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Fire extinguishing businesses are carried out by firefighters built with private defensive equipment (PPE) in dangerous environments. Although PPE protects firefighters, it can affect many physiological parameters. From the 405 researches identified through the systematic search, 18 articles were eligible in accordance with the Joanna Briggs Institute (JBI) checklist, among which 11 researches were performed in the united states, three in Asia, two in Europe, as well as 2 scientific studies in O
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