Mechanical strength recognition and classification of thermal protective fabric images after thermal aging based on deep learning.

Objectives. Currently, numerous studies have focused on testing or modeling to evaluate the safe service life of thermal protective clothing after thermal aging, reducing the risk to occupational personnel. However, testing will render the garment unsuitable for subsequent use and a series of input parameters for modeling are not readily available. In this study, a novel image recognition strategy was proposed to discriminate the mechanical strength of thermal protective fabric after thermal aging based on transfer learning. Methods. Data augmentation was used to overcome the shortcoming of insufficient training samples. Four pre-trained models were used to explore their performance in three sample classification modes. Results. The experimental results show that the VGG-19 model achieves the best performance in the three-classification mode (accuracy = 91%). The model was more accurate in identifying fabric samples in the early and late stages of strength decline. For fabric samples in the middle stage of strength decline, the three-classification mode was better than the four-classification and six-classification modes. Conclusions. The findings provide novel insights into the image-based mechanical strength evaluation of thermal protective fabrics after aging.

Integrated Firefighting Textile with Temperature and Pressure Monitoring for Personal Defense.

Although electronic textiles that can detect external stimuli show great promise for fire rescue, existing firefighting clothing is still scarce for simultaneously integrating reliable early fire warning and real-time motion sensing, hardly providing intelligent personal protection under complex high-temperature conditions. Herein, we introduce an "all-in-one" hierarchically sandwiched fabric (HSF) sensor with a simultaneous temperature and pressure stimulus response for developing intelligent personal protection. A cross-arranged structure design has been proposed to tackle the serious mutual interference challenge during multimode sensing using two separate sets of core-sheath composite yarns and arrayed graphene-coated aerogels. The functional design of the HSF sensor not only possesses wide-range temperature sensing from 25 to 400 °C without pressure disturbance but also enables highly sensitive pressure response with good thermal adaptability (up to 400 °C) and wide pressure detection range (up to 120 kPa). As a proof of concept, we integrate large-scalable HSF sensors onto conventional firefighting clothing for passive/active fire warning and also detecting spatial pressure and temperature distribution when a firefighter is exposed to high-temperature flames, which may provide a useful design strategy for the application of intelligent firefighting protective clothing.

Nudging intensive care unit personnel towards sustainable behaviour.

BACKGROUND: The health care sector is among the most carbon-intensive sectors, contributing to societal problems like climate change. Previous research demonstrated that especially the use of personal protective equipment (e.g., aprons) in critical care contributes to this problem. To reduce personal protective equipment waste, new sustainable policies are needed. AIMS: Policies are only effective if people comply. Our aim is to examine whether compliance with sustainable policies in critical care can be increased through behavioural influencing. Specifically, we examined the effectiveness of two sets of nudges (i.e., a Prime + Visual prompt nudge and a Social norm nudge) on decreasing apron usage in an intensive care unit (ICU). STUDY DESIGN: We conducted a field experiment with a pre- and post-intervention measurement. Upon the introduction of the new sustainable policy, apron usage data were collected for 9 days before (132 observations) and 9 days after (114 observations) the nudge interventions were implemented. RESULTS: Neither the Prime + Visual prompt nudge, nor the Social norm nudge decreased apron usage. CONCLUSIONS: While previous studies have found that primes, visual nudges and social norm nudges can increase sustainable behaviour, we did not find evidence for this in our ICU field experiment. Future research is needed to determine whether this null finding reflects reality, or whether it was due to methodological decisions and limitations of the presented experiment. RELEVANCE TO CLINICAL PRACTICE: The presented study highlights the importance of studying behavioural interventions that were previously proven successful in the lab and in other field contexts, in the complex setting of critical care. Results previously found in other contexts may not generalize directly to a critical care context. The unique characteristics of the critical care context also pose methodological challenges that may have affected the outcomes of this experiment.

Changes in the location of cutaneous melanoma over the past 30 years. A retrospective observational study. / Cambios en la localización del melanoma cutáneo en los últimos 30 años. Estudio observacional retrospectivo.

