Ability of Basic Physiological Monitoring to Identify Excessive Occupational Heat Strain.

Thomas E Bernard, Candi D Ashley, Ismail Uysal, W Larry Kenney

Abstract read

In one paragraph

Article in Journal of occupational and environmental medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Thomas E BernardFrom the Health Policy and Systems Management, College of Public Health, University of South Florida, Tampa, Florida (T.E.B.).ORCID 0000-0002-9974-1022

Candi D AshleyExercise Science, College of Education, University of South Florida, Tampa, Florida (C.D.A.).ORCID 0000-0001-5773-2702

Ismail UysalElectrical and Computer Engineering, College of Engineering, University of South Florida, Tampa, Florida (I.U.).ORCID 0000-0002-3224-4865

W Larry KenneyNoll Laboratory, Department of Kinesiology, The Pennsylvania State University, University Park, Pennsylvania (W.L.K.).ORCID 0000-0002-1326-8175

Funding

NIOSH CDC HHS R01 OH003983NIOSH CDC HHS T42 OH008438

6 · The paper itself

Abstract

objectiveThis study assessed the ability of basic physiological metrics to differentiate between acceptable and unacceptable heat strain.

methodsA database of final core temperature ( Tre ), heart rate (HR), and skin temperature ( Tsk ) for 880 heat stress trials over a wide range of heat stress and clothing was created. Three case definitions based on Tre , HR, or fatigue were used to classify the trials as cases (unacceptable heat strain) or noncases (acceptable heat strain). The area under the receiver operating characteristic curve (AUC) characterized the discrimination ability of 15 individual physiological metrics.

resultsGenerally, AUCs ranged from 0.85, allowing acceptable sensitivity with poor specificity to 0.50 with no predictive power.

conclusionsTre , HR, and fatigue were independent limits of heat strain. A program of personal monitoring needs to recognize independent reasons to classify an exposure as unacceptable.

Indexed as

Heat Stress DisordersOccupational DiseasesOccupational ExposureAdultBody TemperatureFatigueFemaleHeart RateHot TemperatureHumansMaleMiddle AgedMonitoring, PhysiologicROC CurveSkin Temperaturediscriminationheat stressperformancephysiological monitoringROCwearables

Identifiers

PMID41417789

DOI10.1097/JOM.0000000000003647

PMCPMC13166069

What Socratic holds

Textmetadata

LicenceCC BY-NC-ND

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Registered trials

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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 Socratic graph.