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                  <text>Safety and Health at Work Vol. 10 Issue 1 2019</text>
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                <text>Safety and Health at Work Vol. 10 Issue 1 2019&#13;
The Relationship between Firefighters’ Work Demand and Work-related Musculoskeletal Disorders: The Moderating Role of Task Characteristics (Original article)</text>
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                <text>firefighters, task characteristics, work demand, work-related musculoskeletal disorders</text>
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                <text>Background: Emergency workers such as firefighters are cataloged within the most demanding and injurious professions globally. Considering the health and safety implications in firefighting, a lot of research needs to be conducted to examine how firefighters’ task characteristics and their work demand influence the development of work-related musculoskeletal disorders (WMSDs). This study therefore examines how the task characteristics of firefighters moderates the relationship between their work demand and the development of WMSDs.&#13;
Methods: Convenient sampling was employed to select 320 firefighters in the Greater Accra region of Ghana. Data were analyzed using descriptive statistics, correlation, and regression.&#13;
Results: The findings revealed that work demand and task characteristics have significant positive effects on WMSDs. Again, the task characteristics of firefighters moderates the relationship between their work demand and WMSDs.&#13;
Conclusion: Since the study shows that task characteristics influences the relationship between work demand and WMSDs, it is vital for managers to constantly modify the nature of tasks performed by and work demand of emergency workers to minimize the development of WMSDs and other industrial health complications.</text>
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                <text>Justice K. Kodom-Wiredu</text>
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                <text>Sri Wahyuni</text>
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        <name>task characteristics</name>
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                <text>Safety and Health at Work Vol. 10 Issue 1 2019&#13;
The Effects of Fatigue on Cognitive Performance in Police Officers and Staff During a Forward Rotating Shift Pattern (Original Article)</text>
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                <text>Background: Few studies have examined the effects of a forward rotating shift pattern on police employee performance and well-being. This study sought to compare sleep duration, cognitive perfor-&#13;
mance, and vigilance at the start and end of each shift within a three-shift, forward rotating shift pattern, common in United Kingdom police forces.&#13;
Methods: Twenty-three police employee participants were recruited from North Yorkshire Police (mean age, 43 years). The participants were all working the same, 10-day, forward rotating shift pattern. No other exclusion criteria were stipulated. Sleep data were gathered using both actigraphy and self-reported methods; cognitive performance and vigilance were assessed using a customized test bat-&#13;
tery, comprising five tests: motor praxis task, visual object learning task, NBACK, digital symbol sub-&#13;
stitution task, and psychomotor vigilance test. Statistical comparisons were conducted, taking into&#13;
account the shift type, shift number, and the start and end of each shift worked.&#13;
Results: Sleep duration was found to be significantly reduced after night shifts. Results showed a sig-&#13;
nificant main effect of shift type in the visual object learning task and NBACK task and also a significant&#13;
main effect of start/end in the digital symbol substitution task, along with a number of significant&#13;
interactions.&#13;
Conclusion: The results of the tests indicated that learning and practice effects may have an effect on&#13;
results of some of the tests. However, it is also possible that due to the fast rotating nature of the shift pattern, participants did not adjust to any particular shift; hence, their performance in the cognitive and vigilance tests did not suffer significantly as a result of this particular shift pattern.</text>
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                <text>Yvonne Taylor, Natasha Merat, Samantha Jamson</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 1 2019</text>
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                <text>Safety and Health at Work Vol. 10 Issue 1 2019&#13;
The Effect of Occupational Noise Exposure on Serum Cortisol Concentration of Night-shift Industrial Workers: A Field Study (Original Article)</text>
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                <text>Background: In both developed and developing countries, noise is regarded as the most common&#13;
occupational hazard in various industries. The present study aimed to examine the effect of sound&#13;
pressure level (SPL) on serum cortisol concentration in three different times during the night shift.&#13;
Methods: This caseecontrol study was conducted among 75 workers of an industrial and mining firm in 2017. The participants were assigned to one of the three groups (one control and two case groups), with an equal number of workers (25 participants) in each group. Following the ISO 9612 standard, dosimetry was adopted to evaluate equivalent SPL using a TES-1345 dosimeter. The influence of SPL on serum cortisol concentration was measured during the night shift. The serum cortisol concentration was measured using a radioimmunoassay (RIA) test in the laboratory. Repeated measure analysis of variance and linear mixed models were used with a 1⁄4 0.05.&#13;
