Bushehr University of Medical Sciences

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    Occurrence, seasonal distribution, and ecological risk assessment of microplastics and phthalate esters in leachates of a landfill site located near the marine environment: Bushehr port, Iran as a case

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    Plastic wastes are produced in a large amount everywhere, and are commonly disposed in landfills. So landfill leachate seems an obvious source of microplastics (MPs) and phthalate esters (PAEs) due to a huge usage as plastic additives and plasticizers. But this issue still lacks attention and the present study provides the first information on the levels of MPs and PAEs in the fresh landfill leachate of Bushehr port during different seasons. The mean levels of MPs and PAEs in the fresh leachate in all seasons were 79.16 items/L and 3.27 mg/L, respectively. Also, the mean levels of PAEs in MPs were 48.33 μg/g. A statistically significant difference was detected in the levels of MPs and PAEs among different seasons with the highest values in summer and fall. MPs with a size of >1000 μm had the highest abundance in all seasons. The most prominent shape, color, and type of MPs in the leachate were fibers black, and nylon, respectively. Dibutyl phthalate (DBP) and Di(2-ethylhexyl) phthalate (DEHP) were the most dominant PAEs present in the leachate samples. The results of this study revealed high hazard index (HI) and pollution load index (PLI) of MPs in all seasons. Dioctyl phthalate (DOP), DEHP, DBP, diisobutyl phthalate (DiBP), butyl benzyl phthalate (BBP), and diethyl phthalate (DEP) represented a high risk to the sensitive organisms. The results of this study showed that significant levels of MPs and PAEs may release into the surrounding environment from the landfill sites without sufficient protection. This issue is more critical when the landfill sites in particular are located near the marine environments like the Bushehr landfill that is located near the Persian Gulf, which can lead to serious environmental problems. Thus permanent control and monitor of landfills, especially in the coastal areas are highly needed to prevent further pollution

    Emerging contaminants migration from pipes used in drinking water distribution systems: a review of the scientific literature

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    Migration of emerging contaminants (ECs) from pipes into water is a global concern due to potential human health effects. Nevertheless, a review of migration ECs from pipes into water distribution systems is presently lacking. This paper reviews, the reported occurrence migration of ECs from pipes into water distribution systems in the world. Furthermore, the results related to ECs migration from pipes into water distribution systems, their probable sources, and their hazards are discussed. The present manuscript considered the existing reports on migration of five main categories of ECs including microplastics (MPs), bisphenol A (BPA), phthalates, nonylphenol (NP), perfluoroalkyl, and polyfluoroalkyl substances (PFAS) from distribution network into tap water. A focus on tap water in published literature suggests that pipes type used had an important role on levels of ECs migration in water during transport and storage of water. For comparison, tap drinking water in contact with polymer pipes had the highest mean concentrations of reviewed contaminants. Polyvinyl chloride (PVC), polyamide (PA), polypropylene (PP), polyethylene (PE), and polyethylene terephthalate (PET) were the most frequently detected types of microplastics (MPs) in tap water. Based on the risk assessment analysis of ECs, levels of perfluorooctanoic acid (PFOA), perfluorononanoic acid (PFNA), perfluorodecanoic acid (PFDA), perfluorohexane sulfonate (PFHxS), and perfluorooctane sulfonate (PFOS) were above 1, indicating a potential non-carcinogenic health risk to consumers. Finally, there are still scientific gaps on occurrence and migration of ECs from pipes used in distribution systems, and this needs more in-depth studies to evaluate their exposure hazards on human health

    Prevalence of Violence in Iranian Pregnant Women: A Systematic Review and Meta-Analysis

