Occupational cognitive failure and its relationship with unsafe behaviors and accidents

Objectives. The aim of this study was to assess the relationship between occupational cognitive failures (OCFs) and unsafe behaviors, accidents and driving offences among municipal bus drivers in Tehran, Iran. Methods. Systematic random sampling was used to select 190 drivers from 3 transport and traffic Tehran districts. Data were collected with the occupational cognitive failure questionnaire (OCFQ), the driver behavior questionnaire and a data collection form. Results. The mean (SD) numbers of driving-related offences and road traffic accidents were 1.5 (2.6) and 0.37 (1.0), respectively. The mean (SD) numbers of deliberate driving violations, unintended violations, driving slips and mistakes were 6.97 (5.5), 1.61 (1.5), 13.6 (9.0) and 4.53 (3.28), respectively. The mean (SD) number of the OCFs was 28.9 (20.5). A significant correlation was found between occupational cognitive error and unsafe driving behavior subscales. The stepwise logistic regression results showed that, while controlling the effects of confounding factors, the OCF predicts 6, 9, 15 and 9 of deliberate violations, unintended violations, driving slips and driving mistakes, respectively. Conclusion. The results of this study show that the score of the OCFQ is a predictor of unsafe driving behaviors and its subscales

Performance and scientific collaboration of Iran Occupational Health Journal: A scientometric analysis

Background: Of common scientometric indices is evaluating the performance and scientific collaboration of journals and organizations. Iran Occupational Health Journal belongs to Iran University of Medical Sciences and committed to providing scientific evidence for improving occupational health. Based on the importance of health at work, this study aimed to evaluate the Journal�s performance and scientific collaboration in the field. Methods: This is a scientometric study using both citation and content analyses. Complete enumeration survey method and Scimago data were used to collect all information about published articles between 2012 and 2017. Content analysis was performed to find about the articles� dominant subject area. The data on the number of authors, the authors' organizational affiliation, the type of articles, and the affiliated centers with the most number of articles were reported. Data were analyzed using Excel 2016 software. Results: The Journal�s performance in various indices such as reducing the time between receive and accept of papers has had an improving trend for 6 consecutive years. The Journal has published mostly in subjects of ergonomics (59 articles) and then safety (52 articles). The Journal�s SJR in Scopus has had an increasing trend from 0.101 in 2012 to 0.220 in 2017. Conclusion: Based on the collected data and Scimago indices, the performance of Iran Occupational Health Journal has shown an improving trend over the studied years. The priorities of published subjects in the Journal are in agreement with the research priorities for occupational health in Iran. Thus, the Journal�s continuous improvement regarding examined criteria is highly expected. © 2019 Iran University of Medical Sciences. All rights reserved

Health needs assessment of workers in Kaveh industrial city

Background: Health needs assessment (HNA) is essential for allocation of limited resources to the most prioritized problems. HNA in work places has gained increasing importance. Kaveh industrial city is the largest and oldest industrial city in Iran, with a wide range of different industries, making it an exemplary industrial city in Iran. This study was done to conduct health needs assessment of workers in Kaveh industrial city. Methods: In this study, intensive HNA approach and qualitative method were used. In-depth interviews and Focus Group Discussions (FGDs) were conducted to collect information related to health risk factors, and Delphi method was used to prioritize these risk factors. A total of 74 key informants participated in this study, which constituted more than 80 of the total related experts of Kaveh industrial city. Results: The main identified health challenge was inefficiency of the existing Health, Safety and Environment (HSE) control and monitoring system. The most important physical health risk factors were smoking and obesity and the most prioritized psychosocial risk factors were stress and lack of appropriate management and organizational culture. Ergonomic issues and noise pollution were the prioritized work environmental factors and inappropriate placement of pollutant industries in the industrial city was the most prioritized bioenvironmental risk factor. Unsafe road to industrial zone and poor safety devices used by workers were the most prioritized occupational injuries risk factors. Conclusion: Addressing the identified health needs of workers in Kaveh industrial city is of high importance. Also, redefining the HSE control and monitoring system should be prioritized. © Iran University of Medical Sciences