Results: The results indicated a downward trend in the serum cortisol concentration of the three groups during the night shift. Both SPL and exposure time significantly affected cortisol concentration (p &lt; 0.0001, p &lt; 0.0001). Conversely, age and body mass index had no significant influence on cortisol concentration (p 1⁄4 0.360, p 1⁄4 0.62).&#13;
Conclusion: Based on the obtained results, increasing SPL will lead to enhancement of serum cortisol concentration. Given that cortisol concentration varies while workers are exposed to different SPLs, this hormone can be used as a biomarker to study the effect of noise-induced stress.</text>
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                <text>Sajad Zare, Mohammad R. Baneshi, Rasoul Hemmatjo, Saeid Ahmadi, Mohsen Omidvar, Behzad F. Dehaghi </text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 1 2019</text>
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        <name>Cortisol</name>
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                <text>Safety and Health at Work Vol. 10 Issue 1 2019&#13;
Quebec Serve and Protect Low Back Pain Study: What About Mental Quality of Life? (Original Article)</text>
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          <element elementId="49">
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                <text>Chronic low back pain, Determinants, Police officers, Quality of life</text>
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                <text>Background: As of now, the impact of low back pain (LBP) and its chronic state, chronic low back pain &#13;
(CLBP), on mental health-related quality of life (HRQOL) has never been investigated among police officers. The present investigation aims at studying this relationship using a biopsychosocial model.&#13;
Methods: Between May and October 2014, a Web-based cross-sectional study was conducted among&#13;
Quebec police officers (Quebec, Canada). Mental HRQOL was measured using the role emotional (RE) and the mental health (MH) domains of the SF-12v2 Health Survey. The impact of CLBP on mental HRQOL (as opposed to acute/subacute LBP or no LBP) was studied with a multivariate linear regression model.&#13;
Results: Of the 3,589 police officers who participated in the study, 1,013 (28.4%) reported CLBP. The mean age of respondents was 38.5  8.7 years, and 32.0% were females. The RE (44.1/100) and MH (49.0/100) mean scores of the CLBP group were comparable with the scores found in populations suffering from cancer or heart diseases. Compared to officers without LBP, the presence of CLBP was significantly associated with lower RE (b: 0.068; p 1⁄4 0.003) and MH (b: 0.062; p 1⁄4 0.002) scores. These relationships were not found in the acute/subacute LBP group.&#13;
Conclusion: Our results underscore how frequent CLBP is among police officers and how burdensome it is. Considering the importance of good physical and mental health for this occupational population,&#13;
police organizations should be aware of this issue and contribute to the efforts toward CLBP prevention and management in the workplace.</text>
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                <text>Nabiha Benyamina Douma, Charles Côté, Anaïs Lacasse</text>
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Process Evaluation of a Mobile Weight Loss Intervention for Truck Drivers (Original Article)</text>
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                <text>Background: In a cluster-randomized trial, the Safety and Health Involvement For Truck drivers intervention produced statistically significant and medically meaningful weight loss at 6 months (3.31 kg between-group difference). The current manuscript evaluates the relative impact of intervention components on study outcomes among participants in the intervention condition who reported for a post-intervention health assessment (n 1⁄4 134) to encourage the adoption of effective tactics and inform future replications, tailoring, and enhancements.&#13;
Methods: The Safety and Health Involvement For Truck drivers intervention was implemented in a Web-based computer and smartphone-accessible format and included a group weight loss competition and body weight and behavioral self-monitoring with feedback, computer-based training, and motivational interviewing. Indices were calculated to reflect engagement patterns for these components, and generalized linear models quantified predictive relationships between participation in intervention components and outcomes.&#13;
Results: Participants who completed the full program-defined dose of the intervention had significantly greater weight loss than those who did not. Behavioral self-monitoring, computer-based training, and health coaching were significant predictors of dietary changes, whereas behavioral and body weight self-monitoring was the only significant predictor of changes in physical activity. Behavioral and body weight self-monitoring was the strongest predictor of weight loss.&#13;
Conclusion: Web-based self-monitoring of body weight and health behaviors was a particularly im-&#13;
pactful tactic in our mobile health intervention. Findings advance the science of behavior change in&#13;
mobile health intervention delivery and inform the development of health programs for dispersed&#13;
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                <text>Safety and Health at Work Vol. 10 Issue 1 2019&#13;
Occupationally Acquired Plasmodium knowlesi Malaria in Brunei Darussalam (Short Communication)</text>
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                <text>Simian malaria is a zoonotic disease caused by Plasmodium knowlesi infection. The common natural reservoir of the parasite is the macaque monkey and the vector is the Anopheles mosquito. Human cases of P. knowlesi infection has been reported in all South East Asian countries in the last decade, and it is currently the most common type of malaria seen in Malaysia and Brunei. Between 2007e2017, 73 cases of P. knowlesi infection were notified and confirmed to the Ministry of Health in Brunei. Of these, 15 cases (21%) were documented as work-related, and 28 other cases (38%) were classified as probably related to work (due to incomplete history). The occupations of those with probable and confirmed work related infections were border patrol officers, Armed Forces and security personnel, Department of Forestry&#13;
