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                  <text>Safety and Health at Work Vol. 10 Issue 2 2019</text>
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                <text>Safety and Health at Work Vol. 10 Issue 2 2019&#13;
Insights Into Emissions and Exposures From Use of Industrial-Scale Additive Manufacturing Machines (Original Article)</text>
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                <text>Additive manufacturing, Material extrusion, Material jetting, Ultrafine particles, Volatile organic compounds</text>
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                <text>Background: Emerging reports suggest the potential for adverse health effects from exposure to emissions from some additive manufacturing (AM) processes. There is a paucity of real-world data on emissions from AM machines in industrial workplaces and personal exposures among AM operators.&#13;
Methods: Airborne particle and organic chemical emissions and personal exposures were characterized using real-time and time-integrated sampling techniques in four manufacturing facilities using industrial-scale material extrusion and material jetting AM processes.&#13;
Results: Using a condensation nuclei counter, number-based particle emission rates (ERs) (number/min) from material extrusion AM machines ranged from 4.1  1010 (Ultem filament) to 2.2  1011 [acrylonitrile butadiene styrene and polycarbonate filaments). For these same machines, total volatile organic compound ERs (mg/min) ranged from 1.9  104 (acrylonitrile butadiene styrene and polycarbonate) to 9.4  104 (Ultem). For the material jetting machines, the number-based particle ER was higher when the lid was open (2.3  1010 number/min) than when the lid was closed (1.5e5.5  109 number/min); total volatile organic compound ERs were similar regardless of the lid position. Low levels of acetone, benzene, toluene, and m,p-xylene were common to both AM processes. Carbonyl compounds were detected; however, none&#13;
were specifically attributed to the AM processes. Personal exposures to metals (aluminum and iron) and eight volatile organic compounds were all below National Institute for Occupational Safety and Health (NIOSH)-recommended exposure levels.&#13;
Conclusion: Industrial-scale AM machines using thermoplastics and resins released particles and organic vapors into workplace air. More research is needed to understand factors influencing real-world industrial-scale AM process emissions and exposures.</text>
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                <text>A.B. Stefaniak, A.R. Johnson, S. du Preez, D.R. Hammond, J.R. Wells, J.E. Ham, R.F. LeBouf, S.B. Martin Jr., M.G. Duling, L.N. Bowers, A.K. Knepp, D.J. de Beer, J.L. du Plessis</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 2 2019</text>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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        <name>Material extrusion</name>
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                <text>Safety and Health at Work Vol. 10 Issue 2 2019&#13;
An Analysis of Individual and Social Factors Affecting Occupational Accidents (Original Article)&#13;
&#13;
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                <text>Accident proneness, Effortereward imbalance, Occupational stress, Workefamily conflict, Work locus of control</text>
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                <text>Background: Workforce health is one of the primary and most challenging issues, particularly in industrialized countries. This article aims at modeling the major factors affecting accidents in the workplace, including general health, workefamily conflict, effortereward imbalance, and internal and external locus of control.&#13;
Methods: A cross-sectional study was conducted in Esfahan Steel Company in Iran. A total of 450 par-&#13;
ticipants were divided into two groupsdcontrol and casedand the questionnaires were distributed&#13;
among them. Data were collected through a 7-part questionnaire. Finally, the results were analyzed using SPSS 22.0 and Amos software.&#13;
Results: All the studied variables had a significant relationship with the accident proneness. In the case group, general health with a coefficient of e0.37, workefamily conflict with 0.10, effortereward imbalance with 0.10, internal locus of control with e0.07, and external locus of control with 0.40 had a direct effect on occupational stress. Occupational stress also had a positive direct effect on accident proneness with a coefficient of 0.47. In addition, fitness indices of control group showed general health (e0.35), workefamily conflict (0.36), effortereward imbalance (0.13), internal locus of control (e0.15), and external locus of control (0.12) have a direct effect on occupational stress. Besides, occupational stress with a coefficient of 0.09 had a direct effect on accident proneness.&#13;
Conclusion: It can be concluded that although previous studies and the present study showed the effect of stress on accident and accident proneness, some hidden and external factors such as workefamily conflict, effortereward imbalance, and external locus of control that affect stress should also be considered. It helps industries face less occupational stress and, consequently, less occurrence rates of accidents.</text>
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                <text>Amir Barkhordari, Behnam Malmir, Mahdi Malakoutikhah </text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 2 2019</text>
