main dimensions showed that the most important stressors among firefighters were financial strain due to inadequate pay, fear of explosion at incident scenes, toxic smoke, and gases produced at fires and lack of attention given to job safety by management, respectively. CONCLUSION: According to the results of the study, most occupational stressors of the firefighters are caused by organizational factors. Therefore, the implementation of management strategies to reduce the occupational stress of firefighters is recommended.

Glove permeation of chemicals: The state of the art of current practice-Part 2. Research emphases on high boiling point compounds and simulating the donned glove environment.

This second part of the review of the 21st century literature on glove permeation is divided into the following major themes; permeation data and mathematical models, exposure/risk assessment, and manufacturer data. The major issues in the literature were the demonstrations that increasing temperature and applying forces increased permeation; and that glove manufacturer data were sometimes not reproducible. Double gloving of disposable gloves was found to be effective in resisting chemical permeation for short periods of time. Harmonization of standards and commercial glove classifications were called for at conditions that were closer to the temperature and applied forces actually present in the workplace, including whole glove testing and quantitative rather than just qualitative criteria. More research was recommended in each section and subsection with particular emphasis on defining the efficiency of solid phase collection devices, and more data in areas like exposure to cosmetics, household products, liquid foods, drinks, and cleaning liquids. More research in exposure assessment for permeated chemicals with sensors on the inner glove surface and on the skin was called for. Finally, it was decided that the state of the art of current practice was in a situation that needed the permeation standards, research, and the permeation charts of glove manufacturers to be at conditions that better reflected those encountered by workers with donned gloves.

Vitamin D levels in relation to low back pain during adolescence.

This study aimed to investigate the association between 25-hydroxyvitamin D (25(OH)D) level and low back pain (LBP) among adolescents while adjusting for potential confounders pertinent to this age group including the weight of school bags, BMI and physical activity. A cross-sectional study was conducted on 760 randomly selected adolescents in middle schools. Data on LBP and the risk factors for LBP were collected from parents by a self-administered questionnaire and from adolescents by face-to-face interview. Blood samples were tested in an accredited laboratory; and 25(OH)D was measured using liquid chromatography-tandem MS. The lifetime prevalence and the 6-month prevalence of LBP were 32·28 (95 % CI 28·97, 35·73) % and 21·26 (95 % CI 18·40, 24·33) %, respectively. There was no difference in the geometric mean of 25(OH)D between those with and without LBP in the past 6 months (28·50 nmol/l and 30·82 nmol/l, respectively; P = 0·122). There was no association between 25(OH)D and LBP in the univariable or multivariable analysis whether 25(OH)D fitted as a continuous or as a categorical variable. We found no association between vitamin D level and LBP in adolescents in an area with high prevalence of vitamin D deficiency. Although it is important to have sufficient vitamin D levels during adolescence for several other health benefits, we concluded that vitamin D is not a major determinant for LBP among adolescents in our setting.

Strategies for controlling violence against health care workers: Application of fuzzy analytical hierarchy process and fuzzy additive ratio assessment.

OBJECTIVE: The present study aimed to identify and prioritize control measures of violence against health care workers (HWs) using the fuzzy analytical hierarchy process (FAHP) and fuzzy additive ratio assessment (ARAS-F). BACKGROUND: Occupational violence is a pervasive problem in health care centres. Reducing violence against staff is one of the challenges for health care managers. METHOD: At the first stage, the most common criteria and control options for violence against HWs were identified and extracted using a review of previous studies. At the next stage, criteria for selection of control measures were prioritized using the FAHP. Finally, control measures of workplace violence were prioritized using the ARAS-F method. RESULTS: Results of the FAHP indicated that safety and efficiency were the most important criteria. Results of the ARAS-F also revealed that 'increasing number of security personnel' and 'training staff' were the best recommendations for controlling violence against HWs. CONCLUSION: Based on expert's opinions, administrative measures are the optimal ways to control violence at health centres; therefore, it is suggested that violence control programmes should be more focused on administrative measures. IMPLICATIONS FOR NURSING MANAGEMENT: These results could assist nursing management to take best strategies for controlling occupational violence based on multi-criteria decision-making methods.