officers, boatmen and researchers. The remaining cases classified as most likely not related to work were possibly acquired via peri-domestic transmission. The risk of this zoonotic infection extends to tourists and overseas visitors who have to travel to the jungle in the course of their work. It can be minimised with the recommended use of prophylaxis for those going on duty into the jungles, application of mosquito/insect repellants, and use of repellant impregnated uniforms and bed nets in jungle camp sites. </text>
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Occupational Safety and Health Among Young Workers in the Nordic Countries: A Systematic Literature Review (Review Article)</text>
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                <text>This review aimed to identify risk factors for occupational accidents and illnesses among young workers in the Nordic countries and to attain knowledge on specific vulnerable groups within the young working force that may need special attention. We conducted a systematic review from 1994 to 2014 using five online databases. Of the 12,528 retrieved articles, 54 met the review criteria and were quality assessed, in which data were extracted focusing on identifying occupational safety, health risk factors, and vulnerable groups among the young workers. The review shows that mechanical factors such as heavy lifting, psychosocial factors such as low control over work pace, and organizational factors such as safety climate are all associated with increased injury risk for young Nordic workers. Results show that exposures to chemical substances were associated with skin reactions, e.g., hand eczema. Heavy lifting and awkward postures were risk factors for low back pain, and high job demands were risk factors for mental health outcomes. The review identified young unskilled workers including school drop-out workers as particularly vulnerable groups when it comes to occupational accidents. In addition, apprentices and young skilled workers were found to be vulnerable to work-related illnesses. It is essential to avoid stereotyping young Nordic workers into one group using only age as a factor, as young workers are a heterogeneous group and their vulnerabilities to occupational safety and health risks are contextual. Politicians, researchers, and practitioners should account for this complexity in the education, training and organization of work, and workplace health and safety culture.</text>
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                <text>Safety and Health at Work Vol. 10 Issue 1 2019&#13;
Occupational Exposure to Metals in Shooting Ranges: A Biomonitoring Study (Original Article)</text>
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                <text>Background: Lead (Pb) exposure in shooting ranges has been reduced by various measures such as&#13;
jacketed ammunition and lead-free primers. Nevertheless, this may lead to exposure to other metals, potentially resulting in adverse health effects.&#13;
Methods: In a cross-sectional study, 35 subjects from seven different shooting ranges were studied: four shooting instructors, 10 police officers, 15 Special Forces, and six maintenance staff members. Metals and metalloids were determined in blood and urine by inductively coupled plasmaemass spectrometry. &#13;
Results: The concentrations of most elements did not differ significantly between groups or compared to reference values, except for Sb and Pt in urine and Pb in blood. Mean values for Sb were considerably higher in urine from the Special Forces (0.34 mg/L), the maintenance staff (0.13 mg/L), and shooting instructors (0.32 mg/L) compared to the police officers before shooting (0.06 mg/L) and a Belgian reference value (0.04 mg/L). For Pt, the Special Forces showed higher mean urinary concentrations (0.078 mg/L) compared to a Belgian reference value (&lt;0.061 mg/L). Mean values for blood lead were markedly higher in the Special Forces (3.9 mg/dL), maintenance staff (5.7 mg/dL), and instructors (11.7 mg/dL) compared to police officers (1.4 mg/dL). One instructor exceeded the biological exposure index for blood Pb (38.8 mg/dL).&#13;
Conclusion: Since both Pb and Sb were found to be higher in shooting range employees, especially among frequent shooters, it is advisable to provide appropriate protective equipment, education, and medical follow-up for shooting range personnel in addition to careful choice of ammunition.</text>
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                <text>Eline Vandebroek, Vincent Haufroid, Erik Smolders, Luc Hons, Benoit Nemery </text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 1 2019</text>
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        <name>Metals</name>
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                  <text>Safety and Health at Work Vol. 10 Issue 1 2019</text>
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                <text>Safety and Health at Work Vol. 10 Issue 1 2019&#13;
Lung Function of Grain Millers Exposed to Grain Dust and Diesel Exhaust in Two Food Markets in Ibadan Metropolis, Nigeria (Original Article)</text>
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                <text>Forced expiratory volume in one second, Particulate matter, Peak expiratory flow rate, Small-scale milling enterprises</text>
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                <text>Background: Despite growing concern over occupational exposure to particulate matter (PM) such as grain dust and diesel exhaust, information about the exposure level and health implications among workers in small-scale milling enterprises in developing countries like Nigeria has not been adequately documented. The purpose of this study was to assess the level of exposure to grain dust and diesel exhaust and effect on lung function among grain millers in food markets in Ibadan metropolis, Nigeria.&#13;
