A survival analysis of socio-demographic and clinical predictors among hospitalized COVID-19 patients in Southern Iran

BACKGROUND

This study aimed to evaluate the socio-demographic, clinical, and laboratory risk factors in hospitalized COVID-19 patients during the first 6 months of the SARS-CoV-2 epidemic.

METHOD

This retrospective hospital-based cross-sectional study included all laboratory-confirmed cases of the COVID-19 virus that were admitted to the Shohadaye-Khalije-Fars Hospital in Bushehr, Iran, from February 22, 2020 to September 21, 2020. The patients' records were reviewed during the hospitalization period. The global COVID-19 clinical platform, i.e., the World Health Organization Rapid Case Report Form was used as the data collection tool. We conducted the survival analysis using the Kaplan-Meier and the Stepwise Cox regression analyses.

RESULTS

The analysis included 2108 confirmed cases of COVID-19 with a mean age of 47.81 years (SD 17.78); 56.8% men, 43.2% women and 6.3% (n = 133) deaths. After adjustment, it was found that factors associated with an increased risk of death consisted of chronic kidney disease, intensive care unit admission, cancer, and hemoptysis. The 7-day survival rate was 95.8%, which decreased to 95.1%, 94.0%, and 93.8% on days 14, 21, and 28 of hospitalization, respectively.

DISCUSSION AND CONCLUSION

Older COVID-19 patients with manifestation of hemoptysis and a past medical history of chronic kidney disease and cancer, should be closely monitored to prevent disease deterioration and death, and also should be admitted to the intensive care unit.

Occurrence of microplastics and phthalate esters in urban runoff: A focus on the Persian Gulf coastline

Urban runoff seems an obvious pathway for the transfer of microplastics (MPs) and phthalate acid esters (PAEs) from land-based sources to the marine environment; an issue that still lacks attention. This study presents the first results on MP and PAE levels in the urban runoff into the northern part of the Persian Gulf during the dry season. Average concentrations of MPs and PAEs in the urban runoff of eight selected sampling sites (N = 72) along the Bushehr coast were 1.86 items/L and 53.57 μg/L, respectively. MPs with a size range of 500-1000 μm had the highest abundance, and the mean levels of PAEs in MPs were 99.77 μg/g. The results of this study show that urban runoff is a main source of MP and PAE contaminants that are discharged into the Persian Gulf. Therefore, to decrease these pollutants from entering the aquatic environment, decision-makers in the area should consider this problem and stop the direct discharging of urban runoff into water bodies.

Levels and ecological and health risk assessment of PM2.5-bound heavy metals in the northern part of the Persian Gulf

Bushehr, a port along the northern part of the Persian Gulf, has repeatedly encountered dust storms in recent years but there is not been a comprehensive study on the PM_2.5 contents in this region. The present study reports the characteristics and health risks of atmospheric PM_2.5-bound heavy metals (HMs) in Bushehr from December 2016 to September 2017. A total of 46 samples were analyzed, and a high volume air sampler equipped with quartz fiber filters was used for sampling. Inductively coupled plasma optical emission spectroscopy (ICP-OES) was also used for HMs analyses. Risk assessment and hazard index (HI) of these metals were computed by using USEPA's exposure parameters. The results showed that the average 24-h mass concentration of PM_2.5 ranged from 22.09 to 292.45 μg/m³. The results also indicated that 95.65 and 82.61% of the samples were higher than WHO and EPA guidelines for 24-h PM_2.5. Also there was no statistically significant relationship between wind direction and PM_2.5.The average concentration levels of seven measured metals (Cd, Co, Cr, Fe, Ni, Pb, and V) in the PM_2.5 samples were in the range of 6.03 ng/m³ to 1335.94 ng/m³, and the order of their concentration was Fe > Ni > Pb > Cr > Cd > V > Co. Principal component analysis (PCA) showed that PM_2.5-bound heavy metals were categorized in three groups. The ecological risk level of calculated metals was very significant, and the major contribution of the ecological risk was related to Cd. The highest HQ in children and adults was related to Cr, and overall HI in children was higher than adults. Also the RI values of Cr in both groups of children and adults were indicated high risk of developing cancer in human.

Trace metals in zooplankton from the northern Persian Gulf

This work is the first study on the spatial and temporal distribution of metals in zooplankton collected along the Persian Gulf. The rank order distribution of metals in terms of their overall average concentration in the zooplankton was observed to be Fe > Zn > Cu > Cd > Ni > Cr > Pb > Co > V. No clear pattern and no statistical differences were detected among the areas and the sampling stations. The highest concentrations of Cu, Zn, and Pb were observed in summer while the highest concentration levels of Fe and Ni were observed in winter. The highest mean zooplankton metal concentration level was found to be Fe with 10.42 μg/g (in winter) and the lowest levels were for V (in spring and summer) and Co (in winter), both of which had a level of 0.01 μg/g. The results can be used to establish base-line data for the trace metal content of zooplankton in the northern region of the Persian Gulf.

