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                <text>Safety and Health at Work Vol. 10 Issue 3 2019&#13;
A Simple Proposition for Improving Industrial Hygiene Air Sampling Methods (Short Communication)</text>
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                <text>When conducting an exposure assessment, the primary goal of the industrial hygienist is to fully characterize the worker’s exposure during a work shift to compare it with an occupational exposure limit. This applies regardless of the duration of the work activity as an activity that is relatively short in&#13;
duration can still present exposure in excess of the occupational exposure limit even when normalized&#13;
over an 8-hr shift. This goal, however, is often impeded by the specification of a minimum sample&#13;
volume in the published sampling method, which may prevent the sample from being collected or&#13;
submitted for analysis. Removing the specification of minimum sample volume (or adjusting it from a&#13;
requirement to a recommendation), in contrast, allows for a broader assessment of jobs that consist of short-duration and high-exposure activities and also eliminates the unnecessary practice of running&#13;
sampling pumps in clean air to collect a specified, minimum volume.</text>
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                <text>Samuel Y. Paik*, David M. Zalk</text>
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                <text>Sri Wahyuni</text>
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An Instrumented Workstation to Evaluate Weight-Bearing Distribution in the Sitting Posture (Original Article)</text>
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                <text>Background: Sitting posture may be related to risk factors, including inadequate weight-bearing support, particularly when maintained for long periods. Considering that body weight is loaded in a closed support system composed of the seat, backrest, floor and working surface, the aims of the present study were to describe the development of an ergonomic sitting workstation to continuously record weight-bearing at the seat, chair, backrest, work surface, and floor and to test its measurement properties: reproducibility, criterion-related validity, and sensitivity.&#13;
Methods: Rigid bodies (1 to 30 kg) and participant weights were recorded to evaluate the workstation&#13;
measurement properties.&#13;
Results: Rigid body tests showed variation values less than 0.050 kg on reproducibility test and errors&#13;
below 5% of measured value on criterion validity tests. Participant tests showed no statistically significant differences between repeated measures (p  0.40), errors were less than 2% of participant weights and sensitivity presented statistically significant changes (p 1⁄4 0.007).&#13;
Conclusion: The sitting workstation proposed showed to be reliable, valid and sensitive for use in future ergonomic studies to evaluate the sitting posture.</text>
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                <text>Safety and Health at Work Vol. 10 Issue 3 2019&#13;
Clinical Characteristics of Disability in Patients with Indoor AireRelated Environmental Intolerance (Original Article)</text>
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                <text>Background: Chronic nonspecific symptoms attributed to indoor nonindustrial work environments are common and may cause disability, but the medical nature of this disability is unclear. The aim was to medically characterize the disability manifested by chronic, recurrent symptoms and restrictions to work participation attributed to low-level indoor pollutants at workplace and whether the condition shares features with idiopathic environmental intolerance.&#13;
Methods: We investigated 12 patients with indoor airerelated work disability. The examinations&#13;
included somatic, psychological, and psychiatric evaluations as well as investigations of the autonomic nervous system, cortisol measurements, lung function, and allergy tests. We evaluated well-being, health, disability, insomnia, pain, anxiety, depression, and burnout via questionnaires.&#13;
Results: The mean symptom history was 10.5 years; for disabling symptoms, 2.7 years. Eleven patients&#13;
reported reactions triggered mainly by indoor molds, one by fragrances only. Ten reported sensitivity to odorous chemicals, and three, electric devices. Nearly all had co-occurrent somatic and psychiatric diagnoses and signs of pain, insomnia, burnout, and/or elevated sympathetic responses. Avoiding certain environments had led to restrictions in several life areas. On self-assessment scales, disability showed higher severity and anxiety showed lower severity than in physician assessments. &#13;
Conclusion: No medical cause was found to explain the disability. Findings support that the condition is a form of idiopathic environmental intolerance and belongs to functional somatic syndromes. Instead of&#13;
endless avoidance, rehabilitation approaches of functional somatic syndromes are applicable.</text>
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                <text>Aki Vuokko, Kirsi Karvala, Hille Suojalehto, Harri Lindholm, Sanna Selinheimo, Marja Heinonen-Guzejev, Sami Leppämäki, Sebastian Cederström, Christer Hublin, Katinka Tuisku, Markku Sainio</text>
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                <text>Safety and Health at Work Vol. 10 Issue 3 2019&#13;
Controlling Painters’ Exposure to Volatile Organic Solvents in the Automotive Sector of Southern Colombia (Original Article)</text>
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                <text>Background: Painters in the automotive sector are routinely exposed to volatile organic solvents, and the levels vary depending on the occupational health and safety controls enforced at the companies. This study investigates the levels of exposure to organic vapors and the existence of controls in the formal economy sector in southern Colombia.&#13;
Methods: This is an exploratory study of an observational and descriptive character. An analysis of solvents is conducted via the personal sampling of painters and the analysis of samples using the National Institute for Occupational Safety and Health 1501 method. The amount of solvents analyzed varied according to the budget allocated by the companies. The person in charge of the occupational safety and health management system was interviewed to learn about the exposure controls implemented at the companies.&#13;
