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Original Articles

An Evaluation of the Physiological Strain Experienced by Electrical Utility Workers in North America

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Nicholas Goulet, James J. McCormick, Kelli E. King, Sean R. Notley, Gary S. Goldfield, Naoto Fujii, Tatsuro Amano & Glen P. Kenny. (2023) Elevations in serum brain-derived neurotrophic factor following occupational heat stress are not influenced by age or common chronic disease. Temperature 10:4, pages 454-464.
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Leonidas G. Ioannou, Lydia Tsoutsoubi, Konstantinos Mantzios, Maria Vliora, Eleni Nintou, Jacob F. Piil, Sean R. Notley, Petros C. Dinas, George A. Gourzoulidis, George Havenith, Matt Brearley, Igor B. Mekjavic, Glen P. Kenny, Lars Nybo & Andreas D. Flouris. (2022) Indicators to assess physiological heat strain – Part 3: Multi-country field evaluation and consensus recommendations. Temperature 9:3, pages 274-291.
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Daniel J Smith, Lisa M Pius, Laura C Plantinga, Lisa M Thompson, Valerie Mac & Vicki S Hertzberg. (2022) Heat Stress and Kidney Function in Farmworkers in the US: A Scoping Review. Journal of Agromedicine 27:2, pages 183-192.
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Leonidas G. Ioannou, Josh Foster, Nathan B. Morris, Jacob F. Piil, George Havenith, Igor B. Mekjavic, Glen P. Kenny, Lars Nybo & Andreas D. Flouris. (2022) Occupational heat strain in outdoor workers: A comprehensive review and meta-analysis. Temperature 9:1, pages 67-102.
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Andreas D. Flouris, Leonidas G. Ioannou, Sean R. Notley & Glen P. Kenny. (2022) Determinants of heat stress and strain in electrical utilities workers across North America as assessed by means of an exploratory questionnaire. Journal of Occupational and Environmental Hygiene 19:1, pages 12-22.
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Antonia Kaltsatou, Sean R. Notley, Andreas D. Flouris & Glen P. Kenny. (2021) An exploratory survey of heat stress management programs in the electric power industry. Journal of Occupational and Environmental Hygiene 18:9, pages 436-445.
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Gregory W. McGarr, Samah Saci, Kelli E. King, Serena Topshee, Brodie J. Richards, Mohamed R. Gemae, Emma R. McCourt & Glen P. Kenny. (2021) Heat strain in children during unstructured outdoor physical activity in a continental summer climate. Temperature 8:1, pages 80-89.
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Shane Rogerson, Matt Brearley, Rudi Meir & Lyndon Brooks. (2020) Influence of age, geographical region, and work unit on heat strain symptoms: a cross-sectional survey of electrical utility workers. Journal of Occupational and Environmental Hygiene 17:11-12, pages 515-522.
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Andreas D. Flouris, Ryan McGinn, Martin P. Poirier, Jeffrey C. Louie, Leonidas G. Ioannou, Lydia Tsoutsoubi, Ronald J. Sigal, Pierre Boulay, Stephen G. Hardcastle & Glen P. Kenny. (2018) Screening criteria for increased susceptibility to heat stress during work or leisure in hot environments in healthy individuals aged 31–70 years. Temperature 5:1, pages 86-99.
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Robert D. Meade, Andrew W. D'Souza, Lovely Krishen & Glen P. Kenny. (2017) The physiological strain incurred during electrical utilities work over consecutive work shifts in hot environments: A case report. Journal of Occupational and Environmental Hygiene 14:12, pages 986-994.
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Dallon T. Lamarche, Robert D. Meade, Andrew W. D'Souza, Andreas D. Flouris, Stephen G. Hardcastle, Ronald J. Sigal, Pierre Boulay & Glen P. Kenny. (2017) The recommended Threshold Limit Values for heat exposure fail to maintain body core temperature within safe limits in older working adults. Journal of Occupational and Environmental Hygiene 14:9, pages 703-711.
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Robert D. Meade, Martin Lauzon, Martin P. Poirier, Andreas D. Flouris & Glen P. Kenny. (2016) The physical demands of electrical utilities work in North America. Journal of Occupational and Environmental Hygiene 13:1, pages 60-70.