BACKGROUND: The location of cutaneous melanoma is associated with photoexposure. OBJECTIVES: To retrospectively analyze changes in the location of cutaneous melanoma over the past 30 years. PATIENTS AND METHODS: All patients treated at our hospital for cutaneous melanoma from 1988 through 2017 were prospectively collected. Data obtained in cases diagnosed from 1988 through June 2006 were compared to those diagnosed from July 2006 through 2017. RESULTS: A total of 1937 patients (876 men and 1061 women; median age, 57 years; interquartile range 27) were diagnosed with primary cutaneous melanoma. The location of melanoma was head and neck (470 cases), trunk (745 cases), upper limbs (239 cases), and lower limbs (483 cases). From July 2006 through 2017 we detected an increase in the incidence of head and neck melanomas (19.9% vs 28.6%, p < 0.001). A drop in the incidence of melanomas located in the lower extremities was also seen in women (39.8% vs 30.4%, p < 0.001), and in men (trunks) (57.5% vs 47.3%, p = 0.003). In the multivariate analyses, only the decrease in melanomas located in lower extremities in women remained significant. CONCLUSION: The increased incidence of head and neck melanomas in both sexes and the decrease in trunk melanomas in men can be attributed to the aging of our population. The reduction in the incidence of melanomas in the lower extremities in women could be associated with changes in photoexposure patterns. Analyzing the factors possibly associated with these changes would contribute to better understanding the pathogenesis of cutaneous melanoma for prevention purposes.

UK national survey on surgical gowning for tonsillectomy.

OBJECTIVE: Tonsillectomy is a common procedure performed nationally. The personal protective equipment and surgical gowning practices used during this procedure vary widely. We compiled a survey of ENT specialists to gain a national opinion about gowning in tonsillectomy with the aim of determining whether we could make it more environmentally friendly whilst maintaining the highest safety standards. METHOD: We developed a nine-question survey that was piloted prior to final implementation. The questionnaire was sent to senior registrars and consultant otolaryngologists in the UK. RESULTS: The survey was completed by a total of 63 ENT specialists. It was found that 82.54 per cent of clinicians would consider wearing a reusable gown that would be sterilised between each procedure. CONCLUSION: Our survey suggests most ENT clinicians would consider using a more environmentally friendly surgical gown and some may even consider wearing no gown at all, although many are understandably concerned about the transmission of infection or blood splatter.

Heat strain in professional firefighters: physiological responses to a simulated smoke dive in extremely hot environments and the subsequent recovery phase.

Firefighters risk heat strain during occupational tasks when exposed to extremely hot environmental conditions and performing high-intensity work. Relevant training scenarios are therefore essential. This study investigated the effect of a single simulated smoke dive and the following recovery phase on physiological and perceptual responses. Nineteen professional male firefighters (43 ± 8 yr) performed a 2-min stair walk and a15-min simulated smoke dive in a two-floor heat chamber (110 °C to 272°C) (HEAT), followed by a 5-min stair walk outside the heat chamber. Heart rate (HR), gastrointestinal temperature (Tgi) and skin temperatures were registered continuously during the test. The Tgi increased significantly from the start (37.5 ± 0.3°C) to the end of HEAT (38.4 ± 0.4°C) and further increased after the heat exposure (39.6 ± 0.5°C).The HR also increased significantly from the start (92 ± 14 bpm) to the end of HEAT (185 ± 13 bpm) and increased after the heat exposure to a maximum of 190 ± 13 bpm. The simulated smoke dive induced high physiological strain on the firefighters, and the increase in Tgi and HR after the hot exposure must be considered during live fire events when repeated smoke dives are required.

Effective role of tannic acid in the fabrication of hydrophobic, oleophilic, antibacterial, boron nitride/chlorobutyl rubber nanocomposite for reusable protective clothing and oil-water separation.

Boron Nitride (h-BN) possesses unique qualities like increased thermal conductivity, non-toxic nature, and environmental friendliness; hence, it is a good reinforcing agent for chlorobutyl rubber (CIIR). Tannic acid (TA) holds excellent bio-functional properties and is considered as an exceptional bio-exfoliating agent. Hence, in this study, we have utilized the bio-exfoliating ability of TA to exfoliate h-BN and evaluate its efficiency in reinforcing the CIIR matrix. Results demonstrate the exceptional role of tannic acid in imparting multifunctionality to chlorobutyl rubber. CIIR matrix introduced with h-BN:TA (h-BN:TA/CIIR) display excellent mechanical performance due to the reinforcing effect shown by excess TA in addition to the exfoliating effect. In addition, h-BN:TA/CIIR composite exhibited superior antimicrobial activity against S. aureus. The retention of thermal decontamination efficiency of the composites with increase in the number of cycles ensures their promising application in the field of reusable gloves and chemical protective clothing. The exfoliated filler created a tortuous path inside the matrix which prevents the permeation of solvent. Hence the work intends to synergize the hydrophobic nature of h-BN, exfoliating capacity of TA and the barrier abilities of CIIR for the adsorption of oil from oil-water mixture and portrays the future of the trio in water purification.