X-Ray Groups of Galaxies in the Aegis Deep and Wide Fields

We present the results of a search for extended X-ray sources and their corresponding galaxy groups from 800-ks Chandra coverage of the All-wavelength Extended Groth Strip International Survey (AEGIS). This yields one of the largest X-ray selected galaxy group catalogs from a blind survey to date. The red-sequence technique and spectroscopic redshifts allow us to identify 100$$ of reliable sources, leading to a catalog of 52 galaxy groups. The groups span the redshift range $z\sim0.066-1.544$ and virial mass range $M_{200}\sim1.34\times 10^{13}-1.33\times 10^{14}M_\odot$. For the 49 extended sources which lie within DEEP2 and DEEP3 Galaxy Redshift Survey coverage, we identify spectroscopic counterparts and determine velocity dispersions. We select member galaxies by applying different cuts along the line of sight or in projected spatial coordinates. A constant cut along the line of sight can cause a large scatter in scaling relations in low-mass or high-mass systems depending on the size of cut. A velocity dispersion based virial radius can more overestimate velocity dispersion in comparison to X-ray based virial radius for low mass systems. There is no significant difference between these two radial cuts for more massive systems. Independent of radial cut, overestimation of velocity dispersion can be created in case of existence of significant substructure and also compactness in X-ray emission which mostly occur in low mass systems. We also present a comparison between X-ray galaxy groups and optical galaxy groups detected using the Voronoi-Delaunay method (VDM) for DEEP2 data in this field.Comment: Accepted for publication in AP

Assessment of construction workers' hydration status using urine specific gravity

Objectives: The study objective was to assess hydration status by measuring USG among construction workers in Iran. Materials and Methods: The study design was comparative and experimental. Sixty participants were randomly selected from the construction workers from a construction campus with a similar type of work, climate and diet and formed 2 groups (individuals exposed to the sun and non-exposed individuals). TWL and USG were measured in both groups on 2 consequent days, at the beginning, mid and end of the work shift. Results: USG test showed that mean USG was 1.0213±0.0054 in the control group and in the exposed group, where it was significantly higher, it amounted to 1.026±0.005. In the exposed group, 38 of workers had a USG level between 1.026-1.030, representing a higher risk of heat illness and impaired performance and 12.72 had a USG level above 1.030 representing a clinically dehydrated status, while this proportion in the control group was 15.2 and 0.58, respectively. The mean TWL index measure was 215.8±5.2 W/m2 for the control group and 144±9.8 W/m2 for the exposed group, where, again, it was significantly higher. The Pearson correlation measure showed a significant correlation between USG and TWL. Conclusions: Strong correlation between TWL, as an indicator of thermal stress and USG shows that USG can be considered as a predictor of thermal stress. The difference between USG among the exposed and non-exposed workers and the increase in USG during midday work show the sensitivity of this measure in different thermal and climatic conditions, whereas, the high level of dehydration among workers despite acceptable TWL level, shows that heat stress management without considering the real hydration status of workers, is insufficient. © 2013 Versita Warsaw and Springer-Verlag Wien

A single-center non-blinded randomized clinical trial to assess the safety and effectiveness of PhR160 spray in the treatment of COVID-19 pneumonia

7-16COVID-19 is an emerging pandemic that caused a very widespread infection with more than 1000000 cases in Iran within a year. The main cause of mortality among patients with COVID-19 is pulmonary failure. In Iranian Traditional Medicine, essences have been used for curing pulmonary diseases. Pinen-Hydronoplacton-Ribonucleic acid (PHR) is an inhaler spray made of seven different plants, which all are used by humans and have desirable pharmacological features for treating pulmonary symptoms of COVID-19 patients. This study was conducted to assess the safety and effectiveness of PHR160 spray in improving pulmonary symptoms of COVID-19 patients. This was a single-centre, non-blinded randomized clinical trial with two parallel groups in two different wards of Baqiyatallah hospital, Tehran, Iran. Participants were 63 male patients diagnosed with COVID-19 pneumonia, divided into 2 groups of 32 in the intervention group and 31 in the control group. The intervention group received 5 days of PHR160 spray, 10 puffs each day, 300 micrograms in each puff in addition to the routine treatment. Oxygen saturation was measured by a pulse oximeter, every six hours and recorded daily. This study showed that administration of PhR 160 in patients of COVID-19 was safe, and it significantly increased the arterial oxygen saturation percentage in COVID-19 patients. In addition, it decreased hospitalization duration, dyspnea score, and cough score significantly in the patients. The statistical modelling test, with adjusting the age and respiratory rate for baseline and 4 days of the intervention, shows that the oxygen saturation percentage mean was significantly more in the intervention group by 5.14 units (p<0.001)

