Outdoor Workers Research Articles

Urinary level of 1,2-dichloroethane and its effects on blood biochemical markers among outdoor workers exposed to air pollution in Thailand

Air contamination by 1,2-dichloroethane (1,2-DCE) is recognized as a threat across countries. Addressing this problem is challenging due to the absence of clearly defined biological standards for monitoring 1,2-DCE exposure among humans. Moreover, studies on the impacts of 1,2-DCE exposure on human health are limited. The aim of this study was to determine the level of 1,2-DCE in urine—separated into the health behavior and occupation groups—as well as its effects on blood biochemicals among overall 200 outdoor workers, with 50 working in each of the following four occupations: fishers, street vendors, public bus drivers, and traffic police in an environmentally polluted community in Thailand. The subject’s behaviors were categorized into four groups: desirable health behaviors (non-smokers and non-drinkers), non-smokers who consume alcohol, smokers who do not consume alcohol, and undesirable health behaviors (frequent smokers and alcohol consumers). Data were collected at the end of the workday using interview forms, urine, and blood samples. Urine was analyzed for 1,2-DCE, and blood was analyzed for complete blood count (CBC), liver, and kidney function enzymes. Data were analyzed using the Dunnett’s test, Kruskal-Wallis H test, and independent sample t-test according to statistical conditions. Our findings revealed that the median urinary 1,2-DCE level was 0.080 mg/L (0.022–0.462 mg/L). Subjects with undesirable health behaviors had a significantly higher urinary 1,2-DCE level (0.108 mg/L) compared to those with desirable health behaviors (0.056 mg/L), with a p-value of 0.009. Among bus drivers and local fishers, the dose of exposure was strongly associated with creatinine levels (p=0.006). No significant association was observed between exposure dose and CBC across all groups. In conclusion, the urinary samples present a small variation in 1,2-DCE concentrations and thus can be used as a benchmark baseline value for monitoring exposure among outdoor workers in areas with intense air pollution. Kidney function markers can be considered in monitoring the health effects of 1,2-DCE.

Surface temperature change amplifies social inequality in heat exposure? Evidence from Shanghai, China

Heat-related environmental justice has gained increasing attention, with many studies focusing on social inequalities in exposure to extreme surface temperatures. However, changes in land surface temperature (LST) also contribute to residents’ thermal discomfort, underscoring the need to explore inequalities in exposure to these changes. This study addresses this gap by analyzing spatial and social disparities in exposure to both LST changes and summer LST in Shanghai. We employed a boosted regression tree model to quantify LST changes, offering better predictive performance than traditional linear regression, and used geographically weighted regression with data from China's sixth population census to assess the city-wide and local scale inequality differences in exposure to LST changes and summer LST. Our findings reveal that 57.83% of Shanghai's subdistricts experienced above-average LST changes and summer LST. Specific groups—males (22.17%), children (22.61%), the elderly (13.04%), and residents in older housing (60.87%)—were disproportionately exposed to local-scale LST changes. In contrast, those employed in agriculture, forestry, and fisheries faced consistently lower exposure. Furthermore, exposure to LST changes was 3.47% higher among the elderly and 28.26% higher for residents in older housing compared to exposure based on summer LST alone. To mitigate these inequalities, we recommend increasing water coverage and green roofs, enhancing green infrastructure in aging neighborhoods, and providing financial subsidies for outdoor workers. These findings emphasize the importance of addressing social inequalities in exposure to temperature changes to enhance urban resilience and promote sustainable urban planning in the face of climate change.

Augmented reality safety warnings in roadway work zones: Evaluating the effect of modality on worker reaction times

Given the aging highway infrastructure requiring extensive rebuilding and enhancements, and the consequent rise in the number of work zones, there is an urgent need to develop advanced safety systems to protect workers. While Augmented Reality (AR) holds significant potential for delivering warnings to workers, its integration into roadway work zones remains relatively unexplored. The primary objective of this study is to improve safety measures within roadway work zones by conducting an extensive analysis of how different combinations of multimodal Augmented Reality (AR) warnings influence the reaction times of workers. This paper addresses this gap through a series of experiments that aim to replicate the distinctive conditions of roadway work zones, both in real-world and virtual reality environments. Our approach comprises three key components: an advanced AR system prototype, a VR simulation of AR functionality within the work zone environment, and the Wizard of Oz technique to synchronize user experiences across experiments. To assess reaction times, we leverage both the simple reaction time (SRT) technique and an innovative vision-based metric that utilizes real-time pose estimation. By conducting five experiments in controlled outdoor work zones and indoor VR settings, our study provides valuable information on how various multimodal AR warnings impact workers reaction times. Furthermore, our findings reveal the disparities in reaction times between VR simulations and real-world scenarios, thereby gauging VR’s capability to mirror the dynamics of roadway work zones. Furthermore, our results substantiate the potential and reliability of vision-based reaction time measurements. These insights resonate well with those derived using the SRT technique, underscoring the viability of this approach for tangible real-world uses.