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Articles from other publishers (37)

Leonidas G. Ioannou, Urša Ciuha, Jason T. Fisher, Lydia Tsoutsoubi, Kunihito Tobita, Ana Bonell, James D. Cotter, Glen P. Kenny, Andreas D. Flouris & Igor B. Mekjavic. (2023) Novel Technological Advances to Protect People Who Exercise or Work in Thermally Stressful Conditions: A Transition to More Personalized Guidelines. Applied Sciences 13:15, pages 8561.
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Mustapha Amoadu, Edward Wilson Ansah, Jacob Owusu Sarfo & Thomas Hormenu. (2023) Impact of climate change and heat stress on workers’ health and productivity: A scoping review. The Journal of Climate Change and Health 12, pages 100249.
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Margaret C. Morrissey, Sean P. Langan, Gabrielle J. Brewer, Jeb F. Struder, John S. Navarro, Megan N. Nye & Douglas J. Casa. (2023) Limitations associated with thermoregulation and cardiovascular research assessing laborers performing work in the heat. American Journal of Industrial Medicine 66:4, pages 267-280.
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Ken Tokizawa. (2023) Effects of wetted inner clothing on thermal strain in young and older males while wearing ventilation garments. Frontiers in Physiology 14.
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James J. McCormick, Kelli E. King, Sean R. Notley, Naoto Fujii, Pierre Boulay, Ronald J. Sigal, Tatsuro Amano & Glen P. Kenny. (2022) The serum irisin response to prolonged physical activity in temperate and hot environments in older men with hypertension or type 2 diabetes. Journal of Thermal Biology 110, pages 103344.
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Gabriele Savioli, Christian Zanza, Yaroslava Longhitano, Alba Nardone, Angelica Varesi, Iride Francesca Ceresa, Alice Chiara Manetti, Gianpietro Volonnino, Aniello Maiese & Raffaele La Russa. (2022) Heat-Related Illness in Emergency and Critical Care: Recommendations for Recognition and Management with Medico-Legal Considerations. Biomedicines 10:10, pages 2542.
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Lingyu Zhang, Bin Liu, Linqian Zhou, Yashi Cai, Weizhen Guo, Weixu Huang, Xuehua Yan & Huifeng Chen. (2022) Analysis of occupational stress and its correlation with oxidative-antioxidant levels among employees of a power grid enterprise in Guangdong. BMC Psychiatry 22:1.
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Jordan A. De Barros, Michael J. Macartney, Gregory E. Peoples, Sean R. Notley, Christophe L. Herry & Glen P. Kenny. (2022) Effects of sex and wet-bulb globe temperature on heart rate variability during prolonged moderate-intensity exercise: a secondary analysis. Applied Physiology, Nutrition, and Metabolism 47:7, pages 725-736.
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Sean R. Notley, Ashley P. Akerman, Brian J. Friesen, Martin P. Poirier, Emma McCourt, Andreas D. Flouris & Glen P. Kenny. (2022) Heat tolerance and the validity of occupational heat exposure limits in women during moderate-intensity work. Applied Physiology, Nutrition, and Metabolism 47:7, pages 711-724.
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Letian Li, Boyang Sun, Zhuqiang Hu, Jun Zhang, Song Gao, Haifeng Bian & Jiansong Wu. (2022) Heat Strain Evaluation of Power Grid Outdoor Workers Based on a Human Bioheat Model. International Journal of Environmental Research and Public Health 19:13, pages 7843.
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Jordan A. De Barros, Michael J. Macartney, Gregory E. Peoples, Sean R. Notley, Christophe L. Herry & Glen P. Kenny. (2022) The impact of age, type 2 diabetes and hypertension on heart rate variability during rest and exercise at increasing levels of heat stress. European Journal of Applied Physiology 122:5, pages 1249-1259.
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Vida Rezaei-Hachesu, Shadi Naderyan Fe'li, Rajabali Hokmabadi, Meghdad Kazemi & Farideh Golbabaei. (2022) Impact of Heat Stress on Renal Function: A Systematic Literature Review Focusing on Workplace Heat. Journal of Occupational Health and Epidemiology 11:2, pages 157-170.
