Behzad Fouladi Dehghi, Seyed Moslem Abedini, Sanaz Karimpour, Kambiz Ahmadi Angali,
Volume 9, Issue 3 (9-2019)
Abstract
Introduction: Determining the VO2 max of individuals is of great importance. The VO2 max refers to the maximum oxygen that can be consumed in the body in one minute and depends on factors such as physical conditions, environmental parameters, and physiological characteristics of the individual.. Noise and heat are among the factors influencing VO2 max (also called maximal oxygen uptake or maximal aerobic capacity), which affects the performance of respiratory system, via different ways. Therefore, the purpose of this study was to investigate the simultaneous effect of noise and heat on VO2 max in Ahvaz university of medical sciences’ students
Material and Methods: The present study was conducted on 50 volunteer students from the Ahvaz Jundishapur University of Medical Sciences, Iran. The VO2 max index was measured using the ergometer bicycle test and the Astrand protocol in nine modes of exposure to heat (21, 38 and 48°C), WBGT (18.34, 32.46 and 41.25°C) and noise (75, 85 and 95 dB (A)). In order to carry out the test according to the Astrand protocol, the person pedaled on the bike for six minutes at a constant load and a speed of 50 rpm to increase the heart rate to more than 120 beats per minute. The heart rate was monitored while working with the ergometer bike using a Polar branded sensor mounted below the individual chest. SPSS vol.22 software, Friedman test and paired t-test were used to analyze the data.
Results: The mean VO2 max in the second test condition (heat:21°C , WBGT : 18.34°C ,noise:85 dB) and the third test condition (heat:21°C ,WBGT : 18.34°C ,noise:95 dB) were not significantly different from the first (normal) mode, but the VO2 max value significantly decreased (P<0.001) from the third mode to higher levels with increasing the levels of heat and noise.
Conclusion: Since one of the objectives of ergonomics is to create an environment in consistent with human capacities, it is essential to have knowledge of VO2 max. Regarding the effect of heat and noise on VO2 max of individuals and also the direct relationship between VO2 max and PWC) Physical Work Capacity (, in order to protect the health of individuals and increase their productivity, it is necessary to carry out control measures in warm and noisy environments.
Gholam Abbas Shirali, Davood Afshari, Sanaz Karimpour,
Volume 11, Issue 2 (6-2021)
Abstract
Introduction: Considering the accreditation of international standards of hospitals and the necessity to improve the safety and quality of patients’ care, this study aimed at evaluating reliability among nurses using predictive analysis of cognitive errors and human event analysis techniques.
Material and Methods: The analysis of nurses̓ tasks was done by HTA method. Then, the types of errors and their causes were identified by TRACER method. In the next step, the error probability of each task was calculated by ATHEANA method. In order to calculate the probability of total event, the probability of human error was imported to probabilistic risk assessment.
Results: Factors affecting performance of the nurses were included: the complexity of the work, high workload, nurse’s experience, work environment design, fatigue, anxiety, shortage of the workforce, insufficient time period for doing job, sleep disturbance, and poor lighting and noise pollution. According to the instruction of ATHEANA method, the error probability for each base event was considered 0.001. Given that there are 15 base events, the probability of human error in the heart attack event was calculated 0.015.
Conclusion: The finding of this study was indicated the need for providing required nursing workforce, reducing overtime, scientific planning for nurses’ work shifts and giving practical training and stress management methods in the emergency conditions.