Influence of particle morphology on solar thermal conversion performance and sensible heat storage capacity: A case study of TiO2@Go binary nanofluid

Photothermal catalytic hydrogen production driven by the full spectrum of outdoor solar radiation, represents a highly promising and efficient approach for hydrogen generation. This method is widely anticipated by researchers due to its potential to enhance photon utilization efficiency at the reaction source. However, limited attention has been devoted to the variations in photothermal conversion performance of particle reaction suspensions caused by objective fluctuations of solar irradiation, especially when the morphology of the nanostructure changes, which is a crucial factor for practical applications in hydrogen production. Based on this bottleneck, we prepared the typical photo-responsive TiO2@Go composite with varied dimensions (i.e., nanosphere TiO2@Go, nanorod TiO2@Go, nanosheet TiO2@Go) as research models, and systematically investigated their thermal conversion and sensible heat conversion performance under different working conditions. The results showed that at low nanofluid concentration, nanosphere TiO2@Go and nanosheet TiO2@Go exhibit better sensible heat conversion. As the particle concentration increases, the sensible heat conversion efficiency of all nanofluids decreases. It can also be found that the latent heat conversion efficiency tends to increase with the increase of concentration, but the nanorod TiO2@Go show the opposite, which should be closely related to the uniformity of the particle size in different directions. In addition, for the sensible heat storage properties of nanofluids, smaller particle size and abundant porosity due to particles aggregation were found to be more beneficial for varied shapes. The underlying functional mechanisms were elucidated associated with the analysis of particle structures, interfacial properties, and optical characteristics. We contend that our research could provide valuable insights for the large-scale implementation of solar photothermal hydrogen production and a reasonable selection of photothermal material morphology for outdoor working conditions.

Machine learning insights on activities of daily living disorders in Chinese older adults

ObjectiveThis study on the aged population in China first used a large-scale longitudinal survey database to explore how different life factors affect their ability to engage in daily activities. We select and integrate multiple machine models to obtain an excellent model for analyzing relationships. Based on the identified factors, our goal is to help them maintain a good daily life and quality of life. MethodWe analyzed data from 13,220 older individuals participating in the China Longitudinal Health Longevity Survey (CLHLS) from 2002 to 2018. ADL was measured based on participants' self-reported results. Nine machine learning algorithms, including neural networks and an ensemble model, were employed with a 2/3 training and 1/3 testing split. Model performance was evaluated using the area under the curve (AUC), sensitivity, and specificity, while logistic regression assessed the relationship between lifestyle changes and ADL disorders. ResultThe K-nearest neighbors (KNN) and decision tree algorithms showed the best performance, with AUCs of 0.8598 and 0.8322, respectively. Combining results from all models improved the AUC to 0.8619. Activities, such as playing mahjong, engaging in outdoor work, and reducing TV time, were linked to lower ADL decline, with greater participation in social activities and pet care also being beneficial. ConclusionMachine learning algorithms, especially ensemble models, can effectively identify older adults at risk for ADL disorders. Increased outdoor activity, social engagement, and dietary adjustments are associated with a decreased risk of ADL deterioration. Translational significance1)The primary question addressed by this study is: What modifiable risk factors can impact Activities of Daily Living (ADL) in older adults?2)The main finding of this study is that specific daily activities, such as playing mahjong and engaging in outdoor activities, significantly reduce the risk of future ADL disorders in older adults. Additionally, a robust predictive model was developed using longitudinal data from 13,220 individuals, improving the accuracy of ADL disorder risk predictions.3)The meaning of the finding is that incorporating behavioral interventions into community care strategies can effectively enhance the well-being of older adults by minimizing their risk of ADL dysfunction.

