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                <text>Safety and Health at Work Vol. 13 Issue 1 2022&#13;
Acknowledgement of Reviewers</text>
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                <text>On behalf of the Editorial Board of Safety and Health at Work, the Editors-in-Chief gratefully acknowledge the following professionals for taking their valuable time and contributing their sophisticated knowledge of occupational safety and health to review the manuscripts submitted to the journal in 2021. Publication of qualified articles in the journal would not have successfully reached without the dedication of the reviewers. We believe that this committed work among international professionals will protect and promote health and safety of workers globally.</text>
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Analyzing Safety Culture in Sri Lankan Industrial Chemical Laboratories (Original article)</text>
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                <text>Background: A laboratory where chemicals are handled can be considered a hazardous environment, and hence, prudent practices should be strictly enforced. If not, deadly accidents and incidents could occur due to a lack of safety practices and poor safety culture. The purpose of this study is to analyze the existing safety culture and propose potential recommendations to enhance the level of safety education in the chemical laboratories in the Western Province of Sri Lanka.&#13;
Methods: A survey questionnaire was administered among the laboratory supervisors of the chemical laboratories in the Western Province of Sri Lanka in 2019.&#13;
Results: Even though 80 surveys were distributed among prospective participants, only 46 surveys were submitted, which is 58% of the response rate. Most of the individuals who participated in the survey were females below 35 years old, and approximately 96% of the participants had at least one year of working experience in the same laboratory setting. The majority considered safety as an important factor that requires further improvements with third-party safety inspections; however, 54% of the respondents&#13;
mentioned that those inspections were conducted by the employees from their laboratory.&#13;
Conclusion: From the study, it has been discovered that employees have knowledge of safety culture to a certain extent. A significant percentage (83%) of participants believed that further safety measures are required for a safer laboratory. However, the study revealed that the attitudes of some employees should be changed to have a better safety culture. Hence the authors would like to suggest having annual training sessions and well-formulated safety policies to improve the safety culture.</text>
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Association Between Work Status and the Use of Healthcare Services Among Women in the Republic of Korea (Original article)</text>
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                <text>healthcare cost, Korean traditional medicine, patient acceptance of healthcare, woman, work</text>
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                <text>Introduction: Previous studies on occupational health focussed predominately on the occurrence of occupational diseases. Relatively few studies have measured how employment is associated with the use of healthcare services. This study investigates the association between employment and the extent and range of healthcare use, such as medical expenditures, of women in South Korea.&#13;
Methods: We analyze data of the Korean Health Panel, an ongoing longitudinal national representative survey, from 2008 to 2017, to identify the status of economic activity of women by year and age group. We estimate the association between female employment status and medical expenditures by using random effect panel Tobit models. Furthermore, we investigate the association between employment status and the range of healthcare services in biomedicine and traditional Korean medicine (KM) by conducting conditional fixed-effects logistic regression analyses.&#13;
Results: For women aged between 25 and 65 in 2017, the majority of them were employed or self-employed. (The proportion of employment of self-employment equals 64.80%). In addition, working women spent 11.6% less on healthcare than nonworking women, and self-employment lowered the healthcare expenditure by 13.1%. Neither work nor the type of work is related to the types and range of healthcare service use. Being employed or self-employed is negatively associated with women’s expenditure on healthcare.&#13;
Conclusions: The findings show that employment is associated with less spending on healthcare. They imply that employment has a positive impact on women’s health.</text>
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                <text>Safety and Health at Work Vol. 13 Issue 1 2022&#13;
Author’s Response to Letters to the Editor regarding “Risk Assessment for Toluene Diisocyanate and Respiratory Disease Human Studies” (Letter to the Editor)</text>
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                <text>To the editor,&#13;
