Investigating the impact of air pollution and temperature changes on emergency admissions (cardiovascular + respiratory) disease in the city of Bojnord, northeastern Iran.

Cardiovascular (CVD) + Respiratory diseases are recognized as the main cause of death worldwide. Fluctuations in temperature and air pollution have been reported as one of the most important causes of cardiovascular & respiratory diseases. Therefore, in the current study, we assessed the relationship between ambient air temperature and pollution on the number of total emergency hospital admission due to cardiovascular and respiratory conditions in the City of Bojnord, northeastern Iran. The meteorological data, including daily temperature, relative humidity and concentrations of five air pollutants CO, NO2, NOX SO2, and PM10 were obtained from online electronic sensors at the Bojnurd meteorological station from 21th March 2018 to 20th March 2020. Statistical analysis, penalized distributed lag non-linear method was applied using R Software. Also, sensitivity analysis test was calculated by using appropriate application. The results of the study revealed that the effect of higher and lower temperatures was observed immediately from the first day and the second week, respectively. Also result showed with increase and decrease temperature, significantly increased the risk of hospitalization by 36% (RR, 1.36; 95% CI (1), 0.95 to 1.95) and 17% (RR, 1.17; 95% CI (1), 0.88 to 1.55) until the lag 25th day, respectively. Based on the results, increasing temperature significantly increased the hospitalization rate of cardiopulmonary patients, but the effect of cold was not significant on the population as well as age and gender subgroups. Study have also proved that there is no significance correlation between air pollutant and Cardiovascular & respiratory diseases.

A comparative study of response surface methodology and artificial neural network based algorithm genetic for modeling and optimization of EP/US/GAC oxidation process in dexamethasone degradation: Application for real wastewater, electrical energy consumption.

Dexamethasone (DXM) is a broadly used drug, which is frequently identified in the water environments due to its improper disposal and incomplete removal in wastewater treatment plant. The inability of conventional treatment processes of wastewater causes that researchers pay a great attention to study and develop effective wastewater treatment systems. This work deals with the study of integrated electro-peroxone/granular activated carbon (EP/US/GAC) process in the degradation of dexamethasone (DXM) from a water environment and the remediation of real pharmaceutical wastewater. Two approaches of response surface methodology based on central composite design (RSM-CCD) and artificial neural network based on algorithm genetic (ANN-GA) were employed for modeling and optimization of the process. Both the models presented significant adequacy for modeling and prediction of the process according to statistical linear and nonlinear metrics (R2 = 0.9998 and 0.9996 and RMSE = 0.2128 and 0.1784 for ANN-GA and RSM-CCD, respectively). The optimization study provided the same outcomes for both ANN-GA and RSM-CCD approaches, where approximately complete DEX oxidation was achieved at pH = 9.3, operating time = 10 min, US power = 300 W/L, applied current = 470 mA, and electrolyte concentration = 0.05 M. A synergistic study signified that the EP/US/GAC process made an 82% synergy index as compared to the individual US and EP processes. The calculated energy consumption for the integrated process was achieved to be 2.79 kW h/gCOD. Quenching test by tert-butanol and p-benzoquinone revealed that HO• radical possessed the largest contribution in DEX degradation. The efficiency of EP/US/GAC process in the remediation of real pharmaceutical wastewater showed a significant decline in COD content (92% removal after 180 min), and the ratio of initial BOD/COD ratio of 0.27 was elevated up to 0.7 after 100 min treatment time. The performance stability of EP/US/GAC system showed no remarkable drop in removal efficiency, and leakage of lead ions from the anode surface was negligible and below WHO guideline for drinking water. Generally, this research work manifested that the integrated EP/US/GAC system elevated the degradation efficiency and can be proposed as a pretreatment step before biological treatment processes for the remediation of recalcitrant wastewaters.

Analysis of the Home Accidents and Their Risk Factors in Iran: A Systematic Review and Meta-Analysis.