Data on concentrations of polycyclic aromatic hydrocarbons (PAHs) in roasted and fried chicken - A case study: Bushehr, Iran

In the present data article, the presence and amount of 16 polycyclic aromatic hydrocarbons (PAHs) were surveyed in Iranian roasted and fried chicken in Bushehr restaurants. For data collection, 73 samples (including 36 Roasted chicken and 37 Fried chicken samples) were collected from local restaurants and various retail outlets of Bushehr, Iran. The concentrations of 16 PAHs were determined by gas chromatography-mass spectrometry (GC–MS). Results indicated that the total PAHs level was ranged from 4.20 to 32.29 mg/kg and 2.06–19.65 µg/kg in Roasted and Fried chicken, respectively. The differences in PAHs levels were observed among charcoal and gas-roasted samples as well as between chicken fried with different oil types. benzo[a] pyrene(BaP), an appropriate marker for occurrence and potential toxicity of PAHs food matrixes was found in all roasted samples ranged from 1.41–5.71 mg/kg and all fried samples in range of 0.9–3.32 µg/kg. Moreover, unsaturated fatty acid (UFA) and saturated fatty acid (SFA) ratios in the in the used vegetable oils had an important role in the generation of PAHs in fried chicken.

Dataset for effect comparison of irrigation by wastewater and ground water on amount of heavy metals in soil and vegetables: Accumulation, transfer factor and health risk assessment

The irrigation source plays an important role in the amount of contaminates in soil and cultivated agricultural products. In this study, the concentration and human health risks of heavy metals (Zn, Mn, Cu, Cr, Cd and Pb) were evaluated in soil, water and vegetables collected from two sites (FGW: Farms irrigated with ground water, FWW: Farms irrigated with wastewater) of Bushehr, Iran. The trend of heavy metals concentration in vegetables from either site was in the following order: Mn ˃ Zn ˃ Cu ˃ Pb ˃ Cr ˃ Cd. Except Cd and Pb, the concentration of heavy metals was in the range of European Union (2006) permissible limit. THQ (Target hazard quotient) values were the highest in Mn followed by the Pb, Cd, Cu, Zn and Cr. Mn, Pb and Cd exceeded safe limit of THQ in several cases, while THQ of other heavy metals was in the range of safe limit. Based on the results, it can be concluded that heavy metals contamination in vegetables grown in Bushehr, especially in FWW site, may pose a great health risks to the local inhabitant through consumption of vegetables. Therefore, it is recommended that the discharge of industrial and municipal wastewater into water resources witch used for vegetable irrigation should be the first step in controlling the level of heavy metals in vegetables.

Data on fluoride contents in groundwater of Bushehr province, Iran

In this article, we measured the levels of fluoride in groundwater. The samples were taken from groundwater in Bushehr's province, Iran. After the collection of samples, the concentration levels of fluoride were determined by the standard SPADNS method using spectrometer. The mean concentration levels of fluoride in water of all stations were higher than the WHO drinking water guideline. Microsoft Office Excel 2016 was used for calculation of mean values. The mean concentration level of fluoride instatement were in the range of 1.52 to 3.64 mg l^-1.

Cigarette butts abundance and association of mercury and lead along the Persian Gulf beach: an initial investigation

The toxic metal contents of cigarette butts and distribution of cigarette butts have not been studied well in maritime environment. In the present study, cigarette butts distribution and the associations of Hg and Pb from cigarette butts were monitored along the Persian Gulf with 10 days interval sampling time. The number of cigarette butts, and Hg and Pb associations of butts were found to vary widely between 2 and 38 items per square meter, 2.5 and 86.32 ng/g cigarette butt (CB), as well as 650 and 8630 ng/g CB, respectively. Wilcoxon signed-rank test showed that there were no significant differences between the number of butts, and Hg and Pb contents of the butts at different sampling times. Considering amount of cigarette butts littered yearly, this study demonstrates that remarkable toxic metals of Hg and Pb may enter maritime environment each year and may introduce critical hazards to aquatic organisms, enter food chain, and finally human body.

Public member dose assessment of Bushehr Nuclear Power Plant under normal operation by modeling the fallout from stack using the HYSPLIT atmospheric dispersion model

In this work, public dose resulting from fission products released from Bushehr Nuclear Power Plant (BNPP) under normal operation is assessed. Due to the long range transport of radionuclides in this work (80 km) and considering terrain and meteorological data, HYbrid Single-Particle Lagrangian Integrated Trajectory (HYsplit) model, which uses three dimensional long-range numerical models, has been employed to calculate atmospheric dispersion. Annual effective dose calculation is carried out for inhalation, ingestion, and external exposure pathways in 16directions and within 80 km around the site for representative person. The results showed the maximum dose of inhalation and external exposure for adults is 3.8 × 10^-8Sv/y in the SE direction and distance of 600 m from the BNPP site which is less than ICRP 103 recommended dose limit (1 mSv). Children and infants' doses are higher in comparison with adults, although they are less than 1 mSv. Ingestion dose percentage in the total dose is less than 0.1%. The results of this study underestimate the Final Safety Analysis Report ofBNPP-1 (FSAR)data.