Stellar mass-halo mass relation for the brightest central galaxies of X-ray clusters since z similar to 0.65

We present the brightest cluster galaxies (BCGs) catalog for SPectroscoic IDentification of eROSITA Sources (SPIDERS) DR14 cluster program value-added catalog. We list the 416 BCGs identified as part of this process, along with their stellar mass, star formation rates (SFRs), and morphological properties. We identified the BCGs based on the available spectroscopic data from SPIDERS and photometric data from SDSS. We computed stellar masses and SFRs of the BCGs on the basis of SDSS, WISE, and GALEX photometry using spectral energy distribution fitting. Morphological properties for all BCGs were derived by Sersic profile fitting using the software package SIGMA in different optical bands (g,r,i). We combined this catalog with the BCGs of galaxy groups and clusters extracted from the deeper AEGIS, CDFS, COSMOS, XMM-CFHTLS, and XMM-XXL surveys to study the stellar mass-halo mass relation using the largest sample of X-ray groups and clusters known to date. This result suggests that the mass growth of the central galaxy is controlled by the hierarchical mass growth of the host halo. We find a strong correlation between the stellar mass of BCGs and the mass of their host halos. This relation shows no evolution since z similar to 0.65. We measure a mean scatter of 0.21 and 0.25 for the stellar mass of BCGs in a given halo mass at low (0.1 <z <0.3) and high (0.3 <z <0.65) redshifts, respectively. We further demonstrate that the BCG mass is covariant with the richness of the host halos in the very X-ray luminous systems. We also find evidence that part of the scatter between X-ray luminosity and richness can be reduced by considering stellar mass as an additional variable.Peer reviewe

Prophylactic Cefazolin Dosing and Surgical Site Infections: Does the Dose Matter in Obese Patients?

Background Most surgical prophylaxis guidelines recommend a 3-g cefazolin intravenous dose in patients weighing ≥ 120 kg. However, this recommendation is primarily based on pharmacokinetic studies rather than robust clinical evidence. This study aimed to compare the prevalence of surgical site infections (SSIs) in obese and non-obese patients (body mass index ≥ 30 kg/m2 and < 30 kg/m2), and those weighing ≥ 120 kg and < 120 kg, who received 2- g cefazolin preoperatively. Methods A retrospective case-control study was conducted in adult elective surgical patients. Patients receiving 2- g cefazolin were grouped as obese and non-obese, and by weight (≥ 120 kg or < 120 kg). The 90-day prevalence of SSI and potential contributing factors were investigated. Results We identified 152 obese (median 134 kg) and 152 non-obese control (median 73 kg) patients. Baseline characteristics were similar between groups, except for an increased prevalence in the obese group of diabetes (35.5% vs 13.2%; p < 0.001) and an American Society of Anaesthesiologists Score of 3 (61.8% vs 17.1%; p < 0.001). While not statistically significant, the prevalence of SSI in the obese group was almost double that in the non-obese group (8.6% vs 4.6%; p = 0.25) and in patients weighing ≥ 120 kg (n = 102) compared to those weighing < 120 kg (n = 202) (9.8% vs 5.0%; p = 0.17). Conclusion The prevalence of SSI was not significantly increased in obese patients, or those weighing ≥ 120 kg, who received cefazolin 2- g prophylactically; however, trends toward an increase were evident. Large-scale randomised trials are needed to examine whether a 2-g or 3-g cefazolin is adequate to prevent SSI in obese (and ≥ 120 kg) individuals

