The concentration of potentially toxic elements (PTEs) in honey: Global systematic review and meta-analysis and risk assessment.

The papers were searched in databases including PubMed, Scopus, Web of science, Embase, Science Direct until 21 September 2023 and meta-analysis of concentration of PTEs in honey was performed using random effects model based on country subgroups. The non-carcinogenic risk and carcinogenic risk were calculated by Target Hazard Quotient (THQ) and Cancer Risk (CR), respectively. The sort of PTEs in honey based on pooled concentration was Cu (1.10E + 02 µg/kg) > Ni (1.80E + 01 µg/kg) > Pb (2.60E + 00 µg/kg) > Hg (1.50E + 00 µg/kg) > Cd (5.10E-01 µg/kg) > As (4.80E-01 µg/kg). The concentration of PTEs in the countries of Ethiopia (As), Jordan (Cd and Pb), Thailand (Ni), Brazil (Cu and MeHg) was observed to be higher than other countries. The non-carcinogenic risk was less than 1, hence, the consumption of honey does not have non-carcinogenic risk. Except children in Nigeria, CR due to iAs in honey was acceptable for the both adults and children in the other countries, Therefore, the consumption of honey does not have carcinogenic risk.

Steroid hormones in surface water resources in China: systematic review and meta-analysis and probabilistic ecological risk assessment.

A Search was conducted in international databases including Scopus, PubMed, Embase, and Web of Science from 10 January 2005 to 15 January 2023. The risk quotient (RQ) of Estrone (E1), 17ß-E2 (E2), and Estriol (E3) on the surface water resources of China was calculated by Monte Carlo Simulation (MCS) technique. The rank order of steroid hormones based on pooled (weighted average) concentration in surface water was E3 (2.15 ng/l) > E2 (2.01 ng/l) > E1 (1.385 ng/l). The concentration of E1 in Dianchi lake (236.50.00 ng/l), 17ß-E2 in Licun river (78.50 ng/l), and E3 in Dianchi lake (103.1 ng/l) were higher than in other surface water resources in China. RQ related to E1, 17ß-E2 and E3 in 68.00%, 88.89% and 3.92% of surface water resources were high ecological risk, respectively. Therefore, carrying out source control plans for steroid hormones in surface water sources should be conducted continuously.

The prevalence and concentration of aflatoxins in beers: a global systematic review and meta-analysis and probabilistic health risk assessment.

Mycotoxins have been identified as considerable contaminants in beer. The current investigation's concentration and prevalence of aflatoxins (AFs) in beer were meta-analyzed. The health risk of consumers was estimated through MOEs in the Monte Carlo simulation (MCS) model. The rank order of AFs in beer based on pooled prevalence was AFB1 (26.00%) > AFG1 (14.93%) > AFB2 (7.69%) > AFG2 (7.52%), In addition, the rank order of AFs in beer based on their pooled concentration was AFG1 (0.505 µg/l) > AFB1 (0.469 µg/l) > AFB2 (0.134 µg/l) > AFG2 (0.071 µg/l). The prevalence and concentration of AFs in beer in Malawi were higher than in other countries. The health risk assessment shows consumers in all countries, especially Malawi, Brazil, and Cameroon, are exposed to unacceptably health risks (MOEs <10,000). It is recommended to monitor levels of AFs in beer efficiently and implement control plans in order to decrease health risk of exposed population.

The concentration of radioisotopes (Potassium-40, Polonium-210, Radium-226, and Thorium-230) in fillet tissue carp fishes: A systematic review and probabilistic exposure assessment.