Fasten UV-Resistant Cotton Textiles by Modification with Mixed Metal–Ce–MOF

Nowadays, manufacturing of ultraviolet (UV) protective textiles is quite interesting for the outdoor workers to protect their bodies from harmful radiation. Herein, for the first time, durable UV-protective cotton textiles were produced by modification with the mixed metal–Ce organic framework. Cotton was first interacted with 1,2,4-tricarboxybenzene-2,4-anhydride through benzylation reaction. The benzylated cotton (BTC–C = O@Cotton) was then reacted with two metal salts including Cerium salt to obtain Ce–M–BTC–C = O@Cotton. The estimated contents of Ce and the mixed metal within Ce–M–BTC–C = O@Cotton were 3.3% and 0.4%, respectively. The color of cotton was turned to bluish-green color, greenish-yellow color and reddish color after incorporation with Ce–Cu–BTC, Ce–Ni–BTC and Ce–Co–BTC, respectively. The all-modified fabrics exhibited UV-blocking character from good to excellent, depending on the inserted mixed metal. The measured UV-protection factor (UPF) was 34.7 (very good) for Ce–Cu–BTC–C = O@Cotton, 43.1 (excellent) for Ce–Ni–BTC–C = O@Cotton, 26.4 (good) for Ce–Zn–BTC–C = O@Cotton, and 33.3 (very good) for Ce–Co–BTC–C = O@Cotton. After 5 washing cycles, Ce–Ni–BTC–C = O@Cotton and Ce–Co–BTC–C = O@Cotton showed good UV protection. The mechanical properties of cotton textiles were not significantly affected after modification with Ce–M–BTC.

Skin cancer prevention: a systematic review of the efficacy of clinical trial-based interventions

Skin cancer is one of the most common malignancies and its incidence continues to increase worldwide, especially in areas of high ultraviolet (UV) radiation. This systematic review highlights that an effective preventive approach combines sun protection, education, and workplace policies. Advanced sunscreens with DNA repair complexes are useful in reducing precursor lesions such as actinic keratosis. The implementation of workplace policies that provide protective equipment and create shaded areas is especially effective for outdoor workers. Educational programs in schools and on-the-job training encourage sun protection practices from childhood and in work settings, although their effectiveness depends on demographic and cultural factors. It is recommended to tailor interventions to each population and explore their long-term sustainability, as well as to evaluate the economic impact of these policies to achieve effective skin cancer prevention.

Mitigating impacts of hot weather on outdoor workers by attaching phase change materials based on body mapping of physiology

To effectively mitigate impacts of hot weather on outdoor workers and improve their thermal comfort and work efficiency, a novel cooling vest (CV) with phase change material (PCM) was developed. The originality of this CV lies in the distribution of PCM packages which are totally based on body mapping of thermal sensation and perspiration. Human tests were performed in a climate chamber simulating hot outdoor environment (35°C, 55%RH) to evaluate thermal and movement comfort of workers wearing this CV. The results showed that skin temperature (Tsk) of each localized area was significantly (p < 0.05) reduced by 3.90—9.00°C compared to that without CV. Besides, a great advancement compared to previous research is the cooling effect could last for the entire 2 h. Subjective thermal sensation was improved from hot (+3) to slightly warm (+1). Pearson correlation analysis revealed Tsk of back and scapula had the strongest correlation (p < 0.01, r > 0.8) with local and overall thermal sensation vote (TSV), indicating cooling these two body parts would achieve a more certain decreased TSV compared to cooling other body parts. Meanwhile, the self-perceived level of fatigue by subjects was lowered because of the improved thermal comfort. This newly developed CV managed to effectively improve both the thermal comfort and work efficiency of outdoor workers without adding extra load. This study provides new technology with physiological and ergonomic basis for creating thermally comfortable near-body environment for workers who have to be exposed to hot environment.

Outdoor worker knowledge of ticks and Lyme disease in Québec.

