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                <text>Safety and Health at Work Vol. 14 Issue 3 2023&#13;
Association with Combined Occupational Hazards Exposure and Risk of Metabolic Syndrome: A Workers’ Health Examination Cohort 2012-2021 (Original article) </text>
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                <text>Heavymetal exposure, Lifestyle disease, Occupational risk factors, Organic solvents exposure Worker’s health cohort</text>
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                <text>Background: This study aimed to evaluate the association between exposure to occupational hazards and the metabolic syndrome. A secondary objective was to analyze the additive and multiplicative effects of exposure to risk factors. &#13;
Methods: This retrospective cohort was based on 31,615 health examinees at the Pusan National University Yangsan Hospital in Republic of Korea from 2012-2021. Demographic and behavior-related risk factors were treated as confounding factors, whereas three physical factors, 19 organic solvents and aerosols, and 13 metals and dust were considered occupational risk factors. Time-dependent Cox regression analysis was used to calculate hazard ratios.&#13;
Results: The risk of metabolic syndrome was significantly higher in night shift workers (hazard ratio 1⁄4 1.45: 95% confidence interval 1⁄4 1.36-1.54) and workers who were exposed to noise (1.15:1.07-1.24). Exposure to some other risk factors was also significantly associated with a higher risk of metabolic syndrome. They were dimethylformamide, acetonitrile, trichloroethylene, xylene, styrene, toluene, dichloromethane, copper, antimony, lead, copper, iron, welding fume, and manganese. Among the 28 significant pairs, 19 exhibited both positive additive and multiplicative effects.&#13;
Conclusions: Exposure to single or combined occupational risk factors may increase the risk of developing metabolic syndrome. Working conditions should be monitored and improved to reduce exposure to occupational hazards and prevent the development of the metabolic syndrome. </text>
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                <text>Dongmug Kang , Eun-Soo Lee, Tae-Kyoung Kim, Yoon-Ji Kim, Seungho Lee, Woojoo Lee, Hyunman Sim, Se-Yeong Kim</text>
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                <text>journal homepage: www.e-shaw.net</text>
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                <text>Elsevier B.V. on behalf of Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency.</text>
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                <text>21 August 2023</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 14 Issue 3 2023</text>
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                <text>Safety and Health at Work Vol. 14 Issue 3 2023&#13;
Chronic Respiratory Symptoms and Associated Factors among Fruit and Vegetable Workers in Addis Ababa, Ethiopia: A Comparative Cross sectional Study (Original article)</text>
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                <text>Background: Fruit and vegetable market is an abundant source of bioaerosols. Exposure to organic and&#13;
&#13;
inorganic waste and long-term inhalation of bioaerosols during working hours leads to chronic respi-&#13;
ratory symptoms. Hence, this study aimed to determine the prevalence of chronic respiratory symptoms&#13;
&#13;
and related factors among fruit and vegetable workers compared with the control group in Addis Ababa,&#13;
Ethiopia.&#13;
Methods and materials: A comparative cross-sectional study was conducted from 2020 to 2021. Data&#13;
were entered in EpiData 3.1 and exported to Statistical Package for the Social Sciences (SPSS) version 25.&#13;
Logistic regressions were computed to depict the data and related factors. The culture method was done&#13;
to count and compare bacterial and fungal concentrations between fruit and vegetable workers and&#13;
office workers.&#13;
Results: In this study, the prevalence of chronic respiratory symptoms (PR 1⁄4 2.87, 95% confidence interval&#13;
[CI]: 1.772e4.66) was significantly higher among fruit and vegetable workers (46.7%) than controls&#13;
(23.4%). Sex (adjusted odds ratio [AOR] 1⁄4 2.11, 95% CI 1⁄4 1.12e3.98), educational status (AOR 1⁄4 1.34, 95%&#13;
CI 1⁄4 0.78e2.32), working hours per day (AOR 1⁄4 3.91, 95% CI 1⁄4 1.586e9.65), and working department&#13;
(AOR 1⁄4 3.20, 95% CI 1⁄4 0.90e11.40) were associated with chronic respiratory symptoms. Bacterial and&#13;
fungal concentrations were significantly higher in the air of the vegetable market (276 colony-forming&#13;
unit) than the air in the workplace of controls (7 colony-forming unit).&#13;
Conclusion: The fruit and vegetable market workers (greengrocers) had a higher prevalence of chronic&#13;
respiratory symptoms relative to office workers. Respiratory protective devices should be given to deliver&#13;
preventive measures.</text>