Background: Home accident is among the most common type of trauma, in the second place after traffic accident. We aimed to determine the prevalence and factors affecting the occurrence of home accidents in Iran. Methods: PubMed, Scopus, Web of Science, and national Persian databases including SID, MagIran, and Medical Articles Bank were searched for articles published until September 12, 2021. The pooled prevalence and factors affecting the occurrence of home accidents were calculated. Results: Twenty articles were included in the meta-analysis. The pooled prevalence of home accident was 44% (95%CI: 32% to 56%). The pooled prevalence of foreign object/fall, stab or cut, suffocation, burn, poisoning and were 15% (95%CI: 10% to 20%), 24% (95%CI: 10% to 38%), 1% (95%CI:0.7% to 1.3%), 31% (95%CI:19% to 42.2%), and 6.8% (95%CI:4.2% to 429.4%), respectively. Conclusion: The prevalence of home accidents in Iran is moderate but higher than in other countries. The findings of this review highlight the need for more attention to home accident in children and elderly in the South and Southeast regions of Iran.

Prevalence and determinants of anemia among Iranian population aged ≥35 years: A PERSIAN cohort-based cross-sectional study.

BACKGROUND: So far, no comprehensive studies have been performed to assess burden and determinants of anemia in Iran. In the present study, we aimed to answer this query using the data obtained from the Prospective Epidemiological Research Studies in IrAN (PERSIAN). METHODS: In this cross-sectional study, we included 161,686 adult participants (aged 35 years and older) from 16 provinces of Iran. Anemia was defined as a hemoglobin concentration of <13 g/dL in males and <12 g/dL in females. To evaluate the association between anemia and different factors, we used the multivariable Poisson regression analysis with robust variance by applying adjusted prevalence ratio (PR) with 95% confidence interval (CI). RESULTS: Of the total number of subjects, 72,387 (44.77%) were male and others were female. Mean age was 49.39±9.15 years old. The overall age- and sex-standardized prevalence of anemia was 8.83% (95% CI: 8.70-8.96%) in the included population. The highest and the lowest age- and sex-standardized prevalence of anemia pertained to Hormozgan (37.41%, 95% CI: 35.97-38.85%) and Kurdistan (4.57%, 95% CI: 3.87-5.27%) provinces, respectively. Being female (PR = 2.97), rural residence (PR = 1.24), being retired (PR = 1.53) and housewife (PR = 1.11), third and fourth wealth status quartiles (PR = 1.09 and PR = 1.11, respectively), being underweight (PR = 1.49), drug user (PR = 1.35), inadequate sleep (PR = 1.16), poor physical activity (PR = 1.15), diabetes (PR = 1.09), renal failure (PR = 2.24), and cancer (PR = 1.35) were associated with increased risk of anemia. On the other hand, illiteracy (PR = 0.79) and abdominal obesity (PR = 0.77) decreased the risk of anemia. CONCLUSIONS: According to the results, a variable prevalence of anemia was observed across the included provinces. We tried to provide an informative report on anemia prevalence for health professionals and authorities to take measures for identification and management of the cases of anemia in high-prevalence areas.

Green synthesis of zero-valent iron nanoparticles and loading effect on activated carbon for furfural adsorption.

The adsorption techniques are extensively used in dyes, metronidazole, aniline, wastewater treatment methods to remove certain pollutants. Furfural is organic in nature, considered a pollutant having a toxic effect on humans and their environment and especially aquatic species. Due to distinct characteristics of the adsorption technique, this technique can be utilized to adsorb furfural efficiently. As an environmentally friendly technique, the pomegranate peel was used to synthesized activated carbon and nanostructure of zerovalent iron impregnated on the synthesized activated carbon. The physicochemical and crystallinity characterization was done using Fourier transmission infrared spectroscopy (FTIR), X-ray diffraction (XRD), Brunauer-Emmett-Teller (BET), and Field emission scanning electron microscopy (FESEM). The nanoparticles are porous in structure having 821.74 m2/g specified surface area. The maximum amount of the adsorbent pores in the range of 3.08 nm shows the microporous structure and enhancement in adsorption capacity. The effects of increment in concentration of adsorbent, pH, reaction contact time and adsorbent dose, isothermal and kinetic behaviour were investigated. At the UV wavelength of 227 nm furfural adsorption was detected. The separation of the furfural from the aqueous solution was calculated at the 1 h reaction time at the composite dosage of 4 g/L, 250 mg/L adsorbent concentration and pH kept at 7. The 81.87% is the maximum removal attained by the nanocomposite in comparison to the activated carbon is 62.06%. Furfural adsorption was also analyzed by using the equations of isothermal and kinetics models. The adsorption process analysis depends on the Freundlich isotherm and Intra-particle diffusion than the other models. The maximum adsorbent of the composite was determined by the Langmuir model which is 222.22 mg/g. The furfural removal enhances as the adsorbent dose enhances. The developed zerovalent iron nanoparticles incorporated on activated carbon (AC/nZVI) from pomegranate peel extract are feasible as an efficient and inexpensive adsorbent to eliminate furfural from a liquid solution.