Results: A medium exposure risk for toluene was found in one company. Another presented medium risk for carbon tetrachloride, xylene, ethylbenzene, and n-butanol. The others showed low risk of exposure and that the controls implemented were not sufficient or efficient.&#13;
Conclusion: These results shed light on the working conditions of these tradespeople. The permissible&#13;
limits established by Colombian regulations for the evaluated chemical contaminants were not exceeded. However, there were contaminants that exceeded the limits of action. The analysis of findings made it possible to propose improvements in occupational safety and health management systems to allow the optimization of working conditions for painters, prevent the occurrence of occupational diseases, and reduce costs to the country’s health system.</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 3 2019</text>
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        <name>Concentration in environment</name>
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                <text>Safety and Health at Work Vol. 10 Issue 3 2019&#13;
Design and Development of an Ergonomic Trolley-Lifter for Sheet Metal Handling Task: A Preliminary Study (Original Article)&#13;
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                <text>Background: There have been some concerns related to manual handling of large items in industry. Manual handling operations of large sheet metal may expose workers to risks related to efficiency as well as occupational safety and health. Large sheet metals are difficult to move and burdensome to lift/transfer, and handling the sharp sheet edges may result in contact stress and/or cut injuries on the workers.&#13;
Methods: Through observation, interview, and immersive simulation activities, a few problems related to current handling of sheet metals were identified. A sheet metal trolley-lifter was then designed and fabricated to address these issues. A pilot study on the use of the developed trolley-lifter for handling sheet metals was conducted to compare between the new and traditional handling methods.&#13;
Results: The pilot study of the trolley-lifter showed promising results in terms of improving the cycle&#13;
time, manpower utilization, and working postures compared with the traditional handling method.&#13;
Conclusion: The trolley-lifter offers an alternative solution to automation and a mechanized assistive&#13;
device by providing a simple mechanism to assist the handling of sheet metals effectively and safely.</text>
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                <text>Radin Zaid Radin Umar, Nadiah Ahmad , Isa Halim, Poh Yan Lee, Malek Hamid</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 3 2019</text>
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                <text>Safety and Health at Work Vol. 10 Issue 3 2019&#13;
Do Various Respirator Models Fit the Workers in the Norwegian Smelting Industry? (Original Article)</text>
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                <text>Fit factor, Predictors of fit, Respiratory protective equipment, Quantitative respirator fit test, Smelting industry </text>
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                <text>Background: Respirator fit testing is a method to assess if the respirator provides an adequate face seal for the worker.&#13;
Methods: Workers from four Norwegian smelters were invited to participate in the study, and 701&#13;
respirator fit tests were performed on 127 workers. Fourteen respirator models were included: one&#13;
FFABE1P3 and 11 FFP3 respirator models produced in one size and two silicone half masks with P3 filters available in three sizes. The workers performed a quantitative fit test according to Health and Safety Executive 282/28 with 5e6 different respirator models, and they rated the respirators based on comfort. Predictors of overall fit factors were explored.&#13;
Results: The pass rate for all fit tests was 62%, 56% for women, and 63% for men. The silicone respirators had the highest percentage of passed tests (92e100%). The pass rate for the FFP3 models varied from 19 e89%, whereas the FFABE1P3 respirator had a pass rate of 36%. Five workers did not pass with any respirators, and 14 passed with all the respirators tested. Only 63% passed the test with the respirator they normally used. The mean comfort score on the scale from 1 to 5 was 3.2. The respirator model was the strongest predictor of the overall fit factor. The other predictors (age, sex, and comfort score) did not improve the fit of the model.&#13;
Conclusion: There were large differences in how well the different respirator models fitted the Norwegian smelter workers. The results can be useful when choosing which respirators to include in respirator fit testing programs in similar populations.</text>
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                <text>Solveig Foereland, Oeystein Robertsen, Marit Noest Hegseth</text>
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              <elementText elementTextId="19386">
                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 3 2019</text>
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                <text>Safety and Health at Work Vol. 10 Issue 3 2019&#13;
Effect of Workload on Job Stress of Ghanaian OPD Nurses: The Role of Coworker Support (Original Article)</text>
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          <element elementId="49">
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                <text>Background: Although the concept of workload is important to nursing practice, only a few nursing&#13;
researchers have focused on the issue of workload within the nursing context. Knowledge of how the&#13;
dynamics of workload affects the job stress of nurses working in a specific unit or department in a&#13;
hospital setting, and the influence of coworker support on this relationship, still remains limited. This study, therefore examined the effect of workload on job stress of Ghanaian outpatient department nurses and the moderating effect of coworker support on this relationship.&#13;
Methods: A cross-sectional survey design was used, and questionnaire was used to collect data from a&#13;
sample of 216 outpatient department nurses from four major hospitals in Ghana. The data collected&#13;