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    Violence against pregnant women is a significant public health problem, resulting in disability and various physical and mental health disorders. This systematic review and meta-analysis explored the prevalence of physical, verbal, sexual, psychological, emotional, economic, and other types of violence among pregnant women in Iran. Methods Bibliographic databases including PubMed, Embase, Web of Science (WoS), and Scopus, and also Iranian databases including Scientific Information Database (SID), Magiran, and Civilica were searched from 2002 to September 16, 2020. Following a random-effects meta-analysis, we estimated the pooled prevalence of exposure to different types of violence among Iranian pregnant women. Overall, 61 articles that met the inclusion criteria were analyzed in this systematic review. Results The prevalence of physical violence was 19.0% (95% confidence intervals [CI]: 14.0, 24.0), verbal violence was 42.0% (95% CI: 24.0, 61.0), sexual violence was 26.0% (95% CI: 20.0, 32.0), psychological violence was 37.0% (95% CI: 28.0, 46.0), emotional violence was 51.0% (95% CI: 40.0, 62.0), economic 39.0% (95% CI: 19.0, 60.0), and the prevalence of other types of violence was 54.0% (95% CI: 46.0, 62.0). Conclusions This study revealed that Iranian pregnant women are often exposed to different types of violence. Therefore, screening for violence in this vulnerable group seems necessary due to the sensitive nature of pregnancy and its importance in maternal ‎health. This alarming rate of violence calls for adopting upstream policies and interventions to reduce violent practices against pregnant women in Iran

    Bioinformatics analysis of microarray data to identify hub genes, as diagnostic biomarker of HELLP syndrome: System biology approach

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    Background HELLP syndrome is one of the disorders characterized by hemolysis, increased liver enzymes and decreased platelet count. So far, many molecular pathways and genes have been identified in relation to the pathogenesis of this syndrome; however, the main cause of the incidence and progression of the disease has not been identified. Using the biological system approach is a way to target patients by identifying genes and molecular pathways. In this study, we investigated genes and important molecular factors in the pathogenesis of HELLP syndrome. Material and Methods In this study, the microarray dataset was downloaded from Gene Expression Omnibus (GEO) database and analyzed using the GEO2R online tool for identifying differentially expressed genes (DEGs). Enrichment analysis of DEGs was evaluated using the Enrichr database. Then, protein–protein interaction (PPI) networks were constructed via the STRING database; they were visualized by Cytoscape. Then the STRING database was used to construct PPI networks. The hub genes were recognized using the cytoHubba. Ultimately, the interaction of the miRNA-hub genes and drug-hub genes were also evaluated. Result After analysis, it was found that some genes with the highest degree of connectivity are involved in the pathogenesis of HELLP syndrome, which are known as the hub genes. These genes are as follows: KIT, JAK2, LEP, EP300, HIST1H4L, HIST1H4F, HIST1H4H, MMP9, THBS2, and ADAMTS3. Has-miR-34a-5p was also most associated with hub genes. Conclusion Finally, it can be said, that the identification of genes and molecular pathways in HELLP syndrome can be helpful in identifying the pathogenesis pathways of the disease, and designing therapeutic targets

    The economic burden of osteoporosis in Iran in 2020

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    Osteoporosis, the most common metabolic bone disease, leads to increased susceptibility to fractures. In 2020, about 150,000 osteoporotic fractures occurred in Iran. Osteoporosis and related fractures cost the community US393million.IntroductionThepresentstudyaimedatestimatingtheeconomicburdenofosteoporosisinIranin2020.MethodsWeestimatedtheannualeconomicburdenofosteoporosisintheabove50yearsoldpopulationusingaprevalencebasedapproachandfromasocietalperspective.TheincidenceofosteoporosisandrelatedfractureswereestimatedbasedonmetaanalysisreportsinIranandinternationalcomparisons.Thedirectmedicalandnonmedicalcostsaswellasthemonetaryvalueofqualityadjustedlifeyears(QALYs)lostbecauseoffractureswereestimated.Costdatawereextractedfrompatientrecords,medicalservicesprices,andpreviousliterature.ResultsAtotalof154,530osteoporoticfractureswereestimatedinIranin2020.Thesharesofthehip,vertebral,forearm,andotherfractureswere14 393 million. Introduction The present study aimed at estimating the economic burden of osteoporosis in Iran in 2020. Methods We estimated the annual economic burden of osteoporosis in the above 50 years old population using a prevalence-based approach and from a societal perspective. The incidence of osteoporosis and related fractures were estimated based on meta-analysis reports in Iran and international comparisons. The direct medical and non-medical costs as well as the monetary value of quality-adjusted life-years (QALYs) lost because of fractures were estimated. Cost data were extracted from patient records, medical services prices, and previous literature. Results A total of 154,530 osteoporotic fractures were estimated in Iran in 2020. The shares of the hip, vertebral, forearm, and other fractures were 14%, 15%, 17%, and 54%, respectively. There were also 3554 deaths from osteoporotic fractures. The economic burden of osteoporosis in Iran was estimated at US 393.24 million (US$ 2165 million purchasing power parity 2020). Direct medical and non-medical cost (47.44%), QALY loss (29.65%), and long-term care for prior hip fracture costs (9.4%) were the main component of the economic burden of osteoporosis. Conclusion The economic burdens of osteoporosis are significant in Iran. Interventions to prevent osteoporosis and especially associated fractures, such as screening and prophylaxis, can reduce the cost of the disease and improve patients’ quality of life. Further studies are needed to identify cost-effective and feasible interventions in Iran