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      <tag tagId="2017">
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                <text>Safety and Health at Work Vol. 10 Issue 2 2019&#13;
Personal Protective Equipment Availability and Utilization Among Interventionalists (Original Article)</text>
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          <element elementId="49">
            <name>Subject</name>
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                <text>Gender parity in the workplace, PPE availability, PPE utilization, Quality of care</text>
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                <text>Objective: This study explored personal protective equipment (PPE) availability and PPE utilization&#13;
among interventionalists in the catheterization laboratory, which is a highly contextualized workplace.&#13;
Methods: This is a cross-sectional study using mixed methods. Participants (108) completed a survey. A&#13;
hyperlink was sent to the participants, or they were asked to complete a paper-based survey. Purposively selected participants (54) were selected for individual (30) or group (six) interviews. The interviews were conducted at conferences, or appointments were made to see the participants. Logistic regression analysis was performed. The qualitative data were analyzed thematically.&#13;
Results: Lead glasses were consistently used 10.2% and never used 61.1% of the time. All forms of PPE&#13;
were inconsistently used by 92.6% of participants. Women were 4.3 times more likely to report that PPE was not available. PPE compliance was related to fit and availability.&#13;
Conclusions: PPE use was inconsistent and not always available. Improving the culture of radiation&#13;
protection in catheterization laboratories is essential to improve PPE compliance with the aim of protecting patients and operators. This culture of radiation protection must include all those involved&#13;
including the users of PPE and the administrators and managers who are responsible for supplying&#13;
sufficient, appropriate, fitting PPE for all workers requiring such protection.</text>
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                <text>André Rose , William Ian Duncombe Rae</text>
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            <description>An entity responsible for making the resource available</description>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 2 2019</text>
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        <name>Gender parity in the workplace</name>
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      <tag tagId="2017">
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        <name>PPE availability</name>
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                  <text>Safety and Health at Work Vol. 10 Issue 2 2019</text>
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                <text>Safety and Health at Work Vol. 10 Issue 2 2019&#13;
The Interplay Between Supervisor Safety Support and Occupational Health and Safety Vulnerability on Work Injury (Original Article)</text>
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          <element elementId="49">
            <name>Subject</name>
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                <text>Occupational health and safety, Vulnerability, Work injury, Supervisor</text>
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                <text>Background: Workers exposed to hazards without adequate protections are at greater risk of injury and illness. Supervisor activities have also been associated with injury risk. We examined the interplay between supervisor safety support and occupational health and safety (OHS) vulnerability on workplace injury and illness.&#13;
Methods: A survey was administered to 2,390 workers employed for more than 15 hrs/week in work-places with at least five employees who had a direct supervisor. We examined the combined effects of hazard exposure with inadequate protection (OHS vulnerability) and supervisor support on workplace injury and illness, using additive interactions in log-binomial regression models.&#13;
Results: OHS vulnerability and lack of supervisor support independently increased the likelihood of&#13;
physical injuries at work. Crude and adjusted models showed that the risk of physical injury was at least 3.5 times higher among those experiencing both OHS vulnerability and a lack of supervisor support than individuals without OHS vulnerability and with a supportive direct supervisor. Workers who experienced vulnerability were at less risk if they had a supervisor who was supportive.&#13;
Conclusion: In workplaces where workers experience one or more types of OHS vulnerability, having a supportive supervisor may play an important role in reducing the risk of injury and protecting workers.</text>
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                <text>Basak Yanar, Morgan Lay, Peter M. Smith</text>
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Crashes and Traffic Signal Violations Caused by Commercial Motorcycle Couriers (Original Article)</text>
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                <text>Background: Motorcycles are one of the important members of commercial transportation because of the convenient use during congested traffic conditions and the ease of parking in narrow streets. This study investigates the characteristics of crashes and traffic signal violations caused by motorcycle couriers.&#13;
