BACKGROUND: Prolonged screen time and abnormal postures can cause backache, neck pain, headache, and finger pain. Studies have shown that excessive usage of gadgets has increased during the coronavirus disease 2019 (COVID-19) pandemic, causing health and ocular hazards. This study used qualitative research methods to understand the health and ocular effects of gadget usage following the COVID-19 postlockdown in optometry students.
METHODS: A qualitative study using a semi-structured face-to-face interview was conducted for undergraduate and postgraduate students in different optometry institutes who underwent at least 3 months of online teaching learning during the pandemic after obtaining informed consent. The interviews were conducted online; the sessions were audio-recorded, transcribed, and analyzed. Thematic analyses were conducted to understand the challenges faced.
RESULTS: Twenty participants were interviewed, of which 70% (n = 14) were females. Thematic analysis identified seven major themes: gadget usage (frequency of usage, type of device, and time spent), challenges during online classes (comprehension, distraction, and network issues), ocular effects (asthenopic symptoms and ocular symptoms), health effects (musculoskeletal disorders), ways to relieve symptoms, recreational activities (breaks and entertainment), and environment and ergonomics (posture and study area and preferred lighting). All the participants reported ocular/health-related symptoms, including eye strain, burning sensation, headache, back pain, finger pain, and neck pain post the lockdown period due to prolonged gadget usage and poor ergonomic postures.
CONCLUSIONS: Given the significant increase in digital usage following the pandemic, the study\'s findings are currently relevant. The prolonged usage of gadgets and poor ergonomic postures have led to ocular and musculoskeletal problems among optometry students. To improve gadget usage without any health-related consequences, students should have access to information regarding ergonomics, increasing the blink rate, and taking regular digital breaks.

Proper Healthcare Waste (HW) management is directly influenced by the knowledge and attitudes of Healthcare Professionals (HCP). However, studies that characterize the knowledge and practices of HCP on HW management are limited in Sri Lanka. This study was conducted to characterize the knowledge, perceptions and practices of HCP on the management of HW and to determine the risk factors influencing HW related occupational health hazards in the Colombo District of Sri Lanka.
A total of 407 HCP were recruited as the study population from selected hospitals in the Colombo District. Information on socio-demographic factors, knowledge, attitudes and practices on HW management were gathered using an interviewer-administrated questionnaire. The Binary Logistic Regression (BLR) was used to determine the socio-economic risk factors associated with the occurrence of HW related health issues among the respondents.
The majority of respondents were characterized with a high knowledge level (76.9%) and positive attitudes (53.8%) on HW management. Incineration (82.6%) was recognized as the most widely used HW treatment method. Personal Protective Equipment (PPE) was used at a satisfactory level (85.5%), while liquid waste treatment was limited (57.5%). The occupational designation, level of training received in HW management, professional experience, vaccination status for tetanus, degree of knowledge and attitudes on HW management were recognized as significant risk factors (p < 0.05) associated with the occurrence of HW related occupational hazards.
Even though, the treatment of HW was satisfactory, strengthening the existing mechanisms for monitoring of HW management, provisioning more resources and organizing training and awareness programmes on HW management for HCP are recommended.

BACKGROUND: Various stages of the food chain, from production to processing to distribution, can impact food safety. The concept of \"food defense\" has emerged as a countermeasure against intentional contamination of food with foreign substances. Although knowledge of food hygiene is common among consumers, there are currently no reports of consumer surveys on food defense.
OBJECTIVE: This study aims to investigate consumer awareness of food defense and food safety. We analyzed the results focusing on how consumers behave when they find abnormalities in food to further our knowledge on promoting food defense measures.
METHODS: Participants completed a web-based questionnaire that included items related to awareness of food safety and food defense, as well as actions to be taken in cases of food abnormalities, such as contamination by foreign substances, the presence of a bad smell in purchased food, and the inclusion of extra items not selected by the individual. The participants were asked to indicate their preference among the 5 suggested actions in each case using a 6-point Likert scale. Data analysis involved aggregating responses into binary values. Stepwise linear regression analysis was conducted to examine the relationship between selected actions and questionnaire items, such as sex, age, and personality.
RESULTS: A total of 1442 respondents completed the survey, and the majority of participants placed importance on food safety when making food purchases. The recognition of each term was as follows: 95.2% (n=1373) for \"food security and safety,\" 95.6% (n=1379) for \"food hygiene,\" and 17.1% (n=247) for \"food defense.\" The percentages of those who answered that they would \"eat without worrying\" in the case of \"contamination by foreign substances,\" \"bad smell,\" or \"including unpurchased product\" in the frozen food they purchased were 9.1% (n=131), 4.8% (n=69), and 30.7% (n=443), respectively. The results showed that contacting the manufacturer was the most common action when faced with contaminated food or food with a bad smell. Interestingly, a significant percentage of respondents indicated they would upload the issue on social networking sites. Logistic regression analysis revealed that male participants and the younger generation were more likely to choose the option of eating contaminated food without worrying. Additionally, the tendency to upload the issue on social networking sites was higher among respondents who were sociable and brand-conscious.
CONCLUSIONS: The findings of this study indicate that if food intentionally contaminated with a foreign substance is sold and delivered to consumers, it is possible consumers may eat it and experience health problems. Therefore, it is crucial for not only food manufacturers but also food delivery service providers to consider food defense measures such as protecting food from intentional contamination. Additionally, promoting consumer education and awareness regarding food defense can contribute to enhancing food safety throughout the food chain.