Chemical contamination of seafood has become a global health concern. Carp fish is one of the most widely consumed globally, and several studies have been conducted on the contamination of carp fish with radioisotopes. In the current study, a meta-analysis and probabilistic exposure assessment regarding the Potassium-40 (40K), Polonium-210 (210Po), Radium-226 (226Ra), and Thorium-230 (230Th) in the fillet tissue of carp fish were performed. In this regard, Scopus and PubMed were screened to retrieve the associated citations with on the concentration of radioisotopes in the fillet tissue of carp fish until October 2021. The rank order of radioisotopes in fillet tissue carp fish was 40K (103.49 Bq kg-1) > 210Po (9.39 Bq kg-1) > 226Ra (0.62 Bq kg-1) > 230Th (0.39 Bq kg-1). The highest effective dose due to 210Po ingestion was observed in Spain (male; 4.44E-05 Sv y-1, female; 2.67E-06 Sv y-1); 40K (female, 5.07E-07 Sv y-1); 226Ra (male, 9.93E-09 Sv y-1). The mean of effective dose (ED) in the male and females in India due to ingestion of 230Th as result of carp fish consumption was (1.70E-06 Sv y-1) and (7.01E-08 Sv y-1), respectively. The probabilistic exposure assessment by the Monte Carlo simulation method revealed that consumers of fillet tissue carp fish content of radioisotopes are at a safe range (0.001 Sv y-1).

Effect of educational intervention on improving nurse's general health in military hospitals of Iran: a quasi-experimental study.

BACKGROUND: Nursing in military hospitals affects their general health. Educational interventions can help to maintain the general health of nurses. This study aimed to evaluate the effect of an educational intervention to improve the general health of nurses in military hospitals. METHODS: In this quasi-experimental study, 146 nurses working in military hospitals in Tehran, Iran in 2021 were included in the study. The one-month educational intervention included videos, pamphlets, and motivational messages about promoting general health. General health questionnaire with 28 items (GHQ28) was study tool. The allocation of nurses to groups was not random, it was based on personal interest. Frequency (percentage), and mean (standard deviation) were used to describe, and the chi-square test, Fisher's exact test, independent and paired t-test were used for data analysis. All analyzes were performed in SPSS 24 software with a significance level of 5%. RESULTS: A total of 146 nurses participated in the study, most of them were in the age group of 30 to 40 years (64 people, 43.8%), and 76.7% (112 people) of them were women. The results of the independent sample t-test showed after the intervention, general health scores in the intervention group had a significant decrease compared to the control (p < 0.001) (change in intervention group = -31.1, V.S change in control = 0.55). The results of paired t-test showed that only in the intervention group, the value of the general health score and its dimensions were significantly different (p < 0.001). CONCLUSIONS: The educational intervention performed well and decreased the score of the general health of military nurses. Given that these positive effects may be temporary, it is necessary to design and perform educational interventions over a longer period.

The concentration of potentially hazardous elements (PHEs) in drinking water and non-carcinogenic risk assessment: A case study in Bandar Abbas, Iran.

In this study, concentration of potentially hazardous elements (PHEs) including slice (Si), strontium (Sr), aluminum (Al), Fluoride (F), Iron (Fe), Zinc (Zn), Barium (Ba), Lead (Pb), Lithium (Li), Vanadium (V), selenium (Se), Chrome (Cr), Arsenic (As) and Uranium (U) in tap drinking water (n = 40) and filtration plant (n = 22) in Bandar Abbas city between March to July 2020 were analyzed. Analysis of PHEs ions was conducted by inductively coupled plasma mass spectrometry (ICP-MS). Also, concentration of F was measured by SPADNS Method. The non-carcinogenic risk in the exposed population (adult and children) were estimated. Concentration of PHEs between tap drinking water and filtration plant was compared using T statistical test. In addition, association among PHEs in tap drinking water and water filtration plant using Pearson correlation coefficient. The rank order of PHEs in tap drinking water was Si (6356.25 µg/l) > Sr (3980 µg/l) > Al (115.42 µg/l) > Fe (30.00 µg/l) > Zn (14.59 µg/l) > Ba (13.91 µg/l) > Pb (13.01 µg/l) > Li (11.60 µg/l) > V (4.43 µg/l) > Se (4.17 µg/l) > Cr (2.51 µg/l) > As (2.00 µg/l) > U (0.65 µg/l) > F (0.31 µg/l) and also in filtration plant was Si (1825.00 µg/l) > Sr (539.00 µg/l) > Fe (45.00 µg/l) > Al (26.00 µg/l) > Zn (8.08 µg/l) > Ba (2.24 µg/l) > Se (1.36 µg/l)> Pb(1.28 µg/l) > Li (1.26 µg/l) > Cr (1.17 µg/l) > F (0.66 µg/l) > V (0.61 µg/l) > As (LOD < ) ~ U (LOD <). The most of PHEs in tap drinking water was considerable different with filtration plant (p value < 0.05) therefore the chemical quality of tap drinking water should be more attention. The results of non-carcinogenic risk assessment revealed that TTHQ in the adults and children due to drinking tap water content of PHEs was 2.59E-3 and 6.05E-3 and filtration plant was 8.88E-04 and 2.07E-03, respectively. Therefore, TTHQ in adults and children was lower than 1; therefore, consumers are in the safe range due to drinking tap water and water filtration plant content of PHEs.