Advances of polyolefins from fiber to nanofiber: fabrication and recent applications.

Polyolefins are a widely accepted commodity polymer made from olefinic monomer consisting of carbon and hydrogen. This thermoplastic polymeric material is formed through reactive double bonds of olefins by the addition polymerization technique and it possesses a diverse range of unique features for a large variety of applications. Among the various types, polyethylene and polypropylene are the prominent classes of polyolefins that can be crafted and manipulated into diversified products for numerous applications. Research on polyolefins has boomed tremendously in recent times owing to the abundance of raw materials, low cost, lightweight, high chemical resistance, diverse functionalities, and outstanding physical characteristics. Polyolefins have also evidenced their potentiality as a fiber in micro to nanoscale and emerged as a fascinating material for widespread high-performance use. This review aims to provide an elucidation of the breakthroughs in polyolefins, namely as fibers, filaments, and yarns, and their applications in many domains such as medicine, body armor, and load-bearing industries. Moreover, the development of electrospun polyolefin nanofibers employing cutting-edge techniques and their prospective utilization in filtration, biomedical engineering, protective textiles, and lithium-ion batteries has been illustrated meticulously. Besides, this review delineates the challenges associated with the formation of polyolefin nanofiber using different techniques and critically analyzes overcoming the difficulties in forming functional nanofibers for the innovative field of applications.

Use of Electrospinning for Sustainable Production of Nanofibers: A Comparative Assessment of Smart Textiles-Related Applications.

Textile production is a major component of the global industry, with sales of over USD 450 billion and estimations of an 84% increase in their demand in the next 20 years. In recent decades, protective and smart textiles have played important roles in the social economy and attracted widespread popularity thanks to their wide spectrum of applications with properties, such as antimicrobial, water-repellent, UV, chemical, and thermal protection. Towards the sustainable manufacturing of smart textiles, biodegradable, recycled, and bio-based plastics are used as alternative raw materials for fabric and yarn production using a wide variety of techniques. While conventional techniques present several drawbacks, nanofibers produced through electrospinning have superior structural properties. Electrospinning is an innovative method for fiber production based on the use of electrostatic force to create charged threads of polymer solutions. Electrospinning shows great potential since it provides control of the size, porosity, and mechanical resistance of the fibers. This review summarizes the advances in the rapidly evolving field of the production of nanofibers for application in smart and protective textiles using electrospinning and environmentally friendly polymers as raw materials, and provides research directions for optimized smart fibers in the future.

Evaluation of disposable protective garments against epoxy resin permeation and penetration from anti-corrosion coatings.

INTRODUCTION: Epoxy-based resin formulations are a frequent cause of allergic and irritant contact dermatitis in the construction and painting industries. Cases of epoxy resin contact dermatitis continue to persist across many sectors and are likely attributable to the growing use of epoxy products, including epoxy-based anti-corrosion coatings and inadequate skin protection. There are no published performance data against epoxy resins for garment materials and gloves to guide proper material selection in the workplace. OBJECTIVES: The objective of this study was to evaluate the resistance of 5 protective garment materials against permeation and penetration by bisphenol A diglycidyl ether and its higher oligomers found commonly in epoxy-based anti-corrosion coatings. METHODS: Five disposable garment materials were evaluated for resistance to bisphenol A diglycidyl ether monomers and oligomers during contact with epoxy-based anti-corrosion coatings, including latex gloves, nitrile gloves, Tyvek coveralls, polypropylene/polyethylene (PP/PE) coveralls, and a cotton T-shirt. A permeation test cell system was used to evaluate each garment material against an epoxy-based zinc-rich primer and an epoxy-based intermediate coating using a realistic application method. Glass fiber filters were used to collect permeating and penetrating epoxy resin during a 120-min test period. Bisphenol A diglycidyl ether quantification was performed with high-performance liquid chromatography-electrospray ionization-tandem mass spectrometry. Paint loading, coating thickness, and homogeneity were assessed on polytetrafluoroethylene filters sprayed in series in permeation test cells. RESULTS: Latex gloves provided the least resistance to permeation by BADGE in coating formulations, with a maximum cumulative permeation over the 2-h test interval of 21.7 ng cm-2 with the primer and 513.8 ng cm-2 with the intermediate coating product. Nitrile gloves were not permeated by either coating formulation. The Tyvek coveralls provided greater protection as compared to the PP/PE coveralls. The cotton T-shirt was penetrated by bisphenol A diglycidyl ether more frequently than any of the tested garment materials and resulted in a maximum cumulative penetration of 128 ng cm-2 with the primer and 28.0 ng cm-2 with the intermediate coating. CONCLUSION: Although all the garment materials evaluated during this study provided sufficient protection to prevent cumulative permeation in excess of the established acceptable permeation thresholds, the use of nitrile gloves and Tyvek coverall is highly recommended to minimize skin exposure to bisphenol A diglycidyl ether. We recommend cotton T-shirts to be used under Tyvek coveralls as a secondary layer of skin protection and for added comfort, but not as a primary protection layer.