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                <text>Mulualem Gete Feleke, Yidnekachew Alemu, Meaza Gezu Shentema, Samson Wakuma, Zerihun Emiru, Tesfaye Yitna Chichiabellu</text>
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                <text>journal homepage: www.e-shaw.net</text>
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                <text>Elsevier B.V. on behalf of Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency.</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 14 Issue 3 2023</text>
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                <text>Safety and Health at Work Vol. 14 Issue 3 2023&#13;
Corporate Characteristics and Occupational Injuries by Industry (Original article)</text>
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                <text>Background: Recent research on occupational injuries in companies has faced difficulties in obtaining representative data, leading to studies relying on surveys or case studies. Moreover, it is difficult to find studies on how a company’s industry characteristics affect occupational injuries. This study aims to address these limitations.&#13;
Methods: We collected 11 years of disclosure data from 1,247 listed companies in the Korean stock market and combined it with their occupational injury histories collected by the Republic of Korea Occupational Safety and Health Agency (KOSHA) to build a dataset. We attempted to analyze a linear panel model by dividing the dataset into manufacturing, construction, and other industries.&#13;
Results: The higher proportion of full-time employees and better job skills correlate with lower occupational injuries in other industries. The wage increase reduces occupational injuries in manufacturing and other industries, but the substitution effect produces the opposite outcome in construction. Also, foreign ownership and credit ratings increase effectively reduce occupational injuries mainly in the manufacturing industry.&#13;
Conclusion: Our results suggest that in explaining the relationship between corporate characteristics and occupational injuries, it is necessary to consider the nature of the industry more closely, and in particular, employment and labor policies for preventing occupational injuries need to be selectively applied according to industry. In addition, to improve the limitations and increase the usability of the research results, further detailed studies are needed in the future. </text>
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                <text>Sunyoung Park, Myung-Joong Kim</text>
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                <text>Elsevier B.V. on behalf of Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency.</text>
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                <text>21 August 2023</text>
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              <elementText elementTextId="35467">
                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 14 Issue 3 2023&#13;
Describing Physical Activity Patterns of Truck Drivers Using Actigraphy (Short Communication)</text>
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                <text>accelerometer, commercial driver, exercise, objective measurement</text>
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                <text>Background: Truck driving is a highly sedentary occupation that places workers at risk for chronic health conditions, such as obesity and high blood pressure. The primary purpose of this study was to objectively describe truck drivers’ typical physical activity (PA) patterns.&#13;
Methods: We used w7-10-day baseline PA actigraphy data samples from drivers in the Safety &amp; Health Involvement For Truckers (SHIFT) study (n 1⁄4 394). Driver PA patterns (e.g., average number of 10 minute Freedson bouts per week, time in bouts, and common days/times for PA) were summarized with descriptive analyses. We also compared objective accelerometer data to self-reports.&#13;
Results: Drivers’ weekly PA averaged 14.4 minutes (SD 1⁄4 37.0), and most PA occurred between 5e6 pm on Tuesdays and Wednesdays. Drivers overestimated self-reported weekly exercise by over 60 min/week compared to accelerometer data.&#13;
Conclusion: Our results suggest that objective PA assessment may be warranted over self-report when possible, and timing may be key in future PA intervention work with truck drivers. </text>
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Impact of COVID-19 Pandemic on Psychological Well-Being of Firefighters (Original article)</text>
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                <text>Background: COVID-19 pandemic represented a unique stressful event that affected the physical health and psychological well-being (PWB) of individuals and communities. Monitoring PWB is essential not only to clarify the burden on mental health effects but also to define targeted psychological-supporting measures. This cross-sectional study evaluated the PWB of Italian firefighters during the pandemic. &#13;