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James J. McCormick, Kelli E. King, Sean R. Notley, Naoto Fujii, Pierre Boulay, Ronald J. Sigal & Glen P. Kenny. (2022) Exercise in the heat induces similar elevations in serum irisin in young and older men despite lower resting irisin concentrations in older adults. Journal of Thermal Biology 104, pages 103189.
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SEAN R. NOTLEY, ASHLEY P. AKERMAN, BRIAN J. FRIESEN, MARTIN P. POIRIER, RONALD J. SIGAL, ANDREAS D. FLOURIS, PIERRE BOULAY, EMMA MCCOURT, MARCEL RUZICKA & GLEN P. KENNY. (2021) Heat Tolerance and Occupational Heat Exposure Limits in Older Men with and without Type 2 Diabetes or Hypertension. Medicine & Science in Sports & Exercise 53:10, pages 2196-2206.
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Christopher L. Chapman, Hayden W. Hess, Rebekah A.I. Lucas, Jason Glaser, Rajiv Saran, Jennifer Bragg-Gresham, David H. Wegman, Erik Hansson, Christopher T. Minson & Zachary J. Schlader. (2021) Occupational heat exposure and the risk of chronic kidney disease of nontraditional origin in the United States. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology 321:2, pages R141-R151.
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Kristie L Ebi, Anthony Capon, Peter Berry, Carolyn Broderick, Richard de Dear, George Havenith, Yasushi Honda, R Sari Kovats, Wei Ma, Arunima Malik, Nathan B Morris, Lars Nybo, Sonia I Seneviratne, Jennifer Vanos & Ollie Jay. (2021) Hot weather and heat extremes: health risks. The Lancet 398:10301, pages 698-708.
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Khira Sippli, Pia Schmalzried, Monika A. Rieger & Susanne Voelter-Mahlknecht. (2021) Challenges arising for older workers from participating in a workplace intervention addressing work ability: a qualitative study from Germany. International Archives of Occupational and Environmental Health 94:5, pages 919-933.
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Valerie V. Mac, Lisa Elon, Daniel J. Smith, Antonio Tovar‐Aguilar, Eugenia Economos, Joan Flocks, Vicki Hertzberg & Linda McCauley. (2021) A modified physiological strain index for workplace‐based assessment of heat strain experienced by agricultural workers. American Journal of Industrial Medicine 64:4, pages 258-265.
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Ximena Vergara, Megha Bhatnagar & Tiffani Fordyce. (2020) Exploratory narrative text analysis to characterize tasks associated with injuries among electric utility line workers: EPRI Occupational Health and Safety Database 1995–2013. American Journal of Industrial Medicine 64:3, pages 198-207.
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SEAN R. NOTLEY, ROBERT D. MEADE, ANDREW W. D’SOUZA, MAURA M. RUTHERFORD, JUNG-HYUN KIM & GLEN P. KENNY. (2020) Heat Exchange in Young and Older Men during Constant- and Variable-Intensity Work. Medicine & Science in Sports & Exercise 52:12, pages 2628-2636.
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Sean R. Notley, Andrew W. D’Souza, Robert D. Meade, Brodie J. Richards & Glen P. Kenny. (2020) Whole-body heat exchange in women during constant- and variable-intensity work in the heat. European Journal of Applied Physiology 120:12, pages 2665-2675.
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Antonia Kaltsatou, Andreas D. Flouris, Christophe L. Herry, Sean R. Notley, Michael J. Macartney, Andrew J. E. Seely & Glen P. Kenny. (2020) Heart rate variability in older workers during work under the Threshold Limit Values for heat exposure. American Journal of Industrial Medicine 63:9, pages 787-795.
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Blesson M. Varghese, Alana L. Hansen, Susan Williams, Peng Bi, Scott Hanson-Easey, Adrian G. Barnett, Jane S. Heyworth, Malcolm R. Sim, Shelley Rowett, Monika Nitschke, Ross Di Corleto & Dino L. Pisaniello. (2020) Determinants of heat-related injuries in Australian workplaces: Perceptions of health and safety professionals. Science of The Total Environment 718, pages 137138.