Effect of educational intervention on safe traffic behaviors of high school male students in Iran, using the theory of planned behavior: a quasi-experimental study.

BACKGROUND: Behavior change interventions in tackling road traffic injuries are a public health concern. Thus, this interventional research was to survey the effect of safe traffic behaviors among male students in Hamadan, Iran, utilizing theory of planned behavior. METHODS: In this quasi-experimental study, 204 students were randomly selected through multistage sampling from male high school students of Hamadan city, west-central of Iran, and non-randomly allocated to control and intervention groups (102 students in every group). The self-administrate questionnaire was used for data collection in this research. Frequency (percentage) and mean (SD) were used for description. Cronbach alpha coefficient, content validity ratio (CVR) and content validity index (CVI) were used for psychometric evaluation of questionnaire and paired/independent sample t-test was used for data analysis. All statistical analyses were done in SPSS 19 and significant level was considered 0.05. RESULTS: In both groups, more than 50 % of students walked to school. The two study groups were homogeneous in terms of confounding variables (p >  0.05). The validity of the questionnaire was confirmed and the total Cronbach's alpha value was equal to 0.97. There was no significant difference in the score of safe traffic behaviors between the two groups before the intervention (p >  0.05). But after the intervention, the score in the intervention group was significantly increased (p < 0.05). Intragroup comparison also showed that only in the intervention group the score was significantly changed (p < 0.05). CONCLUSION: Theory of planned behavior is a suitable conceptual framework for planning the interventions to increase safe traffic behaviors in students.

Propionic Acid: Method of Production, Current State and Perspectives.

During the past years, there has been a growing interest in the bioproduction of propionic acid by Propionibacterium. One of the major limitations of the existing models lies in their low productivity yield. Hence, many strategies have been proposed in order to circumvent this obstacle. This article provides a comprehensive synthesis and review of important biotechnological aspects of propionic acid production as a common ingredient in food and biotechnology industries. We first discuss some of the most important production processes, mainly focusing on biological production. Then, we provide a summary of important propionic acid producers, including Propionibacterium freudenreichii and Propionibacterium acidipropionici, as well as a wide range of reported growth/production media. Furthermore, we describe bioprocess variables that can have impact on the production yield. Finally, we propose methods for the extraction and analysis of propionic acid and put forward strategies for overcoming the limitations of competitive microbial production from the economical point of view. Several factors influence the propionic acid concentration and productivity such as culture conditions, type and bioreactor scale; however, the pH value and temperature are the most important ones. Given that there are many reports about propionic acid production from glucose, whey permeate, glycerol, lactic acid, hemicelluloses, hydrolyzed corn meal, lactose, sugarcane molasses and enzymatically hydrolyzed whole wheat flour, only few review articles evaluate biotechnological aspects, i.e. bioprocess variables.

Concentration of Tetrabromobisphenol-A in fish: systematic review and meta-analysis and probabilistic health risk assessment.

