Performance on a Work-Simulating Firefighter Test Versus Approved Laboratory Tests for Firefighters and Applicants

Aim. Firefighters must meet minimum physical demands. The Norwegian Labour Inspection Authority (NLIA) has approved a standardised treadmill walking test and 3 simple strength tests for smoke divers. The results of the Trondheim test were compared with those of the NLIA tests taking into account possible effects of age, experience level and gender. Methods. Four groups of participants took part in the tests: 19 young experienced firefighters, 24 senior male firefighters and inexperienced applicants, 12 male and 8 female. Results. Oxygen uptake (V_O2) at exhaustion rose linearly by the duration of the treadmill test. Time spent on the Trondheim test was closely related to performance time and peak V_O2 on the treadmill test. Senior experienced firefighters did not perform better than equally fit young applicants. However, female applicants performed poorer on the Trondheim test than on the treadmill test. Performance on the Trondheim test was not closely related to muscle strength beyond a minimum. Conclusion. Firefighters completing the Trondheim test in under 19 min fit the requirements of the NLIA treadmill test. The Trondheim test can be used as an alternative to the NLIA tests for testing aerobic fitness but not for muscular strength. Women’s result of the Trondheim test were poorer than the results of the NLIA treadmill test, probably because of their lower body mass.     

Impact of error self-perception of aerobic capacity in the safety and efficacy of the lifeguards

Introduction. The strong physical demands that are required of lifeguards during rescues also require an accurate self-perception of one's fitness level to be able to regulate the intensity of effort. Objectives. The aim of this study was to determine the real aerobic capacity (RAC) and to compare it with two self-reported measurements: subjective appraisal of aerobic capacity (SAAC) and appraisal of physical exercise (APE). Methods. Fifty-two professional lifeguards were included in the study. For an objective assessment of RAC, the lifeguards’ maximum oxygen uptake (V_O2max) values were measured during treadmill stress tests. A fitness assessment questionnaire was used to obtain the SAAC and APE values. Results. We found a statistically significant association between the APE and RAC variables in the contingency analysis (p?V_O2max value below 43 ml kg^?1?min^?1 considered their aerobic capacity to be high or very high. Conclusion. This self-perception error of true aerobic capacity could lead to premature fatigue during a rescue, endangering both the lifeguard's life and the life of the victim. These data may help lifeguards and beach managers to become aware of the need to know lifeguards’ true physical conditions through testing and structured training programs.     

Estimation of Aerobic Capacity and Determination of Its Associated Factors Among Male Workers of Industrial Sector of Iran

Introduction. The aim of this study was to estimate maximal aerobic capacity (V_O2max), to determine its associated factors among workers of industrial sector of Iran and to develop a regression equation for subjects’ V_O2max. Methods. In this study, 500 healthy male workers employed in Shiraz industries participated voluntarily. The subjects’ V_O2max was assessed with the ergocycle test according to the Åstrand protocol. Required data was collected with a questionnaire covering demographic details (i.e., age, job tenure, marital status, education, nature of work, shift work, smoking and weekly exercises). Results. The subject’s mean V_O2max was 2.69 ± 0.263 L/min. The results showed that there was an association between V_O2max and age, BMI, hours of exercise and smoking, but there was no association between V_O2max and height, weight, nature of work and working schedule. On the basis of the results, regression equations were developed to estimate V_O2max. Conclusion. Final regression equation developed in this study may be used to estimate V_O2max reliably without the need to use other laboratory instruments for aerobic measurement.     

Measures of health,fitness, and functional movement among firefighter recruits

Aim. The purpose of this study was to examine the associations between various health and fitness measures and Functional Movement Screen? (FMS?) scores among 78 firefighter recruits. Methods. Relationships between FMS? scores and age, body mass index (BMI), sit and reach (S&R) distance, estimated maximal aerobic capacity (V˙_O2max), estimated one-repetition maximum squat (1RM-Squat_max), and plank endurance (%Plank_max) were examined. Results. Total FMS? scores were significantly correlated with BMI (r?=??0.231, p?=?0.042), estimated 1RM-Squat_max (r?=?0.302, p?=?0.007), and %Plank_max (r?=?0.320, p?=?0.004). Multiple regression analyses indicated that this combination of predictors significantly predicted (F(3, 74)?=?5.043, p?=?0.003) Total FMS? score outcomes and accounted for 17% of the total variance (R²?=?0.170). In addition, logistic regression analyses indicated that estimated 1RM-Squat_max also significantly predicted (χ²?=?6.662, df?=?1, p?=?0.010) FMS? group membership (≤14 or ≥15). Conclusion. These results suggest that the health and fitness measures of obesity (BMI), bilateral lower extremity strength (estimated 1RM-Squat_max), and core muscular endurance (%Plank_max) are significantly associated with functional movement patterns among firefighter recruits. Consequently, injury prevention programs implemented among firefighter recruits should target these aspects of health and fitness.     