    A novel and ultrasensitive label-free electrochemical DNA biosensor for Trichomonas vaginalis detection based on a nanostructured film of poly(ortho-aminophenol)

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    Trichomoniasis, as a major public health concern, is the world’s most common sexually transmissible disease. This infection is caused by a protozoan parasite called Trichomonas vaginalis (TV) that can lead to reproductive and genital area problems. Accordingly, it is of great significance to expand new methods for increasing the sensitivity of TV detection. In this study, a novel label-free electrochemical DNA biosensor for TV quantitation was constructed based on an electropolymerized poly(ortho-aminophenol) thin film simultaneously acting as a transducer as well as a redox indicator. The redox-active polymeric film was utilized to covalent immobilization of a specific thiolated DNA probe. The hybridization process was then monitored by differential pulse voltammetry. The proposed biosensor detected a synthetic TV target sequence with a calibration sensitivity of − 0.0113 µA (log (concentration/mol L−1))−1, a linear concentration range of 1.0 × 10−20 to 1.0 × 10−12 mol L−1, and a detection limit of 3.9 × 10−21 mol L−1. It also showed an ability to differentiate between the complementary sequence and the base-mismatched and non-complementary sequences with a nice selectivity. Moreover, the designed biosensor was able to detect the TV genome with a calibration sensitivity of − 0.0774 µA (log (concentration/ng µL−1))−1, a linear range of 0.55–64 ng mL−1 and a detection limit of 1.0 pg µL−1

    Application of pier waste sludge for catalytic activation of proxy-monosulfate and phenol elimination from a petrochemical wastewater

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    This investigation aimed to remove phenol from real wastewater (taken from a petrochemical company) by activating peroxy-monosulfate (PMS) using catalysts extracted from pier waste sludge. The physical and chemical properties of the catalyst were evaluated by FE-SEM/EDS, XRD, FTIR, and TGA/DTG tests. The functional groups of O–H, C–H, CO32−, C–H, C–O, N–H, and C–N were identified on the catalyst surface. Also, the crystallinity of the catalyst before and after reaction with petrochemical wastewater was 103.4 nm and 55.8 nm, respectively. Operational parameters of pH (3–9), catalyst dose (0–100 mg/L), phenol concentration (50–250 mg/L), and PMS concentration (0–250 mg/L) were tested to remove phenol. The highest phenol removal rate (94%) was obtained at pH=3, catalyst dose of 80 mg/L, phenol concentration of 50 mg/L, PMS concentration of 150 mg/L, and contact time of 150 min. Phenol decomposition in petrochemical wastewater followed the first-order kinetics (k> 0.008 min−1, R2> 0.94). Changes in pH factor were very effective on phenol removal efficiency, and maximum efficiency (≈83%) was achieved in pH 3. The catalyst stability test was performed for up to five cycles, and phenol removal in the fifth cycle was reduced to 42%. Also, the energy consumption in this study was 77.69 kW h/m3. According to the results, the pier waste sludge catalyst/PMS system is a critical process for eliminating phenol from petrochemical wastewater