Methods: Firefighters recruited during the pandemic period filled out a self-administered questionnaire, the Psychological General Well-Being Index, during the health surveillance medical examination. This tool is usually used to assess the global PWB and explores six subdomains: anxiety, depressed mood, positive well-being, self-control, general health, and vitality. The influencing roles of age, gender, working activities, COVID-19, and pandemic restrictive measures were also explored.&#13;
Results: A total of 742 firefighters completed the survey. The aggregate median PWB global score was in the “no distress” range (94.3  10.3), which was higher than that observed in studies conducted using the same tool in the Italian general population during the same pandemic period. Similar findings were observed in the specific subdomains, thus suggesting that the investigated population was in good PWB condition. Interestingly, significantly better outcomes were detected in the younger firefighters.&#13;
Conclusion: Our data showed a satisfactory PWB situation in firefighters that could be related to different professional factors such as work organization and mental and physical training. In particular, our results would suggest the hypothesis that in firefighters, maintaining a minimum/moderate level of physical&#13;
activity (consisting of even just going to work) might have a profoundly positive impact on psychological health and well-being.</text>
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                <text>Elisabetta Riccardi, Luca Fontana , Daniela Pacella, Fabio Fusco, Ilaria Marinaro, Giovanna Costanzo, Francesco Vassallo, Maria Triassi, Ivo Iavicoli </text>
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Mindfulness-based Practices in Workers to Address Mental Health Conditions: A Systematic Review (Review Article)</text>
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                <text>The effectiveness of mindfulness techniques in addressing mental health conditions in workers is uncertain. However, it could represent a therapeutic tool for workers presenting with such conditions. Our objective was to assess the effects of mindfulness-based practices for workers diagnosed with mental health conditions. We conducted a systematic review of randomized controlled trials. Participants included were workers with a mental health condition. Interventions included any mindfulness technique, compared to any nonmindfulness interventions. Outcomes were scores on validated psychiatric rating scales. A total of 4,407 records were screened; 202 were included for full-text analysis; 2 studies were included. The first study (Finnes et al., 2017) used Acceptance and Commitment Therapy (ACT) associated or not with Workplace Dialogue Intervention (WDI), compared to treatment as usual. At 9 months follow-up, for the ACT group, depression scores improved marginally (standardized mean difference [SMD]: -0.06, p 1⁄4 0.021), but anxiety scores were worse (SMD: 0.15, p 1⁄4 0.036). Changes in mental health outcomes were not statistically significant for the ACT þ WDI group. In the second study (Grensman et al., 2018), no statistically significant change in mental health scales has been observed after completion of mindfulness-based cognitive therapy compared to cognitive behavioral therapy. Substantial heterogeneity precluded meta-analysis. This systematic review did not find evidence that&#13;
mindfulness-based practices provide a durable and substantial improvement of mental health outcomes in workers diagnosed with mental health conditions. </text>
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Nurses’ Colleague Solidarity and Job Performance: Mediating Effect of Positive Emotion and Turnover Intention (Original article)</text>
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                <text>Background: Job performance is known as an essential reflection of nursing quality. Colleague solidarity, positive emotion, and turnover intention play effective roles in a clinical working environment, but their impacts on job performance are unclear. Investigating the association between nurses’ colleague solidarity and job performance may be valuable, both directly and through the mediating roles of positive emotion and turnover intention.&#13;
Methods: In this cross-sectional study, a total of 324 Chinese nurses were recruited by convenience sampling method from July 2016 to January 2017. Descriptive analysis, Spearman’s correlation analysis, and the structural equation model were applied for analysis by SPSS 26.0 and AMOS 24.0.&#13;
Results: A total of 49.69% of participants were under 30 years old, and 90.12% of participants were female. Colleague solidarity and positive emotion were positively connected with job performance. The results indicated the mediating effects of positive emotion and turnover intention in this relationship, respectively, as well as the chain mediating effect of positive emotion and turnover intention.&#13;