Lyme disease is a well-known occupational risk across North America caused by exposure to Borrelia burgdorferi via blacklegged ticks (Ixodes scapularis). As the geographic range of B. burgdorferi advances with the increasing distribution of blacklegged ticks, more outdoor workers are at risk of contracting Lyme disease. In this study, we examined the demography and personal perceptions of outdoor workers within one framework to better determine the overall risk for those working outdoors. We analysed outdoor worker knowledge of ticks and of behaviours that can prevent tick bites and Lyme disease. We then compared these risk perceptions of individuals across age, sex, education, and industry, as well as time spent outdoors. We tested the hypothesis that the risk perception of an individual and their knowledge of Lyme disease transmission was dependent on their demographics, experience in their job, and the region in which they spend time outdoors. We estimated a knowledge-based risk score based on individuals' answers to a questionnaire on risk perception given to voluntary participants who work outdoors. Those who had higher risk scores were more at risk. We found that knowledge-based risk scores were correlated with geographic risk levels and with the number of hours per day spent outdoors. Those who work longer hours and who work in areas with mid-level risk had higher risk scores. Those who spend more time outdoors recreationally had lower risk scores. Further examination and acknowledgment of the reasoning behind why these factors are affecting workers' risks must be considered to recognize that it is not necessarily demographics or geographically high-risk areas that affect an individual's risk. Workers' knowledge of these risks is affected by several variables that should be taken into consideration when implementing safety measures and awareness programs.

A study of clinical profile and outcome of patients with snake bite-induced acute kidney injury

ABSTRACT Background: Snake bite is a well-known occupational hazard amongst farmers, plantation workers, and other outdoor workers and results in much morbidity and mortality throughout the world. The complications related to kidneys are observed in most patients with snake bites admitted to a hospital. The current study aimed to study the renal involvement in patients with snake bites with reference to clinical features and the time of onset of acute renal failure. Methods: A prospective clinical study of 68 patients of snake bite was done to know the clinical profile and outcome in Gandhi Hospital Secunderabad and cases were particularly looked for development of acute kidney injury. Later each case was studied and investigated with respect to onset, clinical features, course in the hospital, need for renal replacement therapy including dialysis, and mortality due to AKI. Patients were followed up till discharge or death. They were treated as per protocol. Results: The incidence of AKI was 29.1%. Common signs and symptoms were fang mark (100%), swelling (91.2%), tenderness (91.2%), bleeding manifestations (79.4%) oliguria (26.47%), anuria (5.8%), and haematuria (8.8%). Hypotension was present in 73%, which may be the cause of AKI. All the AKI patients showed coagulation abnormalities in the form of prolonged BT, CT, PT, and aPTT. Thrombocytopenia was seen in 29.4%. All the AKI patients were given ASV for 2 to 3 days. The mean ASV vials used in the present study is 15 ± 5. Hemodialysis was done in 29.4% of patients. Conclusion: The cause of AKI in snakebite was multifactorial in origin. Bleeding and hypotension were among the important causes. Thrombocytopenia was significantly related to clinical bleeding. The type of snakebite is an important factor in the development of AKI and Russell’s viper bite is more commonly associated with it. AKI is usually associated with oliguria and generally occurs within 48 hours.

Purdah:opportunity or Adversity: Fromattia Hosain’s Fictions

In every day language gender refers to the biological differences between male and female which shows as superiority and inferiority. If that is male then he is made for outdoor work and if that is female she will remain at home for her house work course. Since the age of stone women at home does so many things and taking care of children but she never appreciated for that because we suppose she is born to do so. This what society construct the ideology. After observation of this stereotypes feminism moments take its place. Its roots are very undergoing and its stems and branches are exceeding with a never ending fruit full solution. Feminism is just about equality, nothing else. Everyone thinks feminism is about making women stronger but no, she is already very strong. It’s just about changing the way the world perceive their strength. Religion take very countable role of women in society. The myth which is in very lime light that if the women is Muslim and observes Purdah then she must be unfortunate and not able to built her choice for her career and husband. Islam teaches equal treatment and equal rights The glamming example of it is wife of the prophet Muhammad (PBUH) she was a successful businesswoman. Which is a clear massage that women are allowed to go and to do what she wants.

Rewiring the nexus between urban traffic pollution-derived polycyclic aromatic hydrocarbon exposure and DNA injury via urinary metabolomics