Tetrabromobisphenol A (TBBP-A) is an emerging pollutant that enters water resources and affects various marine organisms, such as fish. Consequently, numerous studies globally investigated TBBP-A concentrations in fish fillets of the current study were meta-analyze concentration of TBBP-A in fish fillets and estimate the associated health risks for consumers. The search encompassed international databases, including Science Direct, PubMed, Scopus, Embase, and Web of Science from January 1, 2005, to July 20, 2023. The ranking of countries based on the pooled (Mean) concentration of TBBP-A in fish was as follows: China (1.157 µg/kg-ww) > Czech Republic (1.027 µg/kg-ww) > France (0.500 µg/kg-ww) ∼ Switzerland (0.500 µg/kg-ww) > Netherlands (0.405 µg/kg-ww) > Germany (0.33 µg/kg-ww) > Sweden (0.165 µg/kg-ww)>UK (0.078 µg/kg-ww) > Belgium (0.065 µg/kg-ww) > South Korea (0.013 µg/kg-ww) ∼ Japan (0.013 µg/kg-ww) > Ireland (0.005 µg/kg-ww). The risk assessment showed that the carcinogenic and non-carcinogenic risks of TBBP-A in China and France are higher compared to other countries; however, within all countries, these risks were found to be within acceptable limits.

The Concentration of Radionuclides (Lead-210, Polonium-210, and Cesium-137) in the Muscle of Sardine Fish: a Global Systematic Review, Meta-analysis, and Exposure Assessment.

With the increasing use of nuclear technology, concerns about the contamination of water resources with radionuclides and the contamination of seafood are increasing. In the current investigation, a meta-analysis and exposure assessment regarding the concentration of radionuclides, including lead-210 (Pb-210), polonium -210 (Po-210), and cesium-137 (Cs-137) in the muscle of Sardin fish were conducted. In this regard, some databases including Scopus and PubMed were selected to retrieve papers on the concentration of radionuclides in the muscle of Sardin fish from January 2000 to 25 June 2021. The used keywords were polonium-210, natural radioactivity, lead-210, radiocesium, cesium-137, radionuclides, radium-226, seafood, marine foods, fish, sardine fish, sardinella longiceps, and Clupeidae. Also, effective dose (ED) was calculated to estimate carcinogenic risk in Sardine fish consumers. The rank order of radionuclides in the muscle of sardine fish was Po-210 (31.50 Bq/kg) > Pb-210 (3.34 Bq/kg) > Cs-137 (0.48 Bq/kg). Based on level of Pb-210 rank of countries was France (12.00 Bq/kg) > India (4.06 Bq/kg) > Turkey (3.29 Bq/kg) > Spain (1.00 Bq/kg) > Slovenia (0.55 Bq/kg); Po-210 was Turkey (74.96 Bq/kg) > Spain (48.00 Bq/kg) > France (31.500 Bq/kg > India (30.25 Bq/kg) > Slovenia (25.00 Bq/kg) > Kuwait (7.28 Bq/kg) and also, Cs-137 was Japan (1.22 Bq/kg) > Croatia (0.18 Bq/kg) > India (0.23 Bq/kg). The lowest and highest ED of 210Po was observed in Kuwait (5.10E-04 msv/y, female) and France (3.14E-01, male); Pb-210, Slovenia (7.24E-05 msv/y, male) and France (1.48E-02 msv/y, female), and Cs-137, Croatia (8.47E-08 msv/y, male) and Japan (2.54E-05 msv/y, female), respectively. The risk assessment shows that the exposed population are at an acceptable range of risk (H < 1 mSv/y).

Ochratoxin A in coffee and coffee-based products: a global systematic review, meta-analysis, and probabilistic risk assessment.

Contamination of food with mycotoxins can pose harmful effects on the health of consumers in the long term. Coffee contamination with mycotoxins has become a global concern. This study attempted to meta-analyze the concentration and prevalence of ochratoxin A (OTA) in coffee products and estimate consumers' health risks. The search was conducted among international databases, including Scopus, PubMed, Embase, and Web of Science, for 1 January 2010 to 1 May 2022. The concentration and prevalence of OTA in coffee products were meta-analyzed according to country subgroups. Health risk assessment was conducted based on Margin of Exposures (MOEs) using the Monte Carlo simulation (MCS) technique. The three countries that had the highest Pooled concentration of OTA in coffee were observed in Chile (100.00%), Kuwait (100.00%), and France (100.00%). The overall prevalence of OTA in coffee products was 58.01%, 95% CI (48.37-67.39). The three countries that had the highest concentration of OTA were Philippines (39.55 µg/kg) > Turkey (39.32 µg/kg) > and Panama (21.33 µg/kg). The mean of MOEs in the adult consumers in Panama (9,526) and the Philippines (8,873) was lower than 10,000, while the mean of MOEs in other countries was higher than 10,000. Therefore, monitoring and control plans should be carried out in different countries.