Conclusions: In conclusion, dynamic and multiple supportive strategies are needed for nurse managers to ameliorate nursing job performance by improving colleague solidarity and positive emotion and decreasing turnover intention based on the job demand-resource model. </text>
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                <text>Safety and Health at Work Vol. 14 Issue 3 2023&#13;
Occupational Characteristics and Health Status of Vietnamese Male Migrant Workers in the Republic of Korea (Original article)</text>
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                <text>Background: The objective of this study is to identify the working conditions and health status of Vietnamese male migrant workers in Republic of Korea, in comparison to the Korean general population. &#13;
Methods: We conducted our survey through the Migrant People Center, and we received completed questionnaires from 87 male Vietnamese migrant workers. The questionnaire employed was identical to those used in the Korean Working Conditions Survey and the 2020 Korea National Health and Nutrition Examination Survey. The collected data from the Vietnamese migrant workers was then compared with the Korean reference population using indirect age-standardization. &#13;
Results: Vietnamese male workers demonstrated a higher prevalence of health problems including hearing problems (age-standardized prevalence ratio (aSPR) 13.22, 95% confidence interval [CI]: 8.07 -20.4), skin problems (aSPR 13.49, 95% CI: 8.07-20.4), and low back pain (aSPR 8.40, 95% CI: 6.50 -10.69). Elevated exposure to workplace hazards such as chemicals (aSPR 2.36, 95% CI: 1.51-3.51), organic solvents (aSPR 2.22, 95% CI: 1.44-3.28), handling of heavy objects (aSPR 1.67, 95% CI: 1.24-2.21), and high temperatures (aSPR 1.96, 95% CI: 1.46-2.57) was observed among them. Additionally, they faced a higher risk of no personal protective equipment (aSPR 2.53, 95% CI: 1.26-4.52) and a greater&#13;
prevalence of unmet medical needs (aSPR 7.14, 95% CI: 4.74-10.32). &#13;
Conclusion: Our findings highlight the elevated workplace hazards, health problems, and unmet medical needs among Vietnamese male workers compared to the Korean reference population. These findings underscores the urgency for enhanced scrutiny over working conditions and protective equipment provision, coupled with efforts to improve healthcare accessibility and worker education. </text>
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                <text>Ohwi Kwon, Ji-Hun Song, Jeong-Ok Kong, Seong-Won Ma, Young Shin Lee, Joonho Ahn</text>
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                <text>journal homepage: www.e-shaw.net</text>
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                <text>Elsevier B.V. on behalf of Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency.</text>
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                <text>21 August 2023</text>
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              <elementText elementTextId="35527">
                <text>Sri Wahyuni</text>
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              <elementText elementTextId="35531">
                <text>Safety and Health at Work Vol. 14 Issue 3 2023</text>
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        <name>Jurnal Internasional Keperawatan</name>
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                  <text>Safety and Health at Work Vol. 14 Issue 3 2023</text>
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                <text>Safety and Health at Work Vol. 14 Issue 3 2023&#13;
Occupational Health and Safety in the Turkish Fisheries and Aquaculture; a Statistical Evaluation on a Neglected Industry (Original article)</text>
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                <text>Aquaculture, Fisheries, Injury, Occupational safety</text>
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                <text>Background: Fisheries and aquaculture are statistically acknowledged to be among the most dangerous occupations. Yet, industrial safety and health precautions against occupational accidents within the sector are not sufficiently implemented in many parts of the world. The present study aims to provide a&#13;
quantified overview of work accident statistics in the Turkish fisheries and aquaculture industry.&#13;
Methods: This article presents an overview of reported injuries and fatalities in the Turkish fisheries and aquaculture industries from 2006 to 2020. Incident, permanent incapacity, and fatality rates were calculated, and the difference between fisheries and aquaculture was statistically examined. &#13;
Results: The overall incident, permanent incapacity, and fatality rates were 449.4, 4.7, and 5.7 per 100,000 worker years, respectively, over the 15-year period. With these fatality rates, fisheries and aquaculture are two of the industries with the highest fatality rates among comparable industries in Turkey. Incident rates in fisheries and aquaculture indicated that aquaculture work is more dangerous and risky. The data set includes 25 fatalities and 22 permanent incapacity cases over 15 years and shows an increase in fatality rates and occupational accidents in the last 8 years.&#13;