Potential and challenges of high-speed (4D) body scanning for mobility analysis of firefighter clothing: a methodical case study.

In this study, protective clothing for firefighters is analyzed using 4D body scanning and 3D hand scanning, with a focus on the experimental analysis of ergonomic comfort. In particular, German firefighting clothing is examined to discuss the possibilities and limitations of current scanning technologies for capturing firefighting clothing. For this purpose, various movements are recorded in the 4D scanner. In addition, a method for determining position changes of protective clothing at identified limits is presented. The initial results illustrated that the analysis of protective clothing for firefighters using 4D scanning is problematic due to specific materials, reflections, and surface properties. Improvements in the scanning process and optimization of algorithms are required to achieve more detailed and precise results. Concerning the ergonomic comfort related to the mobility under firefighting clothing use conditions, this methodical case study highlights the limits of current approaches, with a focus on the limitations of 4D scanning and potential improvements.

Assessment of UV Protection for Children's Summer Clothing.

INTRODUCTION:  Excess ultraviolet (UV) radiation exposure during childhood poses a particular long-term risk of developing skin cancer later in life however recent studies have called attention to the absorption of chemical sunscreen ingredients into the bloodstream with unclear significance. This has led to recommendations to consider sun protection in the form of clothing to reduce the need for sunscreen products. METHODS:  Ten brands of routine summer clothing not labeled as sun protective from five distributors marketed for children were identified with varying price ranges. Summer clothing items consisting of T-shirts and tops were evaluated for fiber composition, cost, and UPF testing was performed to determine UVA and UVB transmittance.  Results: Around 88.2% of blended textile compositions compared to 60% of 100% cotton textiles offered adequate UV protection with an Ultraviolet Protection Factor (UPF) greater than 15. 58% of blended fabrics compared to 50% of cotton textiles offered a UPF greater than 30. There was no correlation between brand and cost with UPF values.  Conclusions: In the absence of regulations for testing and labeling of all children's garments for UV protection, guidelines for the pediatric population for choosing clothing for the summer should reflect the information available to consumers that is easy to understand and more likely to result in higher UPF values. Based on fiber composition, blended textiles are more likely to have adequate UV protection compared to 100% cotton or 100% polyester.

Design of Innovative Clothing for Pressure Injury Prevention: End-User Evaluation in a Mixed-Methods Study.

The global relevance of pressure injury (PI) prevention technologies arise from their impact on the quality of life of people with limited mobility and the costs associated with treating these preventable injuries. The purpose of this mixed methods study is to evaluate the design of a prototype integrating Smart Health Textiles for PI prevention based on feedback from specialist nurses who care for individuals who are prone to or have PIs. This is a mixed methods study. A structured questionnaire was conducted as part of an evaluation of a prototype garment for the prevention of PIs. This questionnaire was applied during the evaluation of the prototype and afterwards focus group discussions were held with experts. Descriptive statistics techniques were used to analyze the data and thematic and integrated content analysis was conducted through concomitant triangulation. Nineteen nurses took part, aged 30 to 39 years (52.6%) and with 12.31 ± 8.96 years of experience. Participants showed that the prototype required more manipulation and physical effort, which interfered its usefulness, in addition to presenting difficulties with the openings and the material of the closure system, which interfered with the ease of use and learning. Overall satisfaction with the product was moderate, with some areas for improvement found, such as satisfaction, recommendations to colleagues, and pleasantness of use. It is concluded that areas for improvement have been found in all dimensions, including in the design of openings and the choice of materials. These findings supply significant insights for improving clothing to meet the needs of healthcare professionals and patients.