In response to the comments of [letter by Osman-Sypher] the&#13;
healthy worker survivor effect (HWSE) is now recognized as an&#13;
important potential source of bias in occupational disease epidemi-&#13;
ology [1,2]. It is particularly troublesome in etiologic studies and&#13;
when estimating the exposure response relationship in worker&#13;
populations exposed to irritants or experiencing acute adverse&#13;
health effects. It occurs when some workers leave employment&#13;
(or exposure) sooner than others due to health problems but&#13;
similar effects (such as attenuation of exposure response with&#13;
increasing cumulative exposure) could result if full ascertainment&#13;
and recording of exposure-attributable effects depended on expo-&#13;
sure levels, if there were development of tolerance, or if personal&#13;
protective equipment (PPE) had been utilized by some employees&#13;
but not accounted for in analyses. Toluene diisocyanate (TDI) is&#13;
just one of numerous reactive entities that occur in composite poly-&#13;
merization systems in manufacturing (e.g., cyanoacrylates, ABS,&#13;
epoxy resins). The literature reveals complaint-initiated investiga-&#13;
tions of such materials which subsequently report no apparent as-&#13;
sociation of respiratory problems with duration and other exposure&#13;
measures at current exposure levels, but without accounting for&#13;
HWSE or other violations of the assumed model [e.g., Goodman&#13;
et al. [3]].</text>
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Bioaerosol Exposure and in vitro Activation of Toll-like Receptors in a Norwegian Waste Sorting Plant (Original article)</text>
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                <text>Background: The global shift toward greener societies demands new technologies and work operations in the waste-management sector. However, progressive industrial methods do not necessarily consider workers’ health. This study characterized workers’ exposure to bioaerosols and investigated the bioaerosols’ potential to engage the immune system in vitro.&#13;
Methods: Full shift personal aerosol sampling was conducted over three consecutive days. Dust load was analyzed by gravimetry, fungal and actinobacterial spores were analyzed by scanning electron microscopy, and endotoxin by limulus amebocyte lysate (LAL) assay. In vitro exposure of HEK cells to airborne dust samples was used to investigate the potential of inducing an inflammatory reaction.&#13;
Results: The total dust exposure level exceeded the recommended occupational exposure limit (OEL) of 5.0 mg/m3 in 3 out of 15 samples. The inhalable endotoxin level exceeded the recommended exposure level by a 7-fold, whereas the fungal spore level exceeded the recommended exposure level by an 11-fold. Actinobacterial spores were identified in 8 out of 14 samples. In vitro experiments revealed significant TLR2 activation in 9 out of 14 samples vs. significant TLR4 activation in all samples.&#13;
Conclusion: The present study showed that the dust samples contained potentially health-impairing endotoxin, fungi, and actinobacterial levels. Furthermore, the sampled dust contained microbial components capable of inducing TLR activation and thus have the potential to evoke an inflammatory response in exposed individuals.</text>
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                <text>Elke Eriksen, Pål Graff, Ine Pedersen, Anne Straumfors, Anani K. Afanou</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 13 Issue 1 2022&#13;
Challengeable Legislation Against Fatal Occupational Accidents in Republic of Korea : Serious Accidents Punishment Act of Korea (Editorial)</text>
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                <text>The fatal occupational accident (injury) rate in Republic of Korea&#13;
remains higher than that in the European Union (EU) countries,&#13;
although there has been great success in preventing occupational&#13;
accidents in the last two decades [1]. In 2021, there were 828 deaths&#13;
caused by occupational accidents among approximately 19 million&#13;
workers who registered for Workers’ Compensation Insurance&#13;
(Table 1). The fatal accident rate in 2021 was 4.31 per 100,000&#13;
workers, while that of the EU 15 countries was 1.46 in 2018 [2].</text>
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                <text>Seong-Kyu Kang</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 13 Issue 1 2022&#13;
Cohort Profile: Gachon Regional Occupational Cohort Study (GROCS) (Original article)</text>
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                <text>Background/Aims: The Gachon Regional Occupational Cohort Study (GROCS) is a large-scale longitudinal study of occupational safety and health data (covering Work Environment Monitoring, Workers’ Health&#13;
Surveillance, and Occupational Health Service) conducted by the Gachon University Gil Medical Center (GUGMC) in Incheon, Republic of Korea. We conducted GROCS to identify the health effects of workers’&#13;
occupational risks, behavior, socioeconomic status, and life style.&#13;