Self-Rated Physical Loads of Work Tasks Among Firefighters

Objectives. The present study sought to identify firefighters’ rated physical demands for the most frequently occurring work tasks and to determine if the ratings differed between full-time and part-time firefighters to help create a basis for the development of physical employment tests for firefighters. Methods. An extensive questionnaire was completed by 125 and 68 firefighters in 2000 and 2010, respectively. The data were analysed with the Mann-Whitney U test and binominal test and ranked on the basis of the responses in each category. Results. Significant differences were seen between the full- and part-time firefighters. The work tasks rated as the most physically strenuous in terms of aerobic fitness, muscle strength, work posture and body control by most respondents were smoke diving upstairs (carrying a hose), victim rescue in different ways, carrying a stretcher over terrain and pulling a hose. Conclusions. Physically strenuous work tasks should be included in the end-point performance variables used to select physical performance tests for firefighters. The part-time firefighters with no experience in several of the work tasks suggests that work-related exercises are important if both groups of firefighters are expected to do similar work.     

Physiological and perceptual strain of firefighters during graded exercise to exhaustion at 40 and 10 °C

Purpose. To study whether perceptual identification should be included as a measure to evaluate physiological stress. Methods. Physiological variables oxygen uptake (V_O2), ventilation, heart rate, blood lactate concentration, rectal temperature (T_rec) and mean skin temperature, and perceptual variables rate of perceived exertion, thermal sensation and time to exhaustion, were measured at submaximal and maximal intensities during graded exercise on a treadmill to exhaustion in 12 firefighters wearing protective clothing and extra mass at 40 and 10 °C. Physiological strain index (PhSI) and perceptual strain index (PeSI) were calculated. Results. Apart from T_rec, all physiological and perceptual variables were higher at submaximal intensities of 40 °C. Time to exhaustion was 16% shorter and the corresponding V_O2 was reduced by 7% in the heat. A high correlation (r?=?89) between PhSI and PeSI was found at both temperatures. PeSI scores were equal to PhSI at both ambient temperatures, except at the two highest intensities in the heat, where PeSI was higher. Conclusions. These findings support use of perceptual identification to evaluate physiological stress. However, at very high intensities under hot conditions the perceptual strain was estimated higher than the physiological strain. More precise indexes are needed to include perceptual measures in safety standard.     

Association between resiliency and posttraumatic growth in firefighters: the role of stress appraisal

The purpose of this study was to establish the relation between resiliency and the level of positive changes, comprising posttraumatic growth in a group of firefighters experiencing job-related traumatic events and the mediating role of stress appraisal in this relation. The study was performed on a group of 100 firefighters from firefighting and rescue brigades, out of which 75 admitted to experiencing a traumatic event. Firefighters covered by the study were on average 31.51 years old (SD?=?6.34). A Polish version of Posttraumatic Growth Inventory, the Resiliency Assessment Scale and Stress Appraisal Questionnaire were used in the study. The results have shown that 22.7% of firefighters displayed low, 58.6% average and 18.7% high intensity of positive changes resulting from a traumatic event. Resiliency poorly correlates with posttraumatic growth expressed in changes in self-perception, and strongly correlates with stress appraisal, negatively correlates with threat and harm/loss and positively correlates with challenge. Appraisal of stress as a threat and challenge appeared to be mediators of the relationship between resiliency and posttraumatic growth.     

Effectiveness of a physical activity program on weight,physical fitness,occupational stress,job satisfaction and quality of life of overweight employees in high-tech industries: a randomized controlled study

Introduction. This study aimed to examine the effectiveness of a physical activity (PA) program on weight control, physical fitness, occupational stress, job satisfaction and quality of life of overweight and sedentary employees in high-tech industries. Methods. Participants in the intervention group (n?=?37) were instructed to carry out a PA program at moderate intensity for 60?min/session, 3 sessions/week for 12 weeks. Those in the control group (n?=?38) received no PA program and were asked to continue their routine lifestyle. Evaluations were performed at baseline and at the end of the intervention. Results of structured questionnaires and blood biochemistry tests and evaluations of physical fitness were analyzed. Results. The PA program effectively reduced the number of risk factors for metabolic syndrome and body fat percentage, and improved physical fitness such as flexibility, muscular strength and endurance and cardiorespiratory endurance. The intervention also significantly decreased levels of serum triglyceride, total cholesterol and low-density lipoprotein cholesterol. Significant positive effects on work control, interpersonal relationships at work, global job satisfaction and quality of life were also demonstrated. Conclusion. This study showed that a PA program can be helpful in improving physical, physiological and psychological outcomes for overweight and sedentary employees in high-tech industries.     