Human performance and medical treatment during cold weather operations - synthesis of a symposium.

In October 2022, the Human Factors and Medicine (HFM) panel of the NATO Science and Technology Organization convened a review of progress in military biomedical research for cold weather operations. This paper represents a summary of the research presentations and future directions. The importance of realistic training was an overarching theme. Many reported studies took advantage of cold weather training exercises to monitor soldiers' health and performance; these are valuable data, using winter exercises as a platform to gain further knowledge regarding human performance in the cold and represent an excellent extension of controlled laboratory studies. Topics also included prevention of Cold Weather Injuries (CWI); effects of cold weather stressors on cognitive function; field treatment of freezing cold injuries (FCI); and new consideration to injury and trauma care in the cold. Future work programmes re-emphasise development of cold weather training and establishment of consensus diagnostic criteria and treatments for FCI and non-FCI. CWI prevention should take advantage of biomathematical models that predict risk of CWI and provide guidance regarding optimal clothing and equipment and move from group averages to personalised predictions. The publication of selected presentations from the symposium in this special issue increases attention to military cold weather research.

The Impact of Routine Laundering on Ultraviolet Protection Factor (UPF) Values for Commercially Available Sun-Protective Clothing.

Background Ultraviolet (UV) radiation has potentially harmful effects on the skin. Sunscreen products have historically focused on blocking UV-B radiation to prevent sunburns while efforts to block UV-A radiation have been lacking. UV protective clothing, rated by ultraviolet protection factor (UPF) values, has gained popularity as an alternative form of UV protection, offering a physical barrier against UV rays. However, concerns arise regarding the disclosure and sustainability of UV-protective textiles, as companies often do not disclose the methods used to achieve UV protection. The addition of chemical sunscreen additives to textiles raises questions about their potential release during laundering and their impact on sustained UV protection and environmental health. Further research is needed to understand the risks and benefits of these practices. Methods Seven garments from commercially available sun-protective brand names claiming UV protection were tested for UPF values. The garments were washed separately using cold water in commercially available detergent in cold water followed by drying on a low setting. UPF measurements were obtained at baseline and at intervals of 10 wash cycles until 50 wash cycles were completed. Results Two brands (Brands A and D) experienced a significant decrease in UPF value (70% to 78%) by the completion of 50 washes. Brand A disclosed the use of a nano-zinc additive in their garments while Brand D did not disclose the means of achieving UV protection. In comparison, five brands (Brands B, C, E, F, G) maintained relatively stable UPF values throughout the 50 washes. The comparison between Brand A and Brand G, who disclosed their UV protection methods, showed that Brand A gradually decreased in UPF value throughout the washes while Brand G remained stable. Conclusion The findings suggest that textile compositions with UV finishes may lose their UPF effectiveness during laundering by loss of the finish used over time or the textile integrity could be affected. This raises questions about the necessity of adding these UV finishes if there are fabrics that can maintain their UPF values without them.

Review of Waterproof Breathable Membranes: Preparation, Performance and Applications in the Textile Field.

Waterproof breathable membranes (WBMs) characterized by a specific internal structure, allowing air and water vapor to be transferred from one side to the other while preventing liquid water penetration, have attracted much attention from researchers. WBMs combine lamination and other technologies with textile materials to form waterproof breathable fabrics, which play a key role in outdoor sports clothing, medical clothing, military clothing, etc. Herein, a systematic overview of the recent progress of WBMs is provided, including the principles of waterproofness and breathability, common preparation methods and the applications of WBMs. Discussion starts with the waterproof and breathable mechanisms of two different membranes: hydrophilic non-porous membranes and hydrophobic microporous membranes. Then evaluation criteria and common preparation methods for WBMs are presented. In addition, treatment processes that promote water vapor transmission and prominent applications in the textile field are comprehensively analyzed. Finally, the challenges and future perspectives of WBMs are also explored.

Halochromic Textiles for Real-Time Sensing of Hazardous Chemicals and Personal Protection.