Students' beliefs about smokeless tobacco use in Chabahar city: A qualitative study using focus groups.

BACKGROUND: Smokeless tobacco use is a public health problem. This study explored students' beliefs about smokeless tobacco use in Chabahar, Iran. MATERIALS AND METHODS: The qualitative study was conducted using three Focused Group Discussions among 24 students aged 12-14 years in Chabahar City. Focus Group Guide Morgan was used. Qualitative Content Analysis was used to explore and extract codes and themes. The data analysis process was carried out in accordance with the stages of proposed by Graneheim and Lundman. Guba and Lincoln criteria were used for evaluating research transferability. RESULTS: Two main themes emerged from the analysis including; beliefs of being useful and harmful. Each of these themes is divided into subthemes with useful or harmful physical and psychological beliefs. Four subthemes included: beliefs of being useful physically, beliefs of being useful psychologically, harmful beliefs physically, and harmful beliefs psychologically. CONCLUSIONS: One of the more significant findings to emerge from this study is that many students mentioned the benefits of using smokeless tobacco to reduce toothache, relieve headaches, and bad breath. This information can be used to develop targeted interventions aimed at reducing smokeless tobacco consumption. However, more research on this topic needs to be undertaken before the association between kinds of beliefs and smokeless tobacco consumption is more clearly understood.

Use of NH4Cl for activation of carbon xerogel to prepare a novel efficacious adsorbent for benzene removal from contaminated air streams in a fixed-bed column.

BACKGROUND: Ammonium chloride as an explosive salt has proved to be a prominent activation agent for adsorbents and increase the specific surface area and volume of cavities. In this work, the ability of this substance was scrutinized for activation of carbon aerogel to prepare an efficient adsorbent for benzene removal from air streams. METHODS: A carbon xerogel was fabricated from Novallac polymer and activated by ammonium chloride.The changes in structure and morphology were considered via Brunauer-Emmett-Teller (BET), scanning electron microscopy (SEM), Fourier transform infrared (FTIR), Barrett-Joyner-Halenda (BJH), and energy dispersive X-ray (EDX) analyses. Also, comprehensive studies were conducted to vouchsafe the properties of the new adsorbent for benzene removal, using a fixed-bed column mode. RESULTS: The results showed both the successful synthesis and the suitability of the activation process. ACX possessed a higher specific surface area (1008 g/m3), compared to the parent carbon xerogel (CX; 543.7 g/m3) and organic xerogel (OX; 47 g/m3), as well as a higher adsorption capacity. CONCLUSION: NH4CL is a very beneficial for modifying the structure and morphology of carbon aerogel, and the dynamic behavior of the column with respect inlet benzene concentration can be explained by Yan-Nelson model.

Preparation of Carbon-Alumina (C/Al2O3) aerogel nanocomposite for benzene adsorption from flow gas in fixed bed reactor.

