Health risk assessment of exposure to benzene, toluene, ethyl benzene, and xylene in shoe industry-related workplaces.

Benzene, toluene, ethyl benzene, and xylene (BTEX) are prevalent pollutants in shoe industry-related workplaces. The aim of this study was to assess exposure to BTEX and their carcinogenic and non-carcinogenic risks in shoe-industry-related workplaces. This study was carried out at different shoe manufactures, small shoe workshop units, shoe markets, and shoe stores in Tabriz, Iran in 2021. Personal inhalation exposure to BTEX was measured using the National Institute for Occupational Safety and Health (NIOSH) 1501 method. Carcinogenic and non-carcinogenic risks due to inhalation exposure to BTEX were estimated by United States Environmental Protection Agency (U.S. EPA) method based on Mont Carlo simulation. Results showed that the concentrations of benzene and toluene were higher than the threshold limit value (TLV) in both gluing and non-gluing units of shoe manufactures. The total carcinogenic risk (TCR) due to exposure to benzene and ethyl benzene was considerable in all shoe industry-related workplaces. Also, the hazard index (HI) as a non-carcinogenic index was higher than standard levels in all shoe industry-related workplaces. Therefore, shoe industry-related workers are at cancer and non-cancer risks due to exposure to BTEX. Prevention measures need to be implemented to reduce the concentration of BTEX in shoe industry-related workplaces.

Psychometric properties of the Persian version of the Fleishman Job Analysis Survey (FJAS).

BACKGROUND: Job analysis is one of the most important and widely used processes to determine job duties, identify and reduce potential risks, and specify the skills and facilities required for each job at the highest level of occupational safety and health. OBJECTIVE: This study aimed to perform psychometric analyses of the Persian version of the Fleishman Job Analysis Survey (FJAS). METHODS: A cross-sectional study was conducted among 31 drivers. Participants were selected by random sampling. Ten occupational health and ergonomics experts confirmed the validity of the survey. First, we calculated the survey's CVR and CVI. Then, we used ICC and Cronbach's alpha coefficients to evaluate the survey's reliability. Data analysis utilized SPSS 21. RESULTS: 78% of the participants were male and 22% were female. The mean age±SD of the participants was 39.1±11.82 years. The reliability and validity of the short version survey showed that the value of ICC and Cronbach's alpha coefficient was 0.96, and CVR was 0.75. Moreover, the values of CVI for simplicity, clarity, and relevance were 0.87, 1, and 0.73, respectively. The long version's ICC and CVR were 0.96 and 0.97, respectively. Simplicity, clarity, and relevance CVI scores were 0.9, 0.94, and 0.95. CONCLUSION: The results of this study showed that the Persian version of the Fleischman Job Analysis Survey has the necessary validity and reliability for job analysis, so it can be used for driving professional or research purposes. Moreover, this survey is an effective tool for obtaining accurate and complete knowledge of job tasks and requirements.

Hematotoxicity induced by simultaneous exposure to noise and toluene in New Zealand white rabbits: Synergistic and antagonistic effects.

Exposure to numerous pollutants is prevalent in workplaces. Examination of combined exposure to different harmful physical factors and chemicals has offered new insights into toxicology in recent years. This study aimed to investigate the hematological alterations caused by exposure to noise and toluene. Twenty-four New Zealand white rabbits were exposed to 1000 ± 50 ppm toluene and/or 100 ± 5 dB noise for 14 consecutive days. Exposure to noise and toluene changed a number of parameters of white blood cells (WBC), red blood cells (RBC), and platelets on different days after the exposure. Simultaneous exposure to noise and toluene increased WBC, and exposure to noise and toluene alone decreased RBC. Exposure to noise and toluene alone increased basophile, monocyte, and neutrophil counts. The coefficient of variation of red blood cell distribution width (RDW-CV) and the standard deviation of red blood cell distribution width (RDW-SD) significantly increased after co-exposure to noise and toluene. Platelet levels increased in the noise-exposed and the co-exposed groups and decreased in the toluene-exposed group. Furthermore, co-exposure to noise and toluene induced dissimilar synergistic and antagonistic effects on the hematological indices. According to the results of this study, simultaneous exposure to toluene and noise can aggravate some hematotoxic effects compared to exposure to noise or toluene alone. The results also demonstrated the vital role of the modulatory mechanisms of the body in controlling the detrimental effects of stressors.

Co-exposure to Toluene and Noise Made Synergistic and Antagonistic Effects on Some Neurotoxic Parameters in New Zealand White Rabbits.