Methods: The study adopted descriptive cross-sectional design with a comparative approach. Sixteen grain milling shops each were randomly selected from two major food markets in Ibadan metropolis for indoor PM10 and PM2.5 monitoring. Seventy-two respondents each were proportionately selected from grain millers and shop owners for forced expiratory volume in one second and peak expiratory flow rate tests.&#13;
Results: The PM2.5 concentrations for both market locations ranged between 1,269.3 and 651.7 mg/m3&#13;
, while PM10 concentrations were between 1,048.2 and 818.1 mg/m3 . The recorded concentrations&#13;
exceeded the World Health Organization guideline limit of 50 mg/m3 and 25 mg/m3 for PM2.5 and PM10, respectively. As compared with control group (2.1 L), significantly lower forced expiratory volume in one second value (1.61 L) was observed among the exposed group (p &lt; 0.05). Likewise, significantly lower peak expiratory flow rate value (186.7 L/min) was recorded among the exposed group than the control group (269.51 L/min) (p &lt; 0.05).&#13;
Conclusion: Exposure to grain dust and diesel exhaust accentuated respiratory disorders with declines in lung functions amongst grain millers. Improved milling practices and engaging cleaner milling facilities should be adopted to minimize exposure and related hazards.</text>
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                <text>Kemi Iyogun, Suraju A. Lateef, Godson R.E.E. Ana</text>
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                <text>Elsevier Korea LLC</text>
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                <text>March 2019</text>
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              <elementText elementTextId="18922">
                <text>Sri Wahyuni</text>
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            <name>Language</name>
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              <elementText elementTextId="18924">
                <text>English</text>
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                <text>Safety and Health at Work Vol. 10 Issue 1 2019</text>
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        <name>Forced expiratory volume in one second</name>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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        <name>Particulate matter</name>
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        <name>Peak expiratory flow rate</name>
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        <name>Small-scale milling enterprises</name>
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  <item itemId="1886" public="1" featured="1">
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                  <text>Safety and Health at Work Vol. 10 Issue 1 2019</text>
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                <text>Safety and Health at Work Vol. 10 Issue 1 2019&#13;
Investigating the Impact of Establishing Integrated  Management Systems on Accidents and Safety Performance Indices: A Case Study (Original Article)</text>
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          <element elementId="49">
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                <text>Integrated management systems, Occupational accident, Power plant, Safety performance indices</text>
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                <text>Background: Increasing the establishment of integrated management systems (IMSs) is done with the purpose of leaving traditional management methods and replacing them with modern management methods. Thus, the present study sought to analyze the events and investigate the impact of IMS on health and safety performance indices in an Iranian combined cycle power plants.&#13;
Methods: This case study was conducted in 2012 in all units of the Yazd Combined Cycle Power Plant on&#13;
accident victims before and after the implementation of IMS. For data analysis and prediction of indices after the implementation of IMS, descriptive statistics and KolmogoroveSmirnov test, Chi-square, linear&#13;
regression, and Cubic tests were conducted using SPSS software.&#13;
Results: The number of people employed in the power plant in an 8-year period (2004e2011) was 1,189, and 287 cases of work-related accidents were recorded. The highest accident frequency rate and accident severity rate were in 2004 (32.65) and 2008 (209), respectively. Safe T-score reached to below 3 during 2010e2011. In addition, given the regression results, the relation between all predictor variables with outcomes was significant (p &lt; 0.05), except for the variable X1 belonging to the accident severity rate index.&#13;
Conclusion: The implementation of safety programs especially that of IMS and its annual audits has had a&#13;
significant impact on reducing accident indices and improving safety within the study period. Accordingly, health and safety management systems are appropriate tools for reducing accident rate, and the use of regression models and accident indices is also a suitable way for monitoring safety performance. </text>
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              <elementText elementTextId="18896">
                <text>Fereydoon Laal, Mostafa Pouyakian, Rohollah F. Madvari, Amir H. Khoshakhlagh, Gholam H. Halvani </text>
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              <elementText elementTextId="18897">
                <text>Elsevier Korea LLC</text>
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              <elementText elementTextId="18899">
                <text>Sri Wahyuni</text>
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                <text>English</text>
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                <text>Safety and Health at Work Vol. 10 Issue 1 2019</text>
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