The concentration of potentially toxic elements (PTEs) in apple fruit: a global systematic review, meta-analysis, and health risk assessment.

The presence of potentially toxic elements (PTEs) in crops can directly/indirectly affect consumers' health. The contamination of apple as one of the most consumed fruits with PTEs such as lead (Pb), cadmium (Cd), chromium (Cr), arsenic (As), and nickel (Ni) leads to carcinogenic risk (CR) and non-carcinogenic risk (n-CR). In this regard, a systematic review, meta-analysis, and health risk assessment regarding the concentration of the PTEs in apples was conducted using international databases such as Scopus and PubMed. According to the results, the rank order of PTEs in apple fruits was Pb (427.45 µg/kg-wet weight) > Ni (228.74 µg/kg-wet weight) > Cr (212.43 µg/kg-wet weight) > As (123.93 µg/kg-wet weight) > Cd (15.28 µg/kg-wet weight). n-CR was higher than 1 for the USA, Serbia for adults, and Poland for children. CR for adults in Serbia, Spain, Greece, China, Bangladesh, and Pakistan and children in Serbia, Spain, Greece, China, and Bangladesh were not acceptable (CR > 1.00E - 06 value). In this regard, the pooled PTEs of apples can cause CR and n-CR issues. Therefore, constant monitoring and reduction of pesticide application are strongly recommended for controlling PTEs in apple fruits.

Barriers to using a helmet among motorcyclist students: a qualitative study.

BACKGROUND: Helmet use rates among motorcyclists are low and various factors are involved. Therefore, the present study aimed to investigate the factors affecting the use of helmet in motorcycle students in Iran (Bandar Abbas city) in 2019. METHODS: The research was qualitative and data were collected through individual interviews and observations and were interpreted by content analysis method. Participants were 15 motorcyclist students studying in public health (6), nursing (4), dentistry (2), medicine (1), health education (1) and biochemistry (1). They were purposefully included in the study and sampling continued until data saturation. The main tool for data collection was deep semi-structured interviews with open answers which lasted for 20 to 60 minutes. Finally, 15 interviews were collected in this study. RESULTS: The five main categories (economic, family, socio-cultural, individual, and riding rules) were extracted from the data that each had a subclass. CONCLUSIONS: Different factors in micro and macro dimensions play a role in the use of helmets among motorcyclists. Consideration of these factors by the relevant organizations in the field of traffic can increase the use of helmets.

Effect of Zataria multiflora Boiss. essential oil, NaCl, acid, time, and temperature on the growth of Listeria monocytogenes strains in broth and minced rainbow trout.

The small outbreaks of listeriosis as one of the leading causes of food poisoning-associated deaths occur more than previously reported. In current study, the growth ability of Listeria monocytogenes strains isolated from different sources of food and human origin was measured under salt stress (0.5%, 2.5%, 5%, 7.5%, and 10%) and acid environments (pH = 6.64 and 5.77) for 96 hr by using a Bioscreen C microbiology reader at 37°C. In further steps of this study, after analysis of constituents of Zataria multiflora Boiss. essential oil (ZMEO), the sensory evaluation of the treated fish meat with ZMEO was performed. Then, the fish isolate of L. monocytogenes was exposed to sensory acceptable and subminimum inhibitory concentrations (subMICs) of ZMEO in fish broth and minced fish meat during incubation at abuse (12°C), room (22°C), and optimum (37°C) temperatures for 48 hr. The MIC of NaCl against four strains of L. monocytogenes was 10% at 37°C. The maximum optical densities (ODs) and under curve areas (AUC) of growth patterns in higher pH value and lower contents of NaCl followed the order of 21C > 6F > 66C > 22C of L. monocytogenes strains, while the lag time was prolonged in the reverse order. The maximum OD, growth, and lag times of samples treated with higher contents of NaCl and lower pH value were affected in a different order. The organoleptic evaluation showed that the fish meat treated with less than 0.5% of ZMEO was sensory acceptable. The population of L. monocytogenes remained relatively constant at the inoculation level of 107 cfu/ml (or g) at 12°C in broth and minced fish mediums. The inhibitory antilisterial activity of essential oil as an extensive-used plant for food and pharmacological applications is negligible due to possible adverse sensory and toxic effects at relevant high doses.