Toxic metals (TMs) are serious health hazard and are known to accumulate in fruits, which are consumed by people, owning to their distinct sweet flavor and potential health benefits. In the present study, arsenic (As), lead (Pb), chromium (Cr), copper (Cu), cadmium (Cd), nickel (Ni), and mercury (Hg) were measured by atomic absorption spectrometry (AAS) techniques in orange samples from 11 farmhouses of Sargodha, Pakistan. Principal component analysis (PCA) is a very useful analysis and data-reducing tool. This technique was used to explore the relationship between different metal levels in the oranges. The conventional wet acid digestion method was validated and assured with two (02) certified reference materials NIST-SRM 1515-Apple and (CRM) NIST-1570a Spinach Leaves by recovery test coupled with standard addition procedure. The results showed that Cd and Cr average daily intakes are 0.084 and 0.15 mg slightly higher than World Health Organization/Food and Agriculture Organization of the United Nations (WHO/FAO) recommended tolerable daily intake respectively. The assessment of health risk was also carried out in form of total hazard quotient (THQ) and hazard index (HI), indicating three heavy metals (Pb, Cd, and Cr) have significant human health risk potential to consumers while Cu, As, Hg, and Ni have non-significant (THQ < 1) health risks.

Welding fume exposure at work is recognized as a known concern for public health. This study aims to assess the welding fumes produced during welding using two different extraction patterns and to compare their influences. A thorough assessment of domestic arc welders in the erode district of India was done to assess their exposure to welding gases. The survey results chose the gas metal arc welding (GMAW) process for future investigation. The stainless-steel grade SS 316 L was used in this study. To weld 3-mm, 5-mm, and 6-mm-thick stainless-steel specimens, ER316 L filler wire and four shielding gas compositions were used. Two distinct, cost-effective welding hoods with a square duct section and a conical duct section were constructed to examine welding gases. The produced fume was collected on a 240 mm glass fibre filter and re-weighted during welding. Gas flow rates of 5, 10, and 15 LPM were investigated, with current intensities of 150A, 200A, and 275A. A novel attempt has been made to compare fume formation rates (FFR) obtained using two extraction patterns. According to this investigation, weld fume hoods with conical duct sections extract more welding gases than square duct sections. The extraction rate using two extraction patterns was compared. Furthermore, the addition of CO2 to any shielding gas mixture results in a higher fume formation rate. The experimental FFR values were quite close to the American Welding Society (AWS) specifications. This finding also revealed that welders\' socio-demographic characteristics, such as age, marital status, level of education, and work experience, influenced their awareness of occupational hazards and personal protection equipment (PPEs). As a result, there should be a strong emphasis on hazard identification education and strict enforcement of proper PPEs use among small-scale welders in and around the erode district to protect welders from a variety of hazards.

Ambient PM2.5 (fine particulate matter with aerodynamic diameters ≤ 2.5 μm) is thought to be associated with the development of diabetes, but few studies traced the effects of PM2.5 components and pollution sources on the change in the fasting blood glucose (FBG). In the present study, we assessed the associations of PM2.5 constituents and their sources with the FBG in a general Chinese population aged over 40 years. Exposure to PM2.5 was positively associated with the FBG level, and each interquartile range (IQR) increase in a lag period of 30 days (18.4 μg/m3) showed the strongest association with an elevated FBG of 0.16 mmol/L (95% confidence interval: 0.04, 0.28). Among various constituents, increases in exposed elemental carbon, organic matter, arsenic, and heavy metals such as silver, cadmium, lead, and zinc were associated with higher FBG, whereas barium and chromium were associated with lower FBG levels. The elevated FBG level was closely associated with the PM2.5 from coal combustion, industrial sources, and vehicle emissions, while the association with secondary sources was statistically insignificant. Improving air quality by tracing back to the pollution sources would help to develop well-directed policies to protect human health.