Urban road traffic environmental stress impacts outdoor population health, with oxidative damage serving as an early indicator of xenobiotic exposure. Polycyclic aromatic hydrocarbons (PAHs) as priority carcinogens pose significant public health burden, yet knowledge remains limited regarding the endogenous metabolic alternations associated with oxidative DNA injury. This cross-sectional study focused on the cohort consisting of 109 sanitation workers (“traffic exposure group”) and 112 demographics-matched common residents (“controls”) in South China. The goal was to elucidate the occurrence of internal exposure to nine hydroxyl PAHs, and the interrelations with oxidative DNA damage (indicated by 8-hydroxy-2′-deoxyguanosine, 8-OHdG) by linear mixed-effect regression model. T-test and orthogonal partial least squares discriminant analysis were used to determine differential metabolites in non-targeted metabolomics. Results revealed outdoor workers suffered from the heavier PAH exposure burden and exhibited a stronger dose-dependent correlation with 8-OHdG, evidenced by the higher regression coefficient (0.244, 95% CI: 0.154–0.334) than controls (0.203, 95% CI: 0.079–0.328). In total 42 differential endogenous metabolites witnessed significant expression under traffic emission scenario, mainly implicated in phenylalanine, tyrosine and tryptophan biosynthesis. The down-expressed uric acid was the unique metabolite that inversely correlated with the increased intake of ∑8PAH especially in cases. Partially attributed to the traffic-derived PAHs, the dysregulated amino acid, nicotinamide, purine, and steroid hormones metabolic pathways encompassing 11 metabolites were determined as underlying biomarkers in mediating DNA damage. Notably, our findings proposed uric acid may act as a potential antioxidant, as evidenced by the negative correlation with 8-OHdG. The study illustrates outcomes of metabolomics can collaboratively indicate DNA oxidative damage caused by PAHs linked to urban traffic exposure, which holds significant implications for future toxicological research.

Heat-related risk in outdoor workers in the context of climate change: a systematic review

Abstract Background Climate change is one of the paramount challenges in the current global health setting. From an occupational health perspective, outdoor workers are amongst the most vulnerable populations to climate change and heat-related risk. A systematic review was performed, aiming to assess heat-related health outcomes in outdoor workers. Methods The research query was structured using the Population, Intervention, Comparison and Outcome (PICO) model, and including synonyms and Medical Subject Headings (MeSH) terms for the following keywords: “outdoor workers”, “climate change”, and “occupational risk”. The systematic review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statements, screening three databases (PubMed, Web of Science, and Scopus). Results After duplicate removal and title and abstract screening, the final screening by full-text resulted in 10 included studies. The included studies were performed mostly on construction (included in 5 studies, 50.0%) and agriculture (in 5 studies, 50.0%) workers. Eight studies (80.0%) had a majority of male workers, while one (10.0%) had a majority of female workers, and one study (10.0%) did not report on the gender ratio. Four of the included studies (40.0%) reported a high prevalence of heat-related symptoms, ranging from 64.0% to 90.3% of workers. Three studies (30.0%) showcased a prevalence of heat-related symptoms in less than 50% of workers (ranging from 11.6% to 47.5%). Three studies (30.0%) evaluated odds ratio, highlighting an increased odds ratio of heat-related symptoms in outdoor workers. Conclusions This systematic review highlights heat-related stress in outdoor workers as an important occupational risk. Mitigation and prevention strategies should be developed and implemented at a company, national, and supra-national level, to ensure the safety and wellbeing of outdoor workers worldwide. Key messages • A systematic review was performed to assess risks related to climate change in outdoor workers. Heat-related symptoms were reported with a high prevalence, ranging from 64.0% to 90.3% of workers. • Mitigation and prevention strategies should be developed and implemented at a company, national, and supra-national level, to ensure the safety and wellbeing of outdoor workers worldwide.

Capturing the health and well-being impact of climate change: a health impact assessment in Wales

Abstract Climate change is one of the biggest threats to global health in the 21st century and is likely to impact on health through a range of factors (societal, economic or environmental). The need to take action on climate and nature emergencies in order to protect population health and well-being and prevent negative impacts are becoming more urgent. Public Health Wales carried out a comprehensive mixed-method Health Impact Assessment (HIA) of climate change in Wales. HIA is a systematic process which considers the impact of a policy on the health and well-being of a population. It appraised the potential impacts of climate change on health and inequalities in Wales. This involved participatory workshops, engagement with stakeholders, statistical data, systematic literature reviews and case studies. The HIA findings indicate significant potential impacts across the determinants of health and mental well-being. For example, air quality, flooding, economic productivity, working conditions, access to services and community resilience. Impacts were identified across population groups, settings, and areas including urban and rural contexts, outdoor workers, children and young people, older people, schools, hospitals and workplaces. These findings have been beneficial to inform decision-makers to prepare for climate change plans and policies using a preventative evidence-informed approach. The work has demonstrated the value of HIA for significant, complex policies by mobilising a range of evidence through a transparent process, resulting in government and organizational action and transferrable learning for others. Key messages • HIA is a beneficial tool to identify at a granular level the health impacts of climate change. • The HIA has been used by the government of Wales and organisations to respond to and plan for climate change.