Stellar mass -- halo mass relation for the brightest central galaxies of X-ray clusters since z~0.65

We present the brightest cluster galaxies (BCGs) catalog for SPectroscoic IDentification of eROSITA Sources (SPIDERS) DR14 cluster program value-added catalog. We list the 416 BCGs identified as part of this process, along with their stellar mass, star formation rates, and morphological properties. We identified the BCGs based on the available spectroscopic data from SPIDERS and photometric data from SDSS. We computed stellar masses and SFRs of the BCGs on the basis of SDSS, WISE, and GALEX photometry using spectral energy distribution fitting. Morphological properties for all BCGs were derived by Sersic profile fitting using the software package SIGMA in different optical bands (g,r,i). We combined this catalog with the BCGs of galaxy groups and clusters extracted from the deeper AEGIS, CDFS, COSMOS, XMM-CFHTLS, and XMM-XXL surveys to study the stellar mass - halo mass relation using the largest sample of X-ray groups and clusters known to date. This result suggests that the mass growth of the central galaxy is controlled by the hierarchical mass growth of the host halo. We find a strong correlation between the stellar mass of BCGs and the mass of their host halos. This relation shows no evolution since z $\sim$ 0.65. We measure a mean scatter of 0.21 and 0.25 for the stellar mass of BCGs in a given halo mass at low ($0.1<z < 0.3$) and high ($0.3<z<0.65$) redshifts, respectively. We further demonstrate that the BCG mass is covariant with the richness of the host halos in the very X-ray luminous systems. We also find evidence that part of the scatter between X-ray luminosity and richness can be reduced by considering stellar mass as an additional variable

Comparing Australian orthopaedic surgeons’ reported use of thromboprophylaxis following arthroplasty in 2012 and 2017

Abstract Background It is generally accepted that all arthroplasty patients should receive venous thromboembolism (VTE) and bleeding risk assessments, and that postoperative thromboprophylaxis be routinely prescribed where appropriate. Guideline recommendations regarding what to prescribe, however, have been inconsistent over the years, particularly regarding the appropriateness of aspirin. Our aim was to explore thromboprophylaxis patterns in use following hip and knee arthroplasty in Australia, and to examine associated variables. Methods Orthopaedic surgeons were invited via mail to participate in two national surveys, conducted in 2012 (N = 478) and 2017 (N = 820), respectively. Results The final response rates were 50.0 and 65.8% for 2012 and 2017, respectively. The thromboprophylaxis prescribing routines reported by respondents were divided into four categories: anticoagulant-only (the same anticoagulant-only routine for everyone), aspirin-only (aspirin for everyone), staged-supply (an anticoagulant during the initial postoperative period, followed by aspirin, for everyone) and risk-stratification routines (differing regimens depending on patients’ perceived risk of VTE). The most common approaches reported were anticoagulant-only routines; however, their popularity almost halved within the five-year period (from ~ 74% to ~ 41%). Conversely, staged-supply and risk-stratification protocol usage increased by more than two and nine times, respectively. In 2017, over one-half of surgeons reported prescribing aspirin in their practice. Reported concern for postoperative VTE and infections (OR 0.555 95% CI 0.396–0.779, p = 0.001 and OR 1.455 95% CI 1.010–2.097, p = 0.044 respectively), as well as Arthroplasty Society membership (OR 2.814 95% CI 1.367–5.790, p = 0.005) were predictors for use of aspirin (Cox and Snell R square = 0.072). The factor most commonly reported to shape surgeons’ protocols was research literature. Factors limiting prescribing of pharmacological prophylaxis included a perception that it increases bleeding and wound infection risk, is inconvenient, and lacks evidence applicable to real-world practice. Conclusions VTE prevention post-arthroplasty is an evolving and multi-faceted entity, influenced by a range of factors and seemingly in need of robust evidence from large clinical trials to guide practice. The data highlighted potential short-falls in practice related to aspirin over-use, which could be further explored and addressed in future studies in order to optimise patient outcomes and reduce the significant morbidity and healthcare costs associated with VTE following these increasingly common surgical procedures