UNASSIGNED: Parental smoking is the dominant source of passive smoke exposure in the pediatric population. The current randomized controlled trial (RCT) study aimed to evaluate the effectiveness of a multi-component smoking reduction intervention in parental smoking reduction and children\'s environmental tobacco smoke exposure reduction in clinical settings.
UNASSIGNED: A single-blinded, 6-month randomized controlled trial recruited smoking parents (N = 210) of children who attended the pediatric wards or clinics at the Prince of Wales Hospital. Participants allocated to the intervention group (n = 105) received monthly motivational interviews on smoking reduction with emphasis on health hazards related to children\'s passive smoke exposure, 8-week nicotine replacement therapy, and referral to smoking cessation service if the parents preferred. The control group (n = 105) received simple verbal advice on smoking cessation. Primary outcomes were parental urine cotinine validated and self-reported ≥50% smoking reduction rates at 6 months.
UNASSIGNED: Smoking parents in the intervention group had significantly more biochemically validated ≥50% smoking reduction than the control: 27.1 vs. 10.0% (OR = 3.34, 95% CI: 1.16-9.62, P = 0.02). The rate of self-reported ≥50% smoking reduction was also significantly higher in the intervention group than the control: 51.9 vs. 20.2% (OR = 4.40, 95% CI: 2.38-8.12, P < 0.001). For secondary outcomes, the rate of parental self-reported smoking cessation was higher in the intervention arm: 10.5 vs. 1.0% (OR = 12.17, 95% CI: 1.54-96.07, P < 0.001), however, no differences were detected in biochemically validated cessation and changes in children\'s passive smoke exposure between the groups.
UNASSIGNED: Monthly smoking reduction counseling together with nicotine replacement therapy is more effective than simple verbal cessation advice in the smoking reduction for parents of pediatric patients. However, this study did not demonstrate differences in smoking cessation or reduction in children\'s passive smoke exposure with a 6-month follow-up. Achievement of a smoke-free environment remains challenging.
UNASSIGNED: Clinicaltrials.gov, identifier: NCT03879889.

UNASSIGNED: Air pollution due to road traffic is a solemn health hazard and vehicular emissions due to huge population in the cities are the main reason for the air quality crisis. The study was conducted to assess the degree of impairment in lung function in traffic police personnel exposed to traffic pollution compared to less-exposed healthy subjects.
UNASSIGNED: This comparative cross-sectional study was conducted among 250 traffic police personnel, aged 20-55 years, working in Chennai city, as compared to a matched control group, consisting of 250 less-exposed subjects. Measurement of pulmonary function testing was done with an RMS Helio 401. Statistical analysis was carried out with R statistical software.
UNASSIGNED: The traffic police personnel had significantly (P < 0.05) declined FEV1 and FEV1/FVC ratio and FEF 25-75% (L/s) as compared to controls. Traffic personnel with longer duration of exposure showed significantly (P < 0.05) reduced lung functions than those with shorter duration. We have found a significant negative correlation with all pulmonary function parameters such as FVC, FEV1, FEV1/FVC, PEFR, and FVC 25%-75% among the traffic police personnel.
UNASSIGNED: The impairment of pulmonary function among the traffic police personnel might be due to the effect of pollution by vehicular exhausts and they should be offered personal protective or preventive measures.