Occupational Stressors among Farmers in Iran Using Fuzzy Multiple Criteria Decision-Making Methods.

Introduction: Rural communities, especially farmers, are exposed to numerous concerns and stressors due to their type of occupation. The present study aimed at evaluating and prioritizing occupational stressors that cause dissatisfaction among farmers using Fuzzy Delphi Method and Fuzzy analytic hierarchy process.Methods: This qualitative applied research was conducted in two phases. First, the most important occupational stressors among farmers were extracted and screened by Fuzzy Delphi technique. In the second phase, Fuzzy Analytical Hierarchy Process (FAHP) was used to weigh and rank the stressors. Finally, data were analyzed using Chang's Extent Analysis method and Excel software.Results: Dimensions of stressors in farmers are ranked as; economic (w = 0.298), environmental and climate (w = 0.276), social and job-related (w = 0.224) and spatial (w = 0.202), respectively. Among stressor sub-dimensions, reduced groundwater levels (0.0617), low price of agricultural products in rural areas (0.0575), inappropriate access roads to farms (0.0545), no insurance for agricultural products (0.1521), and difficult sales of agricultural products in rural areas (0.488) were the most significant occupational stressors among farmers.Conclusion: Among occupational stressors, economic and environmental factors have the greatest impact on perceived occupational stress by farmers. Control strategies including providing farmers with financial support and purchasing agricultural products by government, restoring and reforming water and soil resources as well as personal coping strategies could greatly reduce occupational stress among farmers.

Assessment of aloe vera for qualitative fit testing of particulate respirators: a logistic regression approach.

Fit testing procedure is required for filtering facepiece respirators (FFRs) to ascertain an acceptable fit between the skin and facepiece sealing surface. The present study seeks to compare the efficacy of Aloe vera (A. vera) and commercial BitrexTM as challenge agents of qualitative fit testing of particulate respirators. An herbal solution consisting of A. vera at seven different concentrations was developed. Threshold Screening Tests (TSTs) of A. vera solutions were compared to BitrexTM. To do so, solutions were administered randomly on a total of 62 participants. A placebo was also tested to ensure the taste response being valid. Statistical analysis was performed using R 3.2.5.0 software. There were no statistically significant differences between the A. vera (41.7, 58.3, 75, and 91.7 mg/ml) and BitrexTM threshold tests. Therefore, the minimum concentration of A. vera to develop the threshold solution was considered to be 41.7 mg/ml. When commercial products are expensive and unavailable, a cost-effective technique would be to replace A. vera solution with a commercial product as a challenge agent of qualitative fit testing of respirators.

Permeation of ethoxy- and butoxy-ethanols through a disposable nitrile glove.

The purpose of this study was to investigate the permeation of the glycol ethers, 2-ethoxyethanol (2-EE) and 2-butoxyethanol (2-BE) through disposable, nitrile exam gloves using a modified American Society for Testing and Materials (ASTM) closed-loop module. The purple unsupported, unlined, powderless nitrile glove from Kimberly-Clark was challenged by the two pure glycol ethers. Their permeation parameters were measured with the aid of a 2.54 cm ASTM F739 closed-loop permeation cell using water collection at 35.0 ± 0.5°C in a moving tray water bath, and capillary gas chromatography-mass spectrometry for quantification. Each set of experiments consisted of four standard permeation cells with water as the collection solvent. The steady state permeation rate for 2-EE of 4.83 ± 0.45 µg/cm2/min was about 4 times that of 2-BE (1.27 ± 0.11 µg/cm2/min). Permeation of the more nonpolar 2-BE was less than for 2-EE. Both solvents exceeded the ASTM threshold normalized breakthrough time in the closed-loop testing module. Glove samples failed to pass permeation criteria defined by Kimberly Clark and Ansell. Such gloves are not recommended as personal protective equipment for exposure to 2-butoxyethanol or 2-ethoxyethanol, even for very short period exposures. Glove manufacturers should reconsider existing permeation testing method for low volatile compounds and apply the closed-loop module due to higher sensitivity and accuracy.