Conclusion: present study showed that the quality of data and reporting in the Turkish fisheries and aquaculture industries including occupational illnesses, must be improved in order to be more preventative and to develop efficient safety management in the sector. Incentives for providing thorough data on occupational incidents must be enhanced to improve occupational safety awareness in Turkish fisheries and aquaculture. </text>
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              <elementText elementTextId="35535">
                <text>Ozan Soykan</text>
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="35536">
                <text>journal homepage: www.e-shaw.net</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
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              <elementText elementTextId="35537">
                <text>Elsevier B.V. on behalf of Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency</text>
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                <text>21 August 2023</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="35539">
                <text>Sri Wahyuni</text>
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            <name>Coverage</name>
            <description>The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant</description>
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              <elementText elementTextId="35540">
                <text>Safety and Health at Work Vol. 14 Issue 3 2023</text>
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        <name>Fisheries</name>
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        <name>Injury</name>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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                  <text>Safety and Health at Work Vol. 14 Issue 3 2023</text>
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            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="35541">
                <text>Safety and Health at Work Vol. 14 Issue 3 2023&#13;
Physiological and Subjective Measures of Anxiety with Repeated Exposure to Virtual Construction Sites at Different Heights (Original article)</text>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>Ergonomic, Falls, Virtual reality (VR)</text>
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            <description>An account of the resource</description>
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                <text>Background: Occupational workers at altitudes are more prone to falls, leading to catastrophic outcomes. Acrophobia, height-related anxiety, and affected executive functions lead to postural instabilities, causing falls. This study investigated the effects of repeated virtual height exposure and training on cognitive processing and height-related anxiety.&#13;
Methods: Twenty-eight healthy volunteers (age 20.48  1.26 years; mass 69.52  13.78 kg) were recruited and tested in seven virtual environments (VE) [ground (G), 2-story altitude (A1), 2-story edge&#13;
(E1), 4-story altitude (A2), 4-story edge (E2), 6-story altitude (A3), and 6-story edge (E3)] over three days. At each VE, participants identified occupational hazards present in the VE and completed an Attitude Towards Heights Questionnaire (ATHQ) and a modified State-Trait Anxiety Inventory Questionnaire (mSTAIQ). The number of hazards identified and the ATHQ and mSTAIQ scores were analyzed using a 7 (VE; G, A1, A2, A3, E1, E2, E3) x 3 (DAY; DAY 1, DAY 2, DAY 3) factorial repeated measures analysis of variance.&#13;
Results: The participants identified the lowest number of hazards at A3 and E3 VEs and on DAY 1 compared to other VEs and DAYs. ATHQ scores were lowest at G, A1, and E1 VEs.&#13;
Conclusion: Cognitive processing is negatively affected by virtual altitudes, while it improves with short- term training. The features of virtual reality, such as higher involvement, engagement, and reliability, make it a better training tool to be considered in ergonomic settings. The findings of this study will provide insights into cognitive dual-tasking at altitude and its challenges, which will aid in minimizing occupational falls. </text>
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                <text>Sachini N.K. Kodithuwakku Arachchige, Harish Chander, Alana J. Turner, Alireza Shojaei, Adam C. Knight, Aaron Griffith, Reuben F. Burch, Chih-Chia Chen </text>
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              <elementText elementTextId="35545">
                <text>journal homepage: www.e-shaw.net</text>
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                <text>Elsevier B.V. on behalf of Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency.</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 14 Issue 3 2023</text>
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