Methods: From the national compensation data, this study analyzed the traffic crashes caused by 671&#13;
motorcycle couriers.&#13;
Results: Among 671 injured couriers, 50.6% were aged less than 40 years, 49.2% run in a small business of &lt;5 employees, and 47.2% had work experience of &lt;6 months. Motorcycle crashes occurred mainly due to “rider overturned alone” (67.5%), in the daytime (73.5%), or on cloudy or clear days (77.2%). However, the violation rate caused by motorcycle couriers was high in couriers in a small business of &lt;5 employees (13.9%), with work experience of &lt;6 months (13.9%), on cloudy or clear days (12.4%), on an intersection (29.8%), in the type of “crash with a vehicle” (31.2%), or in a death accident (35.7%) &#13;
Conclusion: The findings of this study can be used as a baseline in devising policies for preventing&#13;
crashes of motorcycle couriers.</text>
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Analysis of Injuries in the Ghanaian Mining Industry and Priority Areas for Research (Original Article)</text>
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                <text>Background: Despite improvements in safety performance, the number and severity of mining-related injuries remain high and unacceptable, indicating that further reduction can be achieved. This study examines occupational accident statistics of the Ghanaian mining industry and identifies priority areas, warranting intervention measures and further investigations.&#13;
Methods: A total of 202 fatal and nonfatal injury reports over a 10-year period were obtained from five mines and the Inspectorate Division of the Minerals Commission of Ghana, and they were analyzed.&#13;
Results: Results of the analyses show that the involvement of mining equipment, the task being performed, the injury type, and the mechanism of injury remain as priorities. For instance, mining equipment was associated with 85% of all injuries and 90% of all fatalities, with mobile equipment, component/part, and hand tools being the leading equipment types. In addition, mechanics/repairmen, truck operators, and laborers were the most affected ones, and the most dangerous activities included maintenance, operating mobile equipment, and clean up/clearing.&#13;
Conclusion: Results of this analysis will enable authorities of mines to develop targeted interventions to improve their safety performance. To improve the safety of the mines, further research and prevention efforts are recommended.</text>
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                <text>Sri Wahyuni</text>
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Contributors to Fatigue of Mine Workers in the South African Gold and Platinum Sector (Original Article)</text>
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                <text>Background: Mine workers in South Africa face challenges relating to poor health and safety, including fatigue risks, and poor socioeconomic and living conditions. Fatigue results in impaired mental and physical performance. The aim of this study was to assess contributors to fatigue of mine workers in&#13;
South Africa.&#13;
Methods: Data collection took place at four gold mines and one platinum mine in South Africa. A total of 21 focus groups were held with individuals in management, union representatives, and mine workers, and 564 questionnaires were completed by mine workers to gather information about fatigue and potential contributors to fatigue at these mines.&#13;
Results: Qualitatively (through focus groups), fatigue was attributed to extended working hours, harsh working conditions, high workloads, production pressure, and resource constraints, along with aspects relating to demographic and socioeconomic factors, living conditions, lifestyle, health, and wellness. Greater fatigue was significantly associated with younger age, indebtedness, a lack of exercise, poor nutrition, less sleep, increased alcohol use, poor self-reported health, more sick leave, higher stress, and lower job satisfaction.&#13;
Conclusion: The aim of the study was achieved; numerous work-, sociodemographic-, lifestyle-, and&#13;
wellness-related factors were linked to fatigue in the participating mine workers. Contributors to fatigue should be addressed to improve health, safety, and sustainability in the industry.</text>
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Workplace Diesel Exhausts and Gasoline Exposure and Risk of Colorectal Cancer in Four Nordic Countries (Original Article)</text>
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                <text>Background: Evidence on associations between occupational diesel exhaust and gasoline exposure and colorectal cancer is limited. We aimed to assess the effect of workplace exposure to diesel exhaust and gasoline on the risk of colorectal cancer.&#13;
Methods: This caseecontrol study included 181,709 colon cancer and 109,227 rectal cancer cases diag-&#13;
nosed between 1961 and 2005 in Finland, Iceland, Norway, and Sweden. Cases and controls were&#13;
identified from the Nordic Occupational Cancer Study cohort and matched for country, birth year, and sex. Diesel exhaust and gasoline exposure values were assigned by country-specific job-exposure matrices. Odds ratios and 95% confidence intervals were calculated by using conditional logistic regression models. The results were adjusted for physical strain at work and occupational exposure to benzene, formaldehyde, ionizing radiation, chlorinated hydrocarbons, chromium, and wood dust.&#13;