Glove permeation of chemicals: The state of the art of current practice, Part 1: Basics and the permeation standards.

Skin exposure to chemicals in the workplace environment is a major concern, the hands being the major exposure sites. Employers purchase gloves that have permeation data generated from permeation "standards" of the American Society for Testing and Materials International (ASTM International), European Committee for Standardization (EN), and the International Organization for Standardization (ISO) that test pieces of glove material and allow a user-defined temperature. The relevant standards based on continuous contact are ASTM F739, ASTM D6978, EN 374, EN 16523, and ISO 6529. The aim was to analyze the current state of the scientific literature on glove permeation in the 21st century up to December 2018. The introduction sets out the background, objectives and rationale of the review and its methodology followed by presentation of basic glove chemical resistance terms and Fick's first law of diffusion, the details of the major permeation standards, their comparison, their critique, their research gaps; the scientific literature on whole glove permeation, and final conclusions. The major recommendation was to harmonize all the permeation standards and perform them at realistic work conditions, especially temperature. The whole glove system would be most useful for testing the thinnest gloves.

Prevalence of Chronic Diseases and Occupational Injuries and their Influence on the Health-Related Quality of Life Among Farmers Working in Small-Farm Enterprises.

Objectives: This study aimed to determine the prevalence of chronic diseases and occupational accidents and injuries, and to examine their association with the quality of life among a sample of Iranian farmers. Methods: A cross-sectional study was conducted among 736 male farmers. Data on the prevalence of chronic diseases and occupational accidents and injuries was collected using an author-developed questionnaire, and the SF-36 questionnaire was used to obtain information on quality of life. Results: The prevalence of chronic diseases was 96.1%. Musculoskeletal diseases (MSDs), eye diseases and neurology diseases were the most prevalent diseases. Almost half of the farmers (42.7%) had experienced an occupational accident during the last 12 months and cuts and fractures accounted for the most frequent injuries. Sick leave was reported by 28.2% of the farmers and from those with history of accidents, 21.4% were hospitalized. A significant association was found between age and education level with quality of life. Most of the chronic diseases showed a significant and inverse association with quality of life, however, the strongest association was found for MSDs and mental disorders. Furthermore, the most important injury associated with quality of life was cuts and fractures. Conclusions: Based on the results, MSDs, mental disorders, and cut and fractures were the main determinants of the farmers' quality of life. Hence, a better quality of life among farmers is especially dependent on eliminating ergonomics risk factors leading to developing musculoskeletal disorders, improving psychosocial work climate, and promoting occupational and personal safety culture.

Permeation of limonene through disposable nitrile gloves using a dextrous robot hand.

OBJECTIVES: The purpose of this study was to investigate the permeation of the low-volatile solvent limonene through different disposable, unlined, unsupported, nitrile exam whole gloves (blue, purple, sterling, and lavender, from Kimberly-Clark). METHODS: This study utilized a moving and static dextrous robot hand as part of a novel dynamic permeation system that allowed sampling at specific times. Quantitation of limonene in samples was based on capillary gas chromatography-mass spectrometry and the internal standard method (4-bromophenol). RESULTS: The average post-permeation thicknesses (before reconditioning) for all gloves for both the moving and static hand were more than 10% of the pre-permeation ones (P≤0.05), although this was not so on reconditioning. The standardized breakthrough times and steady-state permeation periods were similar for the blue, purple, and sterling gloves. Both methods had similar sensitivity. The lavender glove showed a higher permeation rate (0.490±0.031 µg/cm2/min) for the moving robotic hand compared to the non-moving hand (P≤0.05), this being ascribed to a thickness threshold. CONCLUSIONS: Permeation parameters for the static and dynamic robot hand models indicate that both methods have similar sensitivity in detecting the analyte during permeation and the blue, purple, and sterling gloves behave similarly during the permeation process whether moving or non-moving.