Benzene is one of the hazardous environmental pollutants which have harmful effects on human, animal and environmental health. the goal of this study was to synthesize a carbon/alumina aerogel with large surface area, which is easily recoverable and can be used as an adsorbent for benzene removal from the polluted air flow. The composite aerogel was dried at ambient temperature for 48 h and at 120 °C for 48 h in a sequential way. The characteristic properties of the composite aerogel were analyzed using Brunauer-Emmett-Teller (BET), Scanning Electron Microscopy (SEM), Barrett-Joyner-Halenda (BJH) method and energy-dispersive X-Ray (EDX) techniques. The findings of this study showed that, with increasing of the inlet flow rate from 0.2 l/min to 0.5 and 0.8 l/min, the breakthrough time decreased from 13 h to 7 and 3 h, respectively., Besides, the amount of adsorption capacity on aerogel nanocomposite decreased from 126.73 mg g-1 to 84.5 and 38 mgg-1 with increasing the inlet benzene concentration from 100 ppmv to 200 and 300 ppmv, respectively. In addition, the a carbon/alumina aerogel can be exploited for removing other pollutants from air and water. Recently, the adsorption process has attracted many research attentions for Benzene removal from different applications due to some inherent characteristics such as low-cost and high feasibility. •The results indicated that the synthesis of the composite aerogel have been successfully performed.•The composite aerogel was synthesized by combining Novollac with alumina, which had high surface area and suitable benzene adsorption ability.

Antibacterial activity of amino- and amido- terminated poly (amidoamine)-G6 dendrimer on isolated bacteria from clinical specimens and standard strains.

Background: Nanoscale poly (amidoamine) dendrimers have been investigated for their biological demands, but their antibacterial activity has not been widely discovered. Thus, the sixth generation of poly (amidoamine) dendrimer (PAMAM-G6) was synthesized and its antibacterial activities were evaluated on Gram-negative bacteria; P. aeruginosa, E. coli, A. baumannii, S. typhimurium, S. dysenteriae, K. pneumoniae, P. mirabilis, and Gram-positive bacteria, and S.aureus and B. subtilis, which were isolated from different clinical specimens and standard strains of these bacteria. Methods: In this study, 980 specimens including urine (47%), blood (27%), sputum (13%), wounds (8%), and burns (5%) were collected from clinical specimens of 16 hospitals and clinics in city of Sabzevar, Iran. Then, the target bacteria were isolated and identified using standard methods. Minimum inhibitory concentration and minimum bactericidal concentrations against Gram-positive and Gram-negative bacteria were determined according to guidelines described by clinical and laboratory standards institute (CLSI). Standard discs were prepared using 0.025, 0.25, 2.5, and 25 µg/mL concentrations of PAMAM-G6 on Mueller-Hinton agar plates to determinate the zone of inhibition. The cytotoxicity of PAMAM-G6 dendrimer was evaluated in HCT116 cells by MTT assay. Results: The most important isolated bacteria were E. coli (23.65%), S. aureus (24.7%), P. aeruginosa (10.49%), B. subtilis (7.7%), S. typhimurium (8.87%), A. baumannii (7.02%), K. pneumoniae (7.1%), P. mirabilis (6.46%), and S. dysenteriae (3.6%). Moreover, it was found that poly (amidoamine)-G6 exhibited more antibacterial efficacy on standard strains than isolated bacteria from clinical samples (p<0.05). The cytotoxicity of PAMAM-G6 to the cells showed that cytotoxicity depended on the concentration level and exposure time. Conclusion: The PAMAM-G6 dendrimer showed a positive impact on the removal of dominant bacterial isolated from clinical specimens and standard strains.

Kinetic, equilibrium and thermodynamic studies on sorption of uranium and thorium from aqueous solutions by a selective impregnated resin containing carminic acid.

In this work, the removal of uranium and thorium ions from aqueous solutions was studied by solid-liquid extraction using an advantageous extractant-impregnated resin (EIR) prepared by loading carminic acid (CA) onto Amberlite XAD-16 resin beads. Batch sorption experiments using CA/XAD-16 beads for the removal of U(VI) and Th(IV) ions were carried out as a function of several parameters, like equilibration time, metal ion concentration, etc. The equilibrium data obtained from the sorption experiments were adjusted to the Langmuir isotherm model and the calculated maximum sorption capacities in terms of monolayer sorption were in agreement with those obtained from the experiments. The experimental data on the sorption behavior of both metal ions onto the EIR beads fitted well in both Bangham and intra-particle diffusion kinetic models, indicating that the intra-particle diffusion is the rate-controlling step. The thermodynamic studies at different temperatures revealed the feasibility and the spontaneous nature of the sorption process for both uranium and thorium ions.