Introduction: Numerous physical and chemical agents can induce destructive effects on the brain tissue. Noise and toluene, which are some of these harmful agents, have significant adverse effects on the brain tissue. This work aimed to investigate the neurotoxic changes induced by co-exposure to toluene and noise. Methods: A total of 24 male white New Zealand rabbits were randomly segregated into four groups, including toluene exposure, noise exposure, co-exposure to noise and toluene, and control. This in vivo study tested the neurotoxic effects of exposure to 1000 ppm toluene and 100 dB noise during two weeks (8 h/day). The serum levels of brain-derived neurotrophic factor-α (BDNF-α), malondialdehyde (MDA), glutathione peroxidase (GPx), superoxide dismutase (SOD), and catalase and total antioxidant capacity (TAC) values in the brain tissue were measured. Moreover, hematoxylin and eosin (H&E) staining was utilized for brain pathological analysis. Results: Exposure to noise increased TAC values in the cerebral cortex. Co-exposure to toluene and noise increased the serum levels of BDNF-α. Nevertheless, exposure to noise decreased the levels of BDNF-α in serum. On the other hand, histopathological examinations using H&E staining exhibited that different signs of inflammation, such as lymphocyte infiltration, pyknosis, vacuolization, and chromatolysis were induced by exposure to noise and toluene in the cerebellum, hippocampus, and frontal section in the brain tissue. In addition, simultaneous exposure to toluene and noise induced antagonistic and synergistic changes in some neurotoxic parameters. Conclusion: Exposure to noise and toluene, which caused inflammation in the brain tissue cells, could be a noticeable risk factor for the neurological system. Highlights: Exposure to noise increased total antioxidant capacity.Exposure to toluene decreased brain-derived neurotrophic factor-α.Exposure to noise decreased brain-derived neurotrophic factor-α.Co-exposure to noise and toluene increased brain-derived neurotrophic factor-α.Noise and toluene induced some histopathological effects on the brain tissue. Plain Language Summary: The brain tissue can be adversely affected by various agents, including noise and toluene. This study aimed to examine the effects of simultaneous exposure to noise and toluene on the nervous system. Twenty-four healthy male white New Zealand rabbits were randomly divided into four groups: control, noise, toluene, and simultaneous exposure to noise and toluene. The study involved a two-week in-vivo experiment, subjecting the rabbits to 100 dB noise and 1000 ppm toluene for eight hours per day. This study showed that exposure to noise and toluene changed different parameters relating to the neurological system. Furthermore, noise and toluene induced some adverse effects on the brain tissue. This study suggested that exposure to noise and toluene can lead to harmful effects on the brain tissue, posing a significant risk to the neurological system.

Toxicopathological changes induced by combined exposure to noise and toluene in New Zealand White rabbits.

Noise and toluene can have significant adverse effects on different systems in the human body, but little is known about their combination. The aim of this study was to see how their combined action reflects on serum levels of inflammatory cytokines tumour necrosis factor alpha (TNF-α) and interleukin 1 beta (IL-1ß), body weight, and pathological changes in the heart, lung, stomach, and spleen tissues. To do that we exposed New Zealand rabbits to 1000 mg/L toluene and 100 dB of white noise in a chamber specifically designed for the purpose over two consecutive weeks. Serum levels of TNF-α and IL-1ß were measured with the enzyme-linked immunosorbent assay (ELISA), whereas Bax and Bcl-2 expressions in tissues were determined with real-time polymerase chain reaction (PCR). Noise and toluene changed TNF-α and IL-1ß serum levels on different days following the end of exposure and significantly increased the Bax/Bcl-2 ratio in the lung and spleen. In addition, they induced different pathological changes in the heart, lung, spleen, and stomach tissues. This study has confirmed that exposure to noise and toluene can induce a range of toxicopathological changes, probably by inducing inflammatory pathways and apoptosis, but their combined effects look weaker than those of its components, although histopathological findings suggest the opposite.

Likely behaviours of people under emergency circumstances in hospitals: A cross-sectional study.

