نشریه بهداشت کار و ارتقای سلامت
پیاپی 1 (تابستان 1396)

Nowadays, health, safety, and environment (HSE) management system is employed and implemented comprehensively in order to reduce accidents, create a safe environment and increase worker's productivity in workplaces. The aim of this study was to determine the condition of HSE at Shahroud University of Medical Sciences.
This cross-sectional study evaluated the status of HSE at office environment from the perspective of 81 staffs and occupational hygienist .Data collection tools consisted of a self-made checklist adapted from the provided checklists by the authoritative organizations. Data were analyzed using SPSS16 statistical software through descriptive statistics and statistical tests including Pearson correlation and independent T-test.
HSE component's average from users and interviewer's perspectives were 0.51±0.15 and 0.6 ±0.15, respectively. Safety had the worst situation form participant's perspective with average 0.499±0.02 and 0.489±0.02, respectively. However, the best situation was attributed to the physical agents section with an average of 0.69±0.028 and 0.72±0.025, respectively. There was a significant relationship between users and interviewer's perspectives regarding Ergonomic and Physical agents.
By taking into account the facts that HSE average score was low and the study was conducted in the one of the administrative units of universities affiliated to the Ministry of Health, which itself is part of the HSE trustee, further attention is required to the implement and establish the HSE management system

Musculoskeletal disorders (MSDs) are a major part of occupational diseases and one of the main causes of disabilities. This study aimed to assess the prevalence of risk factors and musculoskeletal disorders in barbers of Kerman city in 2013 using REBA method.
This descriptive - analytical study assessed musculoskeletal disorder's risk factors in working conditions of 200 barbers of Kerman city by census and REBA methods. The required data were collected through Nordic questionnaire and REBA checklists. Data were then analyzed by SPSS16.
The most prevalent disorders were observed in low-back area; 70.4% in men and 52.7% in women. Following the low back area, neck with 47.9% in males and 52.2% in women, knees with 60.6% in males and 33.3% in women, and ankles with 52.2% in males and 33.3% in females had the highest ranges. In total, 57% of the participants under study were at low, 34% at average, and 9% at high risk level of musculoskeletal disorders.
Results showed that prevalence of musculoskeletal disorders in low back, neck, and legs were relatively high and working conditions need to be improved. So, ergonomic interventions as well as improvement of barber's knowledge about musculoskeletal risk factors and working procedures are recommended.

This research investigated the relationship of fatigue, health, and social well-being with demographic variables among Iran railroad operators.
In this regard, 500 locomotive engineers and conductors were randomly selected out of 2400. Then, 413 of the selected participants answered job-organizational factors of locomotive engineers and conductor's questionnaire as well as the personal data sheet, completely. Cronbach’s alpha of the questionnaire was 0.891. Its validity was confirmed through pilot study on 50 participants and specialist (CVI = 0.95).
For analyzing demographic data, correlation, t-test, and one-way ANOVA tests were conducted through the SPSS 20 software. Results showed that there are statistically significant relationships between employee’s age and their fatigue, social well-being and salary, health and work system and fatigue, health and social well-being with job position and work experience (p Furthermore, it was observed that these variables are not significantly related with participant's marital status, having children, kind of passed training, and education.

This study aimed to compare and evaluate the mental health and life satisfaction of male and female employees of counseling clinics in Yazd city.
This causal- comparative study was conducted on 100 employees of counseling clinics in Yazd city including 50 women and 50 men. These participants were selected through available sampling and were required to complete Diner's two questionnaires of mental health and scale of life satisfaction. The data were then analyzed by SPSS20 software.
The results showed that there is no significant difference between mental health levels of male and female employees. Moreover, there was no significant difference between male and female employee's life satisfaction. However, there was a significant positive correlation between mental health and life satisfaction among men and women.
Since this study included people with bachelor degree and higher, conducting more widespread studies with random sampling are recommended to reduce the error variance.

Analysis of occupational accidents can identify and reduce the working environment risks. This is thus helpful in creating a secure working environment and increasing worker's productivity. Purpose of This study was to identify hazards and assess their risk through the job safety analysis technique in one metal industry of the country.
In this cross-sectional study, potential risks were identified and activitie's risk levels were assessed by Job Safety Analysis. Risk level (RAC) was calculated based on the two parameters of severity and likelihood of risk. Finally, control measures were presented based on risk level's assessment code and their prioritization.
Based on the results achieved from investigations of saws, disc saws, format substitution, and Geyzak press jobs, a total of 107 risks were identified. After their analysis and risk assessment, 13% of them were in the unacceptable level, 49% were in the medium level, and 38% of the risks were acceptable. The corrective and preventive recommendations were then presented to remove or limit these risks.
Based on the results, it is possible to reduce the risks significantly by providing appropriate tools and personal protective equipment, and implementation of the proposed measures.

Improving patient's safety is one of the main objectives of health systems, so it is essential to examine the patient's safety culture among nurses. The aim of the study was to identify nurse's perceptions of patient's safety culture in Rahnemon Hospital.
This descriptive- analytic study was carried out with 142 nurses in Rahnemon hospital, Yazd province, Iran. Data were collected by using the Hospital Survey of Patient Safety Culture questionnaire (HSOPSC) that includes 42 questions and 12 dimensions. Data were then analyzed by descriptive statistics, independent t-test, and ANOVA.
The highest and lowest mean and standard deviation scores were respectively related to dimensions of organizational learning (3.92±0.30) and information exchange and transfer (2.23±0.51). According to results achieved through independent t-test, there was a significant relationship between nurse's gender and patient's safety culture. In addition, according to the ANOVA test there was a significant relationship between nurse's work experience and patient's safety culture.
According to the results, patient's safety culture was in average level. Finally, development of a reporting system for staffs to report errors and adjustment of nursing in units according to workload are suggested.

The aim of this study was recognition of ergonomic conditions in librarians of Shahid Sadoughi University of Medical Sciences, affiliated educational-research centers, and its relation with productivity.
In this cross-sectional study, the population included librarians working in Shahid Sadoughi University of Medical Sciences and affiliated educational-research centers. The research instrument consisted of two parts; Hersey and Goldsmith 26-item questionnaire to determine the productivity. Further, in order to evaluate the ergonomics conditions, a standard checklist was used.
Average scores of productivity and ergonomic conditions were 19.02 and 22.2, respectively. The highest and lowest average scores belonged to dimension workspace (5.56) and safety factors (0.94), respectively. A significant correlation between the average score motivational dimension of productivity and workspace in terms of work plan (part-time, full-time) was observed (P According to the results, academic libraries, as information centers have a decisive role in promoting growth and development of the scientific community. Therefore, it is recommended that officials, managers, and especially librarians respect principles of ergonomic; this in turn increases their productivity

Copper casting jobs are the ones in which musculoskeletal disorders have high prevalence due to repetitive movements and awkward postures. So, this study was conducted to assess the prevalence of risk factors and musculoskeletal disorders among Coppersmiths of Kerman in 2014 using RULA.
This study was a descriptive – analytical research. In order to assess risk factors of musculoskeletal disorders, working status of 10 coppersmiths was studied using RULA method in Kerman. Information needed to determine the prevalence of musculoskeletal disorders was collected through Nordic questionnaire and then analyzed by SPSS 16 software.
The highest prevalence of musculoskeletal disorders was observed at the waist, with a prevalence of 90%. Following waist, the most common symptoms were related respectively to knee (80%), neck (70 %), wrist (60%), ankles and shoulders (30 %), as well as elbows and thighs (10%).
The findings of this study showed that musculoskeletal disorders have high disorders in coppersmiths and risk levels of these disorders is higher than moderate.