Chemical protective clothing (CPC) has become mandatory when performing various tasks to ensure user protection and prevent chemicals from contacting the skin and causing severe injuries. In addition to protection, there is a need to develop a simple mechanism that can be attached to CPC and be capable of detecting and alerting the user to the presence of harmful chemical agents. In this study, a double-sensor strategy was investigated, using six different pH indicators stamped on cotton and polyester knits to detect acidic and alkaline substances, both liquid and gaseous. Functionalized knits underwent microscopic characterization, air permeability and contact angle evaluation. All samples exhibited hydrophobic behavior (contact angle > 90°) and air permeability values above 2400 L/min/cm2/bar, with the best condition demonstrating a contact angle of 123° and an air permeability of 2412.5 L/min/cm2/bar when the sensor methyl orange and bromocresol purple (MO:BP) was stamped on polyester. The performed tests proved the functionality of the sensors and showed a visible response of all knits when contacting with different chemicals (acids and bases). Polyester functionalized with MO:BP showed the greatest potential, due to its preeminent color change. Herein, the fiber coating process was optimized, enabling the industrial application of the sensors via a stamping method, an alternative to other time- and resource-consuming techniques.

Evaluation of the physical performance of disposable isolation gowns.

BACKGROUND: The threat of emerging infectious diseases has highlighted the need for effective gowns to protect health care workers and patients. Although studies identified end user issues with the physical performance of gowns, the literature that evaluates the performance is scarce. This paper represents 1 of the first efforts to investigate the physical performance of a substantial set of isolation gown models in the marketplace. METHODS: Physical performance of 20 commercial and 2 experimental disposable isolation gowns was evaluated in this study. Standard test methods were used to investigate a range of properties, including thickness, weight, tensile strength, tearing strength, and seam strength. RESULTS: In general, due to the differences in the fibers and methods used for the construction, large variations in the tensile, tear, and seam strength results were found. When the gowns were compared to their respective Association for the Advancement of Medical Instrumentation PB70 protection levels, no clear trend was found between protection levels and tear strength or between protection levels and seam strength, while there was a linear relationship between gowns' Association for the Advancement of Medical Instrumentation PB70 levels and their tensile strength. It was found that fabric construction significantly affects the physical performance of gowns. CONCLUSIONS: Based on this work, a new standard, American Society of Testing and Materials International F3352, was published and has been recognized by the Food and Drug Administration. American Society of Testing and Materials International F3352 is expected to help end users in selecting the appropriate protective clothing.

Impact of surface tension on the barrier performance of gowns and coveralls.

BACKGROUND: Health care workers and laboratory workers who are routinely exposed to potentially life-threatening infectious diseases should wear protective clothing when anticipating contact with infectious materials. The most critical property of protective clothing is its ability to prevent liquids and viruses from passing through the garment. There are a number of potentially infectious liquids that workers may be exposed to during routine tasks. Each liquid has different physical and chemical properties that affect penetration. However, the current test methods use a limited number of liquids for classifying the barrier performance. The impact of the surface tension of the challenge liquid on the penetration resistance of gowns and coveralls was investigated in this study. METHODS: Eight isolation gowns and 2 coveralls were tested in accordance with American Association of Textile Chemists and Colorists 42 and American Association of Textile Chemists and Colorists 127 test methods, which were modified to incorporate the substitute challenge liquids. RESULTS: Although current standard test methods only use water to categorize the liquid penetration resistance of minimal to moderate barrier performance gowns, a significant difference in the penetration was found when simulated body fluids were used. CONCLUSIONS: The results suggest that safety professionals and wearers should consider the varying barrier performance of personal protective equipment with different liquids and the use limitations when selecting them for the required tasks. Furthermore, standard development organizations should consider multiple challenge liquids when classifying protective clothing for health care settings.

Evaluation of fluid leakage at the coverall and glove interface in single and double glove conditions.

BACKGROUND: Fluid leakage through the glove-protective clothing interface is an area of concern for many health care personnel, including emergency medical service providers, who may wear coveralls to protect themselves from multiple types of hazards. There is currently no established standard test method to specifically evaluate the barrier performance of the glove-protective clothing interface region for any personal protective equipment ensemble. OBJECTIVE: This study quantifies the fluid leakage at the coverall and glove interface using single and double gloving. METHODS: A robotic arm, which can simulate upper extremity movements of health care personnel, was used to test 5 coverall models and an extended examination glove model in single and double glove conditions. RESULTS: The results show that there was a significant difference in fluid leakage amounts between some of the coverall models and the number of glove layers studied. Findings also highlight that there is a high correlation between basis weight and stiffness of the coverall fabrics and the fluid leakage amounts. CONCLUSIONS: These results underline that coverall constructed from thin and less stiff fabrics can result in lower fluid leakage levels. Also, there was no significant difference in fluid leakage amounts between single and double gloves when tested with each of the coverall models, with the exception of the coveralls with the highest basis weight and stiffness.