Data on Fe (II) biosorption onto Sargassum hystrix algae obtained from the Persian Gulf in Bushehr Port, Iran

In this article, we used Sargassum hystrix algae as biosorbent for removal of Fe (II) from aqueous solutions that was collected along the Persian Gulf coastline, Bushehr, Iran. The concentration level of remaining Fe (II) in the samples was measured by using flame atomic absorption spectrometry (FAAS, Varian AA240, Australia). The isotherms, kinetics and modeling data of Fe (II) biosorption onto Sargassum hystrix were also presented.

Data on metal levels in the inlet and outlet wastewater treatment plant of hospitals in Bushehr province, Iran

In this paper, we measured the levels of metals including Pb, Cr, Cd, Ni, Hg, Fe, and Cu in the inlet and outlet wastewater of hospitals. The samples were taken from wastewater in Bushehr׳s province hospitals, Iran. After the collection of samples, the concentration levels of metals were determined by using graphite furnace absorption spectrometer (AAS) method (Varian, SpectrAA 240, Australia). Statistical analysis of the data was carried out using Special Package for Social Sciences (SPSS 16).

Data on metals (Zn, Al, Sr, and Co) and metalloid (As) concentration levels of ballast water in commercial ships entering Bushehr port, along the Persian Gulf

In this article, we determined the concentration levels of metals including Zn, Al, Sr, and Co and metalloid of As of ballast water in commercial ships entering Bushehr port, along the Persian Gulf. Ballast water samples were taken from commercial ships entering Bushehr port from 34 ports around the world during 15 February and 25 August 2016. The concentration levels of metals and metalloid were determined by using a graphite furnace absorption spectrometer (AAS).

Data on copper level in the blood of patients with normal and abnormal angiography

In this data article, we measured the levels of copper in the blood of patients undergoing coronary angiography. The samples were taken from patients with cardiovascular disease in Bushehr׳s university hospital, Iran. Patients were divided in two groups: normal angiography and abnormal angiography. After the chemical digestion of samples, the concentration levels of Cu in both groups were determined by using inductively coupled plasma optical spectrometry (ICP-OES).

Data on daily fluoride intake based on drinking water consumption prepared by household desalinators working by reverse osmosis process

In this data article, we evaluated the daily fluoride contents in 20 household desalinators working by reverse osmosis (RO)1 process in Bushehr, Iran. The concentration levels of fluoride in inlet and outlet waters were determined by the standard SPADNS method using a spectrophotometer (M501 Single Beam Scanning UV/VIS, UK). The fluoride content in outlet waters were compared with EPA and WHO guidelines for drinking water.

Antifouling paint booster biocides (Irgarol 1051 and diuron) in marinas and ports of Bushehr, Persian Gulf

In the present study, antifouling paint booster biocides, Irgarol 1051 and diuron were measured in ports and marinas of Bushehr, Iran. Results showed that in seawater samples taken from ports and marinas, Irgarol was found at the range of less than LOD to 63.4ngL(-1) and diuron was found to be at the range of less than LOD to 29.1ngL(-1) (in Jalali marina). 3,4-dichloroaniline (3,4-DCA), as a degradation product of diuron, was also analyzed and its maximum concentration was 390ngL(-1). Results for analysis of Irgarol 1051 in sediments showed a maximum concentration of 35.4ngg(-1) dry weight in Bandargah marina. A comparison between the results of this study and those of other published works showed that Irgarol and diuron pollutions in ports and marinas of Bushehr located in the Persian Gulf were less than the average of reports from other parts of the world.

Entomological study of sand flies (Diptera: Psychodidae: Phlebotominae) in Asalouyeh, the heartland of an Iranian petrochemical industry

OBJECTIVE

TO INVESTIGATE THE FAUNA AND SEASONAL ACTIVITY OF DIFFERENT SPECIES OF SAND FLIES (DIPTERA: Psychodidae: Phlebotominae) in Asalouyeh, the heartland of an Iranian petrochemical industry, Southern Iran, as a oil rich district. Sand flies are the vectors of at least three different kinds of disease, the most important of which is leishmaniasis, and it is a major public health problem in Iran with increased annual occurrence of clinical episodes.

METHODS

A total of 3 497 sand flies of rural regions were collected by sticky traps fixed, and cleared in puris medium and identified morphologically, twice a month from April to March 2008.

RESULTS

Predominant species included four of genus Phlebotomus (Phlebotomus alexandri Sinton, 1928, Phlebotomus papatasi Scopoli, 1910, Phlebotomus bergeroti Parrot and Phlebotomus sergenti Parrot) and one of genus Sergentomyia (Sergentomyia tiberiadis Alder, Theodor & Lourie, 1930). The most prevalent species was Phlebotomus papatasi, presented 56.4% of the identified flies. The others were Phlebotomus sergenti (22.5%), Phlebotomus alexandri (4.5%), Phlebotomus bergeroti (12%) and Sergentomyia tiberiadis (5%) as well. The percentage of females (68%) was more than that of males (32%). The abundance of sand flies represented two peaks of activity; one in early May and the other one in the first half of September in the region.

CONCLUSION

Phlebotomus papatasi is the probable vector of zoonotic cutaneous leishmaniasis in the region. Further molecular studies are needed to determine the definite vector of the region.