Coronary artery disease incidence, risk factors, awareness, and medication utilization in a 10-year cohort