Variation in posture quality across musical instruments and its impact during performances

Objective. Bad posture increases the risk that a musician may suffer from musculoskeletal disorders. This study compared posture quality required by different instruments or families of instruments. Methods. Using an ad-hoc postural observation instrument embracing 11 postural variables, four experts evaluated the postures of 100 students attending a Spanish higher conservatory of music. Results. The agreement of the experts’ evaluations was statistically confirmed by a Cohen's κ value between 0.855 and 1.000 and a Kendall value between 0.709 and 1.000 (p?χ² tests revealed significant association between instrument families and seated posture with respect to pelvic attitude, dorsal curvature and head alignment in both sagittal and frontal planes. This analysis also showed an association between instrument families and standing posture with respect to the frontal plane of the axis of gravity, pelvic attitude, head alignment in the frontal plane, the sagittal plane of the shoulders and overall posture. Conclusions. While certain postural defects appear to be common to all families of instruments, others are more characteristic of some families than others. The instrument associated with the best posture quality was the bagpipe, followed by percussion and strings.     

Injury-related hospital admission of female firefighters in South Korea

Purpose. The main objective of this study was to ascertain whether injury-related hospital admission in all South Korea female firefighters is greater than that in the general population. Methods. To perform this comparison, the standardized admission ratios (SARs) and their 95% confidence intervals (CIs) were calculated by person-years and mortality computation software. Results. Compared to the general population, the SARs for overall injury (SAR?=?1.57, 95% CI [1.24, 1.96]) and for injury to the lower back (SAR?=?2.78, 95% CI [1.81, 4.07]) in the female firefighters were significantly higher. The SARs for injury to the knee (SAR?=?2.48, 95% CI [1.18, 4.55]) in emergency medical services (EMS) workers were significantly higher than those in the general population. Conclusions. Our study shows that the SARs of overall injury and injury to the lower back in female firefighters and knee injury in the EMS were significantly higher than those in the general population. Further studies are needed to protect the lower back of firefighters and the knees of EMS.     

CAERvest® – a novel endothermic hypothermic device for core temperature cooling: safety and efficacy testing

Introduction. Cooling of the body is used to treat hyperthermic individuals with heatstroke or to depress core temperature below normal for neuroprotection. A novel, chemically activated, unpowered cooling device, CAERvest®, was investigated for safety and efficacy. Methods. Eight healthy male participants (body mass 79.9?±?1.9?kg and body fat percentage 16.1?±?3.8%) visited the laboratory (20 °C, 40% relative humidity) on four occasions. Following 30-min rest, physiological and perceptual measures were recorded. Participants were then fitted with the CAERvest® proof of concept (PoC) or prototype 1 (P1), 2 (P2) or 3 (P3) for 60 min. Temperature, cardiovascular and perceptual measures were recorded every 5 min. After cooling, the CAERvest® was removed and the torso checked for cold-related injuries. Results. Temperature measures significantly (p?Conclusion. This study demonstrates that the CAERvest® is an effective device for reducing body temperature in healthy normothermic individuals without presence of cold injury. Further research in healthy and clinical populations is warranted.     

Comparative response of two organic biofilters treating ethylbenzene and toluene after prolonged exposure

The response of two biofilters filled with an organic waste material for treating ethylbenzene and toluene was studied for 415 and 472 operating days, respectively. The peak elimination capacities (EC_MAX) recorded were 170 g m^?3 h^?1 for ethylbenzene (EC_MAX) and 138 g m^?3 h^?1 for toluene. Regarding the degradation profile through the biofilters, an increase in the inlet concentration displaced the degradation profile into the downstream section. A sudden decrease in the performance of both biofilters occurred when the moisture content (MC) of the packing material exceeded 37% for ethylbenzene and 30% for toluene. Thus, a recommended MC value was established in the 15–30% range. Given the bioreactor was operated at a low MC level, fungi prevailed over bacteria. Nevertheless, synergism was detected between both microorganism types for the mineralization of the aromatic hydrocarbons.     