Results: Diesel exhaust exposure was associated with a small increase in the risk of rectal cancer (odds ratio 1⁄4 1.05, 95% confidence interval 1.02-1.08). Gasoline exposure was not associated with colorectal cancer risk.&#13;
Conclusion: This study showed a small risk increase for rectal cancer after workplace diesel exhaust&#13;
exposure. However, this finding could be due to chance, given the limitations of the study.</text>
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                <text>Madar Talibov, Jorma Sormunen, Elisabete Weiderpass, Kristina Kjaerheim, Jan-Ivar Martinsen, Per Sparen , Laufey Tryggvadottir, Johnni Hansen, Eero Pukkala</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 2 2019</text>
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        <name>Diesel exhaust</name>
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                <text>Safety and Health at Work Vol. 10 Issue 2 2019&#13;
Leading for Safety: A Question of Leadership Focus (Original Article)</text>
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                <text>Background: There is considerable evidence that leadership influences workplace safety, but less is&#13;
known about the relative importance of different leadership styles for safety. In addition, a leadership&#13;
style characterized by an emphasis and a focus on promoting safety has rarely been investigated&#13;
alongside other more general leadership styles.&#13;
Methods: Data were collected through a survey to which 269 employees in a paper mill company&#13;
responded. A regression analysis was conducted to examine the relative roles of transformational,&#13;
transactional (management-by-exception active; MBEA), and safety-specific leadership for different&#13;
safety behavioral outcomes (compliance behavior and safety initiative behaviors) and for minor and&#13;
major injuries.&#13;
Results: A safety-specific leadership contributed the most to the enhanced safety of the three different kinds of leadership. Transformational leadership did not contribute to any safety outcome over and above that of a safety-specific leadership, whereas a transactional leadership (MBEA) was associated with negative safety outcomes (fewer safety initiatives and increased minor injuries).&#13;
Conclusion: The most important thing for leaders aiming at improving workplace safety is to continu-&#13;
ously emphasize safety, both in their communication and by acting as role models. This highlights the importance for leadership training programs aiming to improve safety to actually focus on safety-promoting communication and behaviors rather than general leadership. Furthermore, an overly monitoring and controlling leadership style can be detrimental to attempts at achieving improved workplace safety.</text>
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                <text>Malin Mattson Molnar, Ulrica Von Thiele Schwarz, Johnny Hellgren, Henna Hasson, Susanne Tafvelin </text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 2 2019</text>
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                  <text>Safety and Health at Work Vol. 10 Issue 2 2019</text>
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                <text>Safety and Health at Work Vol. 10 Issue 2 2019&#13;
Comparison of the Impact of an Optimized Ice Cooling Vest and a Paraffin Cooling Vest on Physiological and Perceptual Strain (Original Article)</text>
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                <text>Heat strain, Ice cooling vest, Optimization, Perceptual strain, Physiological strain</text>
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                <text>Background: Ice cooling vests can cause tissue damage and have no flexibility. Therefore, these two&#13;
undesirable properties of ice cooling vest were optimized, and the present study was aimed to compare the impact of the optimized ice cooling vest and a commercial paraffin cooling vest on physiological and perceptual strain under controlled conditions.&#13;
Methods: For optimizing, hydrogel was used to increase the flexibility and a layer of the ethylene vinyl acetate foam was placed into the inside layer of packs to prevent tissue damage. Then, 15 men with an optimized ice cooling vest, with a commercial paraffin cooling vest, and without a cooling vest performed tests including exercise on a treadmill (speed of 2.8 km/hr and slope of %0) under hot (40 C) and dry (40 %) condition for 60 min. The physiological strain index and skin temperature were measured every 5 and 15 minutes, respectively. The heat strain score index and perceptual strain index were also assessed every 15 minutes.&#13;
Results: The mean values of the physiological and perceptual indices differed significantly between&#13;
exercise with and without cooling vests (P &lt; 0.05). However, the difference of the mean values of the&#13;
indices except the value of the skin temperature during the exercises with the commercial paraffin&#13;
cooling vest and the optimized ice cooling vest was not significant (P &gt; 0.05).&#13;
Conclusions: The optimized ice cooling vest was as effective as the commercial paraffin cooling vest to&#13;
control the thermal strain. However, ice has a greater latent heat and less production cost.</text>
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                <text>Mansoor zare, Habibollah dehghan, Saeid yazdanirad , Amir hossein khoshakhlagh </text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 2 2019</text>
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