Hospitals, which play an important role in reducing injuries and casualties, must be prepared for a crowd of people in emergencies. The present study aimed to survey and collect data on the likely behaviours of people under emergency circumstances in hospitals in order to improve emergency response plans in these places. The target population was all individuals present in three hospitals from Tabriz (including patients, companions and treatment staff), and the sample size was 1145. A questionnaire was administered to this population in order to collect the data. The comparison of different groups was performed based on participants' gender and their role. Results showed that, in general, everyone in the surveyed hospitals is more likely to choose a reactive strategy rather than a preventive strategy as well as a cooperative strategy rather than a competitive strategy, and less willing to use lifts during emergencies. Comparing different strategies utilized by different people resulting from ordered logit models revealed that there are significant differences in evacuation strategies between men and women as well as between treatment staff and all respondents. Men were more likely to select a proactive strategy rather than a reactive strategy compared to women. Also, the treatment staff group were more likely to employ a cooperative strategy and less likely to use a competitive strategy compared to other people. In view of the role of hospitals, the results of this study can play a major role in policy-making to predict the behaviour of different individuals in healthcare settings and perform needs assessment to consider the necessary facilities or raining required for different people in various countries.

Hepatotoxic effects caused by simultaneous exposure to noise and toluene in New Zealand white rabbits: a biochemical and histopathological study.

The aim of this experimental study was to investigate hepatotoxicity effects of noise and toluene, and in particular, to study hepatotoxicity effects of simultaneous exposure to noise and toluene by histopathological and biochemical experiments. To experiment hepatotoxicity effects of noise and toluene, 100 dB white noise and 1000 ppm toluene vapors were generated during two consecutive weeks in healthy male New Zealand White rabbits. Non-simultaneous exposure to noise and toluene increased liver enzymes and the serum levels of superoxide dismutase, malondialdehyde, and total antioxidant capacity, and also decreased serum level of glutathione peroxidase. Alanine transaminase, aspartate transaminase, gamma-glutamyl transferase, malondialdehyde, total antioxidant capacity, and superoxide dismutase levels increased by simultaneous exposure to noise and toluene. Furthermore, catalase and alkaline phosphatase level decreased by simultaneous exposure to noise and toluene. The hematoxylin and eosin stain (H&E) experiments indicated significant swelling, lipidosis, eosinophilic cytoplasm, pyknosis, karyorrhexis, and disruption of the cytoplasmic membrane in the liver tissue due to exposure to noise, toluene and simultaneous exposure to them.

Nephrotoxic effects caused by co-exposure to noise and toluene in New Zealand white rabbits: A biochemical and histopathological study.

The biological and renal effects made by simultaneous and non-simultaneous exposure to toluene and noise were investigated. Twenty-four New Zealand white rabbits were exposed to 100 dB of white noise and 1000 ppm of toluene vapor for two weeks. The examined biochemical factors were urea, uric acid, creatinine, glucose, triglyceride, cholesterol, and albumin serum levels, measured on different days after the end of the exposure. Moreover, glutathione peroxidase activity (GPX), malondialdehyde dismutase activity (MDA), and superoxide dismutase (SOD) parameters were measured in the kidney tissue. The hematoxylin and eosin staining method was used for histopathological experiments. Overall, the noise increased albumin, uric acid, creatinine, and glucose levels, but it decreased urea, cholesterol, and triglyceride levels. Toluene decreased albumin, uric acid, and urea levels, while it increased creatinine, triglyceride, cholesterol, and glucose levels. Simultaneous exposure to noise and toluene decreased albumin, uric acid, cholesterol, and urea levels, whereas it increased creatinine, glucose, and triglyceride levels. GPX, MDA, and SOD levels increased by simultaneous and non-simultaneous exposure to noise and toluene. Furthermore, massive tubular degeneration, tubular cell vacuolization, glomerular disorganization, congestion, glomerular cell shrinkage, and unclear brush border were detected in the kidney tissue.

Inflammatory and immunological changes caused by noise exposure: A systematic review.

Today, due to the growth of industries and spread of the use of various instruments and devices that produce high noise levels, it is necessary to pay more attention to the effects of exposure to noise on organs and tissues in the body. The importance of the immune system in fighting external and pathogenic factors has raised the need to consider external factors (such as harmful physical factors) and make efforts to avoid producing them. In this systematic review, 811 potentially relevant studies were found in Google Scholar, PubMed, and Web of Science databases, of which 32 different English-written articles were included in the study. The method of searching and systematically reviewing articles was based on the assessment tool of the multiple systematic reviews (AMSTAR) method. The results of this study suggested that noise could affect the function of the immune system and its components by affecting other systems and organs of the body, including the central nervous system, auditory system, circulatory system, and endocrine gland. Moreover, it can be hypothesized that noise affects immune system by producing the NADPH oxidase (Nox) and reactive oxygen species (ROS).