Effectiveness of heat stress interventions among outdoor workers: a protocol paper.

Heavy work in scorching temperatures can cause dehydration and heat stress, which can lead to a number of heat-related diseases. Heavy work in intense heat without rest or hydration is the main cause. The "Water, Rest, Shade" (WRS) intervention program for outdoor workers in hot weather reduces heat stress. This study follows a quasi-experimental design involving 250 outdoor workers from both agriculture and brick kilns. To assess the environmental heat exposure levels, Quest Temp 3 M WBGT Monitor will be used. Tympanic temperature, Heart rate (HR), Sweat rate (SwR), and Urine specific gravity (USG) to assess the physiological responses to heat exposure using standard protocols. Blood samples will be collected to measure serum creatinine and calculate Glomerular filtration rate (GFR), and urine samples to measure pH, leucocytes, proteinuria, and hematuria. Then administer a validated and modified HOTHAPS questionnaire to capture the perception data. After the baseline assessments, Categorize the workers into two groups based on the selection criteria and the participants' willingness. Then provide a week-long WRS intervention to the intervention group (IG). The non-intervention group will collect the same data without any intervention to assess the efficacy of the intervention by comparing both groups and measuring outcome indicators. The study will generate much-needed information to raise awareness of the importance of heat stress prevention for outdoor workers. This study will demonstrate the effectiveness of an intervention, provide much-needed strategies for reducing heat stress, assess both health impacts and implementation quality, and design comprehensive workplace and labor laws aim to minimise risks to millions of unorganised outdoor workers health.

Histological and histopathological structural changes in the skin of the Basal Cells Carcinoma patients

Background: Basal Cell Carcinoma (BCC) is the most common type of skin carcinoma and is considered an epidemic disease due to its increasing frequency in many countries. The most important problem of BCC is local invasion It grows in a “silent” way into immediately adjacent tissue. It rarely metastasizes. The early tumors are commonly small, translucent or pearly, raised and rounded areas located on a few dilated, superficial vessels. There are six subtypes of BCC that include nodular, pigmented, superficial, morphea form, cystic. The most important risk factor for basal cell carcinoma is exposure to UV-radiation. Outdoor workers with a long history of work-related UV-exposure are at increased risk of developing BCC. Other risk factors include family history of skin carcinoma, light skin phototypes, advanced age. Objective: The current study investigated pathological and histological changes in tissue sections to identify the factors contributing to the infection frequency. Patients and Methods: Thirty-three BCC patients' samples have been collected from the main care center at al-Baquba Teaching Hospital of Diyala Province, Iraq. All patient groups were clinically diagnosed as BCC by dermatologists. Results: The study showed macroscopic and microscopic histological changes. An ulcerated macroscopic appearance of the lesion was shown. The tumor lesions are located on the face. It was noted that the percentage of patients was higher in men than women and higher in light skin than dark skin. The study also showed that the age group 66-74 years had a higher infection percentage, while the lower percentage was of the age group &gt; 83 years. Conclusion: These findings pave the way for future research endeavors aimed at prevention, early detection, and targeted treatment strategies for this prevalent skin carcinoma.

Summarizing Recommendations for the Prevention of Occupational Heat-Related Illness in Outdoor Workers A Scoping Review.

Outdoor workers face unique challenges in preventing heat-related illnesses (HRI). Although preventable, HRI and death from heat exposure continue. A review of the most recent recommendation for HRI prevention in outdoor workers in the United States was warranted. A scoping review using PRISMA guidelines was conducted to compile policy statements and recommendations on the prevention of HRI and synthesize them into a three-step plan for prevention using the Haddon Matrix. PubMed, CINAHL, Medline, and websites from organizations and regulating bodies were searched for sources. Key terms such as occupational OR workers OR employers OR policymakers, HRI OR heat stress OR heat, prevention, recommendations OR position statements were used. Inclusion criteria were articles published within the last 5 years written in English and containing recommendations for preventing HRI in outdoor workers. Research not based on U.S. workers was excluded from the review. Twenty sources comprised the review. Several themes emerged, indicating deficient recommendations for secondary and tertiary prevention. This review's findings can be used by occupational health nurses (OHNs) in developing comprehensive interventions for preventing HRI and injury, using clear language, and following evidenced-based practices to increase workplace health and safety and promote equity.