Investigation into effects of work-related quality of life and some related factors on cognitive failures among nurses

Objective. Cognitive failure is one of the factors which can be influenced by personal and professional characteristics. This research was carried out to study the effect of work-related quality of life (WRQoL) and some related factors on cognitive failures (CF) among nurses. Methods. This cross-sectional study was conducted among nurses working in intensive care units, critical care units and emergency units in 2014. Results. In total, 750 nurses participated in the study. The mean?±?SD for the total CF and WRQoL was 40.5?±?12.7 and 75.8?±?13.7 respectively. The results show that CF have a statistically significant difference among the age groups, experience groups and working units. Multiple regression tests show that age, income and WRQoL have a significant effect on CF. Based on the results, for a unit increase in WRQoL we expect a 0.26 unit decrease in CF. Analysis of variance results show that the emergency ward had changed the overall effect of WRQoL on CF, after the effect of WRQoL was controlled. Conclusions. Overall results from the present research indicated that, despite the high level of WRQoL among the studied nurses, the rate of CF was not at an appropriate level. Development of supportive and interventional strategies is highly recommended.     

Removal of H2S by co-immobilized bacteria and fungi biocatalysts in a bio-trickling filter

Biological control of odor gases has gained more attention in recent years. In this study, removal performance of a vertical bio-trickling filter inoculated with bacteria and fungi was studied. Bacteria and fungi were isolated from activated sludge in a sewage treatment plant. By adopting “three step immobilization method”, the bio-trickling filter could degrade pollutant immediately once hydrogen sulfide (H₂S) passed. The optimal empty bed resident time was 20 s. The optimal elimination capacity was about 60 g H₂S m^?3 h^?1 with removal efficiency of 95%. And the maximum elimination capacity was 170 g H₂S m^?3 h^?1. Pressure drop was ranged between 5 and 15 mm H₂O per bed over the whole operation. Removal efficiency was not affected obviously after terminating nutrient supply. The bio-trickling filter could recover back after shut down H₂S gaseous and liquid supplies simultaneously. Microbial community structure in the bio-trickling filter was not changed significantly.Combining bacteria and fungi would be a better choice for inoculation into a bio-trickling filter because of the quickly degradation of H₂S and rapid recovery under shut-down experiment. This is the first study attempting to combine bacteria and fungi for removal of H₂S in a bio-trickling filter.     

Duty hours and incidents in flight among commercial airline pilots

Introduction. Working long duty hours has often been associated with increased risk of incidents and accidents in transport industries. Despite this, information regarding the intermediate relationship between duty hours and incident risk is limited. This study aimed to test a work hours/incident model to identify the interplay of factors contributing to incidents within the aviation industry. Methods. Nine hundred and fifty-four European-registered commercial airline pilots completed a 30-item survey investigating self-report attitudes and experiences of fatigue. Path analysis was used to test the proposed model. Results. The fit indices indicated this to be a good fit model (χ²?=?11.066, df?=?5, p?=?0.05; Comparative Fit Index?=?0.991; Normed Fit Index?=?0.984; Tucker–Lewis Index?=?0.962; Root Mean Square of Approximation?=?0.036). Highly significant relationships were identified between duty hours and sleep disturbance (r?=?0.18, p?r?=?0.40, p?r?=?0.43, p?Discussion. A critical pathway from duty hours through to self-reported incidents in flight was identified. Further investigation employing both objective and subjective measures of sleep and fatigue is needed.     

Application of mindfulness-based stress reduction to a stress management intervention in a study of a mining sector company

Purpose. The aim of this article was to check whether mindfulness-based stress reduction (MBSR) is an effective intervention in reducing work-related stress in the case of workers in a copper mine. Methods. Sixty six employees were randomized to the experimental group (32 participants) or to the control group (34 participants). Work-related stress was measured using the job content questionnaire (JCQ) and mental health was measured using the general health questionnaire (GHQ-28) Experimental manipulation was 40-h MBSR training. Results. Multivariate repeated-measures analysis of variance revealed a significant increase of JCQ decision latitude (F?=?17.36, p?<?0.001) and social support (supervisor F?=?9.00, p?<?0.004; coworker F?=?5.61, p?<?0.020), and a significant decrease in GHQ-28 anxiety (F?=?5.28, p?<?0.079) and depression (F?=?3.95, p?<?0.048) due to the intervention. Conclusions. The study confirms that MBSR can be effective in reducing stress resulting from the external risk (and/or imagined fear) of losing one’s health or life. The use of MBSR could be recommended in health and safety activities in difficult and dangerous work conditions, such as mining, to promote workers’ well-being.