Objective: To investigate the characteristics of occupational exposure to polycyclic aromatic hydrocarbons (PAHs) in the workplace and for various types of work in a carbon enterprise based on the measurement data of various components of PAHs in the air from the workplace of the carbon enterprise, and to provide a scientific basis for protection against PAHs in this enterprise. Methods: In July 2017, a carbon enterprise in Shandong Province and its on-duty workers were chosen as subjects. On-site occupational hygiene investigation and high-performance liquid chromatography were used to investigate and determine the presence and concentrations of PAHs in various workshops and various types of work in the enterprise, and toxic equivalent quantity (TEQ) was used to evaluate the carcinogenic level of PAHs. Results: The components of PAHs with relatively high content in the air of the workplace in the carbon enterprise were fluoranthene, pyrene, benzanthracene, X, and benzo[a]pyrene, with mean concentrations of 1 485.66, 864.66, 805.35, 500.08, and 120.88 ng/m(3), respectively. There were significant differences between the three workshops in the concentrations of PAHs components (benzo[a]pyrene, benzanthracene, benzo[b]fluoranthene, benzo[k]fluoranthene, X, fluoranthene, pyrene, fluorene, indenopyrene, and anthracene) and total TEQ (P<0.05) . The total TEQ of PAHs in the molding workshop was significantly higher than that in other workshops (P<0.05) . There were significant differences between different types of work in the exposure to pyrene and fluoranthene and TEQ (P<0.05) . Shaking-table operators, moving-sieve operators, batching operators, fabric workers, and hot-oil stove workers had higher exposure levels of PAHs. The exposure concentrations of benzo[a]pyrene and benzanthracene were highly correlated with total TEQ. Conclusion: The concentration of PAHs in the working environment of the carbon enterprise is generally higher; benzo[a]pyrene and fluoranthene are the PAHs components against which special protective measures need to be taken; molding workshops are the workshops that are most seriously endangered by PAHs; shaking-table operators are the type of workers needing special protection against PAHs. The occupational hazards of PAHs in the carbon industry cannot be ignored, against which corresponding protective measures should be formulated based on their exposure characteristics.
目的： 分析某炭素企业工作场所空气中多环芳烃（PAHs）各组分的检测数据，探讨炭素企业工作场所及各工种的PAHs职业接触特征，为炭素业PAHs防护提供科学依据。 方法： 于2017年7月，选取山东省某炭素企业及其在岗工作为研究对象。采用现场职业卫生学调查法及高效液相色谱法调查及检测该企业各车间及各工种PAHs存在情况及浓度，用致癌等效浓度（Toxic equivalent quantity，TEQ）评价PAHs致癌水平。 结果： 炭素企业工作场所空气中含量较高的PAHs组分为荧蒽、芘、苯并蒽、䓛、苯并[a]芘，平均浓度分别为1 485.66、864.66、805.35、500.08、120.88 ng/m(3)。3个车间空气中PAHs各组分浓度及总致癌等效浓度（总TEQ）中，苯并[a]芘、苯并蒽、苯并[b]荧蒽、苯并[k]荧蒽、䓛、荧蒽、芘、芴、茚并芘、蒽及总TEQ有差异，差异有统计学意义（P<0.05），成型车间PAHs的总TEQ明显高于其他车间，差异有统计学意义（P<0.05）。各工种接触芘、荧蒽及总TEQ有差异，差异有统计学意义（P<0.05）。振动台操作工、动筛操作工、配料操作工、布料工、热油炉工PAHs接触水平较高。苯并[a]芘、苯并蒽接触浓度与总TEQ呈高度相关。 结论： 炭素企业工作环境中PAHs浓度普遍较高，苯并[a]芘、荧蒽为需要重点防护的PAHs组分，成型车间为PAHs危害最严重的车间，振动台操作工等工种为PAHs重点防护工种。炭素行业中PAHs的职业危害不容忽视，应针对其接触特征制定相应的防护措施。.

OBJECTIVE: To analyse sound levels and sound pollution in a Pediatric Dental Clinic and to analyse whether the levels are significant to the extent of being a health hazard.
METHODS: Noise levels were measured in a Pediatric dental clinic in an institutional setting with a precision noise level meter ((HTC 1350). Recordings were taken at different times of the day, at the centre, chair-side, reception, play area and four corners of the department keeping the microphone at a distance of 6 in. from the operator\'s ear. The noise levels of various equipments i.e. suction, micromotor, airotor were measured with the equipments turned on and during cutting operations with the microphone placed at a distance of 6 in. from the sound source. The sound levels for the laboratory equipments were taken at a distance of 6 in. and 2 m.
RESULTS: The highest mean sound levels were recorded at the reception, play area and chair-side area with least mean sound levels recorded at 9:00am which increased at 11:30am & 2:00pm and reduced again at 3:30pm The maximum sounds were produced by the lathe trimmer, airotor and scaler.
CONCLUSIONS: Noise levels in a pediatric clinic approach the level of risk of hearing loss [85 db(A)]. This would have a serious effect on both providers and patients and a concerted effort would be required to control the noise levels and thus avoid the potential health hazards that it poses.