Development and experimental validation of a 3D numerical model to investigate performance of phase change based cooling vest in hot environments

To ensure health and safety of outdoor workers exposed to harsh environment, particularly during summer, they must be protected against heat-related injuries. Personal cooling device like cooling vest are viable solution in such situations considering their cooling capabilities and ergonomic aspects. In the present study, a 3D numerical model is developed for analyzing performance of PCM vest and it is validated with experimental results obtained from a torso thermal manikin facility fabricated in-house. Thermal performance of the PCM vest is analyzed in terms of temperature, liquid fraction and energy storage of PCM and skin temperature for different thermophysical properties of PCM, ambient conditions and mode of operations. Based on the study, PCM with higher latent heat and melting temperature is recommended for the longer working duration of the vest. Increasing ambient temperature from 40 °C to 45 °C reduces the effectiveness time by 20 % while decreasing ambient temperature from 40 °C to 35 °C increases effectiveness time of the PCM vest by 32 %. Fraction of energy stored by the PCM from the body and environment remains unaffected by the change in the latent heat of PCM. Further, it is noticed that increasing the air flow rate or using the PCM vest in hybrid mode of operation is not recommended from the point of view of its effective useable duration. Overall, the study presents a comprehensive approach to estimate performance of the PCM vest realistically and provides guidelines for the design of effective cooling vest for various practical applications.

Assessing 7-year heat-stress exposures and adaptation strategies for children using a real-time monitoring network in Taiwan

Wet-bulb globe temperature (WBGT) serves as a suitable heat-stress indicator not only for outdoor workers but also for the general public. However, studies on WBGT exposure among the general population are scarce. This research represents the first attempt to assess WBGT exposure of school-aged children. Utilizing a real-time monitoring network in Taiwan, WBGT exposure of school-aged children (7–15 years) were estimated during May to October from 2016 to 2022. Important determinants and spatiotemporal variability of WBGT levels were explored, with hot spots and peak hours of WBGT identified. Macro- and micro-scale adaptation strategies applicable at schools were also evaluated for their effectiveness in reducing heat stress for students. Results showed that the mean daily maximum WBGT (WBGTmax) was 33.1 ± 3.8 °C at 20 stations across Taiwan but could reach/exceed 36 °C (threshold of the dangerous category) at certain hot spots for 42.3–52.0 % of days between May and October. Local geographic features sometimes outweigh the latitude in explaining the spatial variations. Contrary to temperature, WBGT peaked during 10 am to noon rather than from noon to 1:59 pm in most schools, due to clouds blocking solar radiation in the afternoon. This finding has significant implications for scheduling outdoor physical classes/activities to reduce children's heat-health risks. Setting up on-site WBGT monitoring on surfaces that children mostly encounter at schools or utilizing data from nearby weather stations could provide a near real-time heat-health warning. Moreover, providing shades outdoors, relocating outdoor classes indoors, and using air-conditioning would reduce WBGT by 2.1–5.8, 3.7–7.3, and 2.5–5.9 °C, respectively; and would significantly decrease the percentages of WBGT ≥34 °C, which is associated with increased heat-related emergency visits among children in Taiwan. The methodology applied serves as a useful reference for assessing WBGT exposure and adaptation strategies, providing the scientific foundation for heat-health adaptation measures.

Juvenile Myopia: The Silent Vision Understanding, Preventing, and Managing Childhood Myopia

Juvenile myopia, a significant visual impairment characterized by blurred distance vision, is increasingly prevalent among Indian children. This review explores the multifactorial etiology of myopia, including genetic predisposition, environmental influences, and lifestyle factors such as prolonged near work and limited outdoor activities. The pathophysiology involves abnormal eye elongation driven by genetic and environmental factors, leading to refractive errors. Clinical manifestations include blurry distance vision, squinting, eye strain, and headaches, impacting academic performance and quality of life. Emphasis on early detection, parental awareness, and adherence to treatment protocols is crucial in controlling myopia progression and preventing long-term complications such as retinal detachment, myopic maculopathy, and glaucoma. This review underscores the need for comprehensive public health strategies to address the growing burden of juvenile myopia in India. Juvenile myopia is rapidly becoming a significant public health concern in India, with increasing prevalence driven by lifestyle changes, urbanization, and academic pressures. This systematic review aims to examine the prevalence, risk factors, and interventions for childhood myopia, with a focus on understanding the silent nature of this condition, identifying early prevention strategies, and outlining management techniques to curb its progression.