Meat Value Chain Losses in Iran.

To stop hunger, reducing food losses is a potential movement towards saving food. A large portion of these losses could be avoided and reduced through the improved food chain in many countries. Raising awareness on how and where food losses occur will help recovering foods such as meat by identifying solutions and convincing people to implement those solutions. This, in turn, will lead to private and public efforts to recover meat that might be otherwise wasted. After highlighting the importance of food saving benefits and relevant statistics, this paper explains the possible ways to reduce meat loss and waste in abattoirs and presents a framework for prevention according to the estimates of meat losses in Iran meat supply. The current article answers the questions of where do we have the meat loss in Iran and what approaches are most successful in reducing losses in the meat industry. The national average loss and waste in meat production are about 300,000 metric tonnes (about 15%). Many segments and players are involved with this huge amount of losses in the meat value chain, a large portion of these losses could be avoided and reduced by about 25% through using by-products with the mechanization of design and manufacturing. The production amount of mechanically deboned meat (MDM) is 105,091,000 kg, concluding the major waste (88.33%) of total poultry losses. Ensuring appropriate actions by exploiting the full potential of engaged Iranian associations and institutes is considered to reduce the losses.

A global systematic review and meta-analysis of concentration and prevalence of mycotoxins in birds' egg.

In the current study, the concentration and prevalence of birds' egg's mycotoxins among 11 articles (66 studies) based on countries, part of eggs, and type of mycotoxins subgroups were meta-analyses using a random-effect model. The order of mycotoxin according to concentration of mycotoxin was Deoxynivalenol (20.083 µg/kg) > Zearalenone (2.065 µg/kg) > Enniatin (1.120 µg/kg) > Total aflatoxin (0.371 µg/kg) > Beauvericin (0.223 µg/kg) > Ochratoxins (0.087 µg/kg) > Citrinin (0.010 µg/kg). Further, the mycotoxins' concentration in the yolk part (2.070 µg/kg) was higher than the mixed eggs (0.283 µg/kg). The rank order of mycotoxin based on country was China (14.990 µg/kg) > Cameroon (7.594 µg/kg) > Thailand (1.870 µg/kg) > Finland (0.920 µg/kg) > Iran (0.312 µg/kg) > Jordan (0.202 µg/kg) > Belgium (0.183 µg/kg) > Spain ( South Korea ( DON (85.00%) > AFT (20.15%) > OT (16.00%). The overall prevalence of mycotoxin was equal to 29.65%. Also, the concentration of mycotoxins in China and Cameroon was higher than in other countries. Therefore, the monitoring programs to reduce mycotoxins in bird eggs consumed in some countries such as China and Cameroon should be considered.

Safe driving behaviors among taxi drivers: a predictive cross-sectional study based on the health belief model.

BACKGROUND: The purpose of this study was to predict safe driving behaviors among taxi drivers of Tehran based on the constructs of health belief model. METHODS: This descriptive-analytical study was performed on 450 taxi drivers in Tehran using multi-stage sampling. Data were analyzed through SPSS software version 18 using Pearson correlation coefficient and multivariate regression analysis. The P < 0.05 was considered statistically significant. RESULTS: Among the constructs of health belief model, perceived severity, perceived benefits and self-efficacy, had significant and direct relationship and perceived barriers had a significant and reverse relationship with safe driving behaviors. According to the results, the constructs of health belief model predicted 17.3% of safe driving behaviors. Self-efficacy was the strongest determinant of safety behaviors (0.362 CI 0.098-0.625). CONCLUSIONS: Increasing self-efficacy, reducing perceived barriers and highlighting benefits for the purpose of accepting safe behaviors can be considered as a principle in driving education and training. Also, increasing the perceived severity of adverse outcomes of RTAs and the susceptibility to these outcomes will lead to higher levels of safe driving behaviors.