Methods: The GROCS includes data from Work Environment Monitoring, Workers’ Health Surveillance, and Occupational Health Service. The baseline year for all data collection was 2018. Work Environment Monitoring was conducted in 240 companies located in Incheon. General Health Examination and Special Health Examination were performed on 32,725 and 9,504 workers, respectively. Occupational Health Services were provided to 16,883 workers in 171 companies. These data have been collected and operated at an external data management institution and were provided as a retrospective cohort after removing personal identification information.&#13;
Results: In 2018, the total number of companies was 2,854, among which which 488 special Health Examination, 171 Work Environment Monitoring, and 240 Occupational Health Service. The proportion&#13;
of companies undergoing Special Health Examination was 17.1%, the proportion of companies undergoing Work Environment Monitoring was 8.4%, and the proportion of Companies undergoing Occupational Health Service was 6.0%. &#13;
Conclusion: GROCS expects researchers to utilize its useful and reliable resource for occupational health and surveillance with for academic or political purposes to lead to improved workers’ health and working environment.</text>
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                <text>Safety and Health at Work Vol. 13 Issue 1 2022&#13;
Comparisons of Core Temperature Between a Telemetric Pill and Heart Rate Estimated Core Temperature in Firefighters (Original article)</text>
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                <text>Background: Firefighters may experience high environmental temperatures or carry out intensive physical tasks, or both, which leads to increased core body temperature and risk of fatalities. Hence there&#13;
is a need to remotely and non-invasively monitor core body temperature.&#13;
Methods: Estimated (heart rate algorithm) and actual core body temperature (ingested telemetric pil )measures were collected simultaneously for comparison during training exercises on 44 firefighter volunteers.&#13;
Results: Prediction of core body temperature varied, with no specific identifiable pattern between the algorithm values and directly measured body core temperatures. Group agreement of Lin’s Concordance&#13;
of 0.74 (95% Upper 0.75, lower CI 0.73), was deemed poor.&#13;
Conclusion: From individual agreement data Lin’s Concordance was variable (Min 0.11, CI 0.13e0.01; Max 0.83, CI 0.86e0.80), indicating that the heart rate algorithm approach was not suitable for core body&#13;
temperature monitoring in this population group, especially at the higher more critical core body temperatures seen.</text>
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                <text>Stephen J. Pearson, Brian Highlands, Rebecca Jones, Martyn J. Matthews</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 13 Issue 1 2022</text>
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Coronavirus Disease (COVID-19) Pandemic: The Psychological Well-Being in a Cohort of Workers of a Multinational Company (Original article)</text>
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                <text>Background: The aim of the present study was to evaluate the psychological well-being (PWB) during the coronavirus disease (COVID-19) pandemic in workers of a multinational company.&#13;
Methods: Employees (aged 18 years) were recruited from Latin American, North American, New Zealand, and European sites of a multinational company operative during all the pandemic period. The self-reported Psychological General Well-Being Index was used to assess the global PWB and the effects on six subdomains: anxiety, depressed mood, positive well-being, self-control, general health, and vitality. The influencing role of age, gender, geographical location, COVID-19 epidemiology, and restrictive measures adopted to control the pandemic was explored. &#13;
Results: A total of 1335 workers completed the survey. The aggregate median PWB global score was in a positive range, with significantly better outcomes detected in the Mexican and Colombian Latin American&#13;
sites compared with the other worldwide countries (p &lt; 0.001). Among the European locations, a significantly higher PWB score was determined in Spain compared with the German and French sites (p &lt; 0.05). Comparable geographical trends were demonstrated for all the PWB subdomains. Male workers had a significantly better PWB compared with females (p &lt; 0.05), whereas a negative correlation emerged with aging (p 1⁄4 0.01). COVID-19 epidemiology and pandemic control measures had no clear effects on PWB.&#13;
Conclusion: Monitoring PWB and the impact of individual and pandemic-related variables may be helpful to clarify the mental health effects of pandemic, define targeted psychological-supporting&#13;
measures, also in the workplace, to face such a complex situation in a more constructive way.</text>
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                <text>Piero Lovreglio, Veruscka Leso, Elisabetta Riccardi, Angela Stufano, &#13;
Daniela Pacella, Francesco Cagnazzo, Maria Luigia Ercolano, Ivo Iavicoli </text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 13 Issue 1 2022</text>
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