ArticleDisaster medicine and public health preparedness2017
Physiological Evaluation of Personal Protective Ensembles Recommended for Use in West Africa.
Article in Disaster medicine and public health preparedness, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Practical Considerations for Using Personal Cooling Garments for Heat Stress Management in Physically Demanding Occupations: A Systematic Review and Meta-Analysis Using Realist Evaluation.American journal of industrial medicine · 2025Pooled it
- Food bank operations: review of operation research methods and challenges during COVID-19.BMC public health · 2023Pooled it
- Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff.The Cochrane database of systematic reviews · 2020Pooled it
- Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff.The Cochrane database of systematic reviews · 2020Pooled it
- Impact of Personal Cooling on Performance, Comfort and Heat Strain of Healthcare Workers in PPE, a Study From West Africa.Frontiers in public health · 2021Trial
- Effects of wearing personal protective equipment on physiological and psychological responses during simulated nursing care: a crossover comparison of gowns and aprons.International journal of nursing studies advances · 2026Article
- Infection prevention and control measures for Ebola and Marburg disease: a series of rapid reviews.BMJ open · 2026Review
- Effect of Underwear Materials on the Thermal Insulation of Barrier Protective Clothing.Materials (Basel, Switzerland) · 2025Article
- Paramedics' experiences of barriers to, and enablers of, responding to suspected or confirmed COVID-19 cases: a qualitative study.BMC health services research · 2024Article
- Examination of the Effects of 4-Hour Nonvalved Filtering Facepiece Respirator Use on Blood Gas Values of Health Care Professionals: A Before and After Study.Journal of emergency nursing · 2022Article
- Efficiency of Gum Rosin-Coated Personal Protective Clothing to Protect against Chlorpyrifos Exposure in Applicators.International journal of environmental research and public health · 2022Article
- Influence of Different Protection States on the Mental Fatigue of Nurses During the COVID-19 Pandemic.Risk management and healthcare policy · 2022Article
- Building Construction Artisans' Level of Access to Personal Protective Equipment (PPE) and the Perceived Barriers and Motivating Factors of Adherence to Its Use.Journal of environmental and public health · 2022Article
- Utilization of a Mobile Multifunctional Workstation for Coronavirus Nasopharyngeal/Oropharyngeal Specimen Collection.Frontiers in public health · 2021Article
- Heat stress assessment during intermittent work under different environmental conditions and clothing combinations of effective wet bulb globe temperature (WBGT).Journal of occupational and environmental hygiene · 2019Article
- Metabolic fatigue in resuscitators using personal protection equipment against biological hazard.Investigacion y educacion en enfermeria · 2019Article
- Does Gender Influence Physiological Tolerance in Resuscitators When Using Personal Protection Equipment against Biological Hazards?Emergency medicine international · 2018Article
- Powered air-purifying respirator use in healthcare: Effects on thermal sensations and comfort.Journal of occupational and environmental hygiene · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectivePersonal protective equipment (PPE) provides health care workers with a barrier to prevent human contact with viruses like Ebola and potential transmission of the disease. However, PPE can also introduce an additional physiological burden from potentially increased heat stress. This study evaluated the human physiological and subjective responses to continuous light exercise within environmental conditions similar to those in West Africa while wearing 3 different, commonly used PPE ensembles (E1, E2, and E3).
methodsSix healthy individuals were tested in an environmental chamber (32°C, 92% relative humidity) while walking (3 METs, 2.5 mph, 0% incline) on a treadmill for 60 minutes. All subjects wore medical scrubs and PPE items. E1 also had a face shield and fluid-resistant surgical gown; E2 additionally included goggles, coverall, and separate hood; and E3 also contained a highly impermeable coverall, separate hood, and surgical mask cover over the N95 respirator.
resultsHeart rate and core temperature at the end of the exercise were significantly higher for E2 and E3 than for E1. Subjective perceptions of heat and exertion were significantly higher for E2 and E3 than for E1.
conclusionsHeat stress and PPE training, as well as the implementation of a work-to-rest ratio that avoids dehydration and possible heat stress issues, are recommended. (Disaster Med Public Health Preparedness. 2017;11:580-586).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.