measured workload, job stress, and coworker support using National Aeronautics and Space Administration (NASA) Task Load Index, job stress scale, and coworker support scale, respectively. Data were analysed using descriptive statistics, correlation, and hierarchical regression.&#13;
Results: High levels of workload were associated with high levels of job stress of the nurses. Also, higher levels of workload were related to higher levels of job stress for nurses who received high levels of coworker support, but this was not the case for those who received low levels of coworker support (reserve buffering effect).&#13;
Conclusion: The finding reiterates the adverse effect of workloads on employees’ health, and the reverse buffering effect implies that supporting a colleague at work should be conveyed in a positive manner devoid of negative appraisal.</text>
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                <text>Emmanuel Kokoroko , Mohammed A. Sanda</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 3 2019</text>
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                <text>Safety and Health at Work Vol. 10 Issue 3 2019&#13;
Exploring the Contributory Factors of Confined Space Accidents Using Accident Investigation Reports and Semistructured Interviews (Original Article)</text>
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                <text>Background: The oil and gas industry is one of the riskiest industries for confined space injuries. This&#13;
study aimed to understand an overall picture of the causal factors of confined space accidents through&#13;
analyzing accident reports and the use of a qualitative approach.&#13;
Methods: Twenty-one fatal occupational accidents were analyzed according to the Human Factors&#13;
Analysis and Classification System approach. Furthermore, thirty-three semistructured interviews were conducted with employees in different roles to capture their experiences regarding the contributory factors. The content analyses of the interview transcripts were conducted using MAXQDA software.&#13;
Results: Based on accident reports, the largest proportions of causal factors (77%) were attributed to the organizational and supervisory levels, with the predominant influence of the organizational process. We identified 25 contributory factors in confined space accidents that were causal factors outside of the original Human Factors Analysis and Classification System framework. Therefore, modifications were made to deal with factors outside the organization and newly explored causal factors at the organizational level. External Influences as the fifth level considered contributory factors beyond the organization including Laws, Regulations and Standards, Government Policies, Political Influences, and Economic Status categories. Moreover, Contracting/Contract Management and Emergency Management were two extra categories identified at the organizational level.&#13;
Conclusions: Preventing confined space accidents requires addressing issues from the organizational to operator level and external influences beyond the organization. The recommended modifications pro-&#13;
vide a basis for accident investigation and risk analysis, which may be applicable across a broad range of industries and accident types.</text>
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                <text>Zahra Naghavi K. Seyed B. Mortazavi,  Hassan Asilian M., Ebrahim Hajizadeh</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 3 2019</text>
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        <name>Accidents</name>
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        <name>Content analysis</name>
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        <name>HFACS</name>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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        <name>Semistructured interview</name>
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                  <text>Safety and Health at Work Vol. 10 Issue 3 2019</text>
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                <text>Safety and Health at Work Vol. 10 Issue 3 2019&#13;
Exposure to Particles and Nitrogen Dioxide Among Workers in the Stockholm Underground Train System (Original Article)</text>
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                <text>Objectives: Exposure to fine particles in urban air has been associated with a number of negative health effects. High levels of fine particles have been detected at underground stations in big cities. We investigated the exposure conditions in four occupational groups in the Stockholm underground train system to identify high-exposed groups and study variations in exposure.&#13;
Methods: PM1 and PM2.5 were measured during three full work shifts on 44 underground workers.&#13;
Fluctuations in exposure were monitored by a real-time particle monitoring instrument, pDR, DataRAM. Qualitative analysis of particle content was performed using inductively coupled plasma mass spectrometry. Nitrogen dioxide was measured using passive monitors.&#13;
Results: For all underground workers, the geometric mean (GM) of PM1 was 18 mg/m3 and of PM2.5 was 37 mg/m3. The particle exposure was highest for cleaners/platform workers, and the GM of PM1 was 31.6 mg/m3 [geometric standard deviation (GSD), 1.6] and of PM2.5 was 76.5 mg/m3 (GSD, 1.3); the particle exposure was lowest for ticket sellers, and the GM of PM1 was 4.9 mg/m3 (GSD, 2.1) and of PM2.5 was 9.3 mg/m3 (GSD, 1.5). The PM1 and PM2.5 levels were five times higher in the underground system than at the street level, and the particles in the underground had high iron content. The train driver’s nitrogen dioxide exposure level was 64.1 mg/m3 (GSD, 1.5).&#13;
Conclusions: Cleaners and other platform workers were statistically significantly more exposed to par-&#13;
ticles than train drivers or ticket sellers. Particle concentrations (PM2.5) in the Stockholm underground system were within the same range as in the New York underground system but were much lower than in several older underground systems around the world.</text>
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                <text>N. Plato, C. Bigert, B.-M. Larsson, M. Alderling, M. Svartengren, P. Gustavsson </text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 10 Issue 3 2019</text>
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