    Urinary level of heavy metals in people working in smoking cafés

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    Previous researches have reported significant levels of heavy metals in indoor air of smoking cafés. The current research aimed to evaluate the potential exposure of smoking cafés workers to heavy metals through quantifying amounts of these pollutants in urine samples. To this end, 35 waterpipe/cigarette cafés workers were selected as the exposed population, 35 employees from non-smoking cafe’ as the control group 1 (CG1) and 25 cases of the normal citizens as the control group 2 (CG2); and their urine samples were taken. Samples were then prepared by acid digestion approach and measured by the ICP in order to determine amount of heavy metals in them. The findings of the current work show the significant difference among urinary levels of metals in the exposed and both CG1 and CG2 (P value < 0.05). Furthermore, urinary metal levels in samples collected from smoking café workers after the exposure were considerably higher than those were collected before the exposure (P-value <0.05). According to the findings, “tobacco type” could be considered as a leading factor for heavy metal exposure in studied smokers. Additionally, a positive and significant association was found between urinary metals and urinary levels of 8-OHdG (a markers of DNA degradation through oxidative stress). Therefore, workers in waterpipe/cigarette café can be classified as high risk people in terms of DNA oxidative damage

    Anti-leishmanial activity of Avicennia marina (Avicenniaceae family) leaves hydroalcoholic extract and its possible cellular mechanisms

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    Natural products are the main source of potent antioxidants and anti-leishmanial agents. This study was aimed to evaluate Avicennia marina (Avicenniaceae family) extract inhibitory effect against Leishmania tropica by accessing apoptotic markers and arginase activity. The A. marina were extracted and phytochemical analysis conducted. The inhibitory effect of A. marina was evaluated on L. tropica promastigote and amastigote forms, compared to meglumine antimoniate (Glucantime, MA) as standard drug. The level of apoptosis, Reactive Oxygen Species (ROS) production and arginase activity was assessed in A. marina-treated cells compared to control group. Phytochemical screening of A. marina extract showed strong presence of tannins and saponins. We demonstrated the inhibitory effect of A. marina on promastigote stages in a dose dependent manner. Also, lower 50% inhibitory concentration (IC50) value of amastigotes was indicated in A. marina group compared with the standard group of Glucantime (60.57 ± 1.46 vs. 73.19 ± 10.12 μg/mL, respectively, P < 0.05). Besides, A. marina represented no cytotoxicity as the selectivity index (SI) was 10.7. Also, it showed the potential to induce early apoptosis of 46.5% in promastigotes at 125 μg/mL concentration. Significant reduction of arginase level was observed in both A. marina-treated cells and promastigotes. The promising results indicated higher effectiveness of A. marina in decreasing parasite growth, inducing apoptosis in promastigotes, increasing ROS production and decreasing arginase level. So, A. marina can be a native plant candidate for anti-leishmanial drug in tropical regions with cutaneous leishmaniasis due to L. tropica

    Concentration, sources and bioaccessibility-based risk assessment of heavy metals in air-borne PM2.5 in different landuses of Tehran

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    The present study investigated the concentration, spatial distribution, seasonal changes, potential sources, and bioaccessibility-based risk assessment of Particulate Matter2.5-bound heavy metals in seven regions of Tehran city with three different uses. A total of 64 samples were collected from high-traffic, low-traffic and industrial areas, whereby the concentration of Particulate Matter2.5-bound heavy metals was analyzed by Inductively Coupled Plasma device. Unmix 6 software was used to determine the source of pollution emission, in this study. Moreover, bioaccessibility-based risk assessment of ParticulateMatter2.5-bound heavy metals was done for inhabitants of Tehran city. The results indicated that the concentration of ∑heavy metal High-traffic, Low-traffic and Industrial areas was obtained as 2709.53 ± 172.91, 1981.136 ± 158.46, and 1047.28 ± 81.26 ng/m3, respectively. Based on Anmix analysis, 3 sources of heavy metals were found: source 1 mostly resulting from industrial sources, source 2 mainly from natural sources, and source 3 emanating from vehicles (both heavy and light). Bioaccessibility-based risk assessment also indicated that the risk of carcinogenicity of the studied metals exceeded the limit proposed by Environmental Protection Agency and World Health Organization (1 × 10–4). Thus, in order to maintain the health of Tehran citizens, proper managerial strategies are required to control the concentration of these pollutants in the ambient air of Tehran

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