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Glen P. Kenny, Sean R. Notley, Andreas D. Flouris & Andrew Grundstein. 2020. Exertional Heat Illness. Exertional Heat Illness 225 261 .
Andreas D Flouris, Petros C Dinas, Leonidas G Ioannou, Lars Nybo, George Havenith, Glen P Kenny & Tord Kjellstrom. (2018) Workers' health and productivity under occupational heat strain: a systematic review and meta-analysis. The Lancet Planetary Health 2:12, pages e521-e531.
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Jun'ya Takakura, Shinichiro Fujimori, Kiyoshi Takahashi, Tomoko Hasegawa, Yasushi Honda, Naota Hanasaki, Yasuaki Hijioka & Toshihiko Masui. (2018) Limited Role of Working Time Shift in Offsetting the Increasing Occupational‐Health Cost of Heat Exposure. Earth's Future 6:11, pages 1588-1602.
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SEAN R. NOTLEY, ROBERT D. MEADE, ANDREW W. D’SOUZA, BRIAN J. FRIESEN & GLEN P. KENNY. (2018) Heat Loss Is Impaired in Older Men on the Day after Prolonged Work in the Heat. Medicine & Science in Sports & Exercise 50:9, pages 1859-1867.
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Sean R. NotleyAndreas D. FlourisGlen P. Kenny. (2018) On the use of wearable physiological monitors to assess heat strain during occupational heat stress. Applied Physiology, Nutrition, and Metabolism 43:9, pages 869-881.
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SEAN R. NOTLEY, ROBERT D. MEADE, BRIAN J. FRIESEN, ANDREW W. D’SOUZA & GLEN P. KENNY. (2018) Does a Prolonged Work Day in the Heat Impair Heat Loss on the Next Day in Young Men?. Medicine & Science in Sports & Exercise 50:2, pages 318-326.
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Dallon T. Lamarche, Sean R. Notley, Jeffrey C. Louie, Martin P. Poirier & Glen P. Kenny. (2018) Fitness-related differences in the rate of whole-body evaporative heat loss in exercising men are heat-load dependent. Experimental Physiology 103:1, pages 101-110.
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Glen P. Kenny, Thad E. Wilson, Andreas D. Flouris & Naoto Fujii. 2018. Thermoregulation: From Basic Neuroscience to Clinical Neurology, Part II. Thermoregulation: From Basic Neuroscience to Clinical Neurology, Part II 505 529 .
Ryan McGinnMartin P. PoirierJeffrey C. LouieRonald J. SigalPierre BoulayAndreas D. FlourisGlen P. Kenny. (2017) Increasing age is a major risk factor for susceptibility to heat stress during physical activity. Applied Physiology, Nutrition, and Metabolism 42:11, pages 1232-1235.
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Diane C. Mitchell, Javier Castro, Tracey L. Armitage, Alondra J. Vega-Arroyo, Sally C. Moyce, Daniel J. Tancredi, Deborah H. Bennett, James H. Jones, Tord Kjellstrom & Marc B. Schenker. (2017) Recruitment, Methods, and Descriptive Results of a Physiologic Assessment of Latino Farmworkers. Journal of Occupational & Environmental Medicine 59:7, pages 649-658.
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Glen P. Kenny & Ryan McGinn. (2017) Restoration of thermoregulation after exercise. Journal of Applied Physiology 122:4, pages 933-944.
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Cory L. Butts, Cody R. Smith, Matthew S. Ganio & Brendon P. McDermott. (2017) Physiological and perceptual effects of a cooling garment during simulated industrial work in the heat. Applied Ergonomics 59, pages 442-448.
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ROBERT D. MEADE, MARTIN P. POIRIER, ANDREAS D. FLOURIS, STEPHEN G. HARDCASTLE & GLEN P. KENNY. (2016) Do the Threshold Limit Values for Work in Hot Conditions Adequately Protect Workers?. Medicine & Science in Sports & Exercise 48:6, pages 1187-1196.
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Glen P. KennyHerbert GroellerRyan McGinnAndreas D. Flouris. (2016) Age, human performance, and physical employment standards. Applied Physiology, Nutrition, and Metabolism 41:6 (Suppl. 2), pages S92-S107.
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