Risk factors and the psychological impacts of the COVID-19 outbreak: perspectives and experiences of Iranian healthcare workers on the frontline

Frontline healthcare workers (HCWs) looking after COVID-19 patients are at high risk of developing mental health problems. Both preventive and interventional initiatives are essential, therefore, to maintain and improve the mental health of HCWs and ultimately to enhance the quality of care that they provide. This qualitative content analysis study, conducted in Iran between September 2020 and February 2021, involved the gathering of data on the issue through face-to-face interviews with 22 HCWs working directly with COVID-19 patients. Data analysis led to the generation of 163 codes, 45 categories (16 risk factors and 29 consequences), and 9 themes. Overall, the results suggest that caring for a patient with COVID-19 is associated with positive and negative psychological impacts. Measures such as increasing sensitivity to crisis situations, self-adjustment skills training, and identifying signs of job burnout owing to moral conflicts can reduce or eliminate the risk of negative psychological consequences among HCWs.     

Optimal Design of Ozone Bleaching Parameters to Approach Cellulose Nanofibers Extraction from Sugarcane Bagasse Fibers

Cellulose nanofibers (CNFs) were isolated from sugarcane bagasse (SCB) through the combination of bio-refinery, sulfur-free, and totally chlorine free (TCF) chemo-mechanical pretreatments, with a focus on the optimal design of ozone bleaching parameters based on a response surface methodology (RSM). For this purpose, the most effective parameters in ozone bleaching (temperature, time, and pulp consistency) were set between 40 and 85 °C, 60 and 360 min, and 1–5 wt%, respectively. High-performance liquid chromatography (HPLC), Fourier transform infrared spectroscopy (FTIR), Kappa number, and scanning electron microscopy (SEM) were used to chemically and morphologically characterize the SCB fibers. The size distribution and morphology of CNFs were also evaluated by dynamic light scattering (DLS) and transmission electron microscopy (TEM). HPLC analysis revealed that percentage of cellulose increased from 41.5 to 91.39% after chemical pretreatments. FTIR and Kappa number analyses also confirmed the successful isolation of cellulose fibers from the SCB fibers after chemical pretreatments. Furthermore, DLS results showed that the hydrodynamic diameter of the isolated cellulose fibers reduced to 268 nm by dint of ultrasonication. Additionally, TEM images confirmed the isolation of CNFs: the average diameter of cellulose fibers decreased to about 28 nm after mechanical steps and the yield of fibrillation was found to be around 99%. According to the obtained results, the applied chemo-mechanical treatment appears to be promising for green and facile isolation of CNFs.     

SPME-based air sampling method for inhalation exposure assessment studies: case study on perchlorethylene exposure in dry cleaning

Exposure to perchlorethylene, especially for dry cleaning workers and for people living near dry cleaning shops, could lead to several diseases and disorders. This study examines the value of solid-phase microextraction (SPME) for sampling perchlorethylene in the atmosphere of dry cleaning shops. Carboxen/polydimethylsiloxane (CAR/PDMS) in 0.5-cm retracted mode was selected. There were no significant differences between sampling rates at different temperatures (range of 20 to 30 °C) and air velocities (2 to 50 cm/s). On the opposite, relative humidity (RH) had a significant effect on sampling rates. Method reproducibility was realized in the laboratory and field conditions and was 6.2 % and 7 to 11 %, respectively. Repeatability was also determined as 8.9 %. Comparison of the results according to the American Industrial Hygiene Association exposure assessment strategy showed the SPME sampler yields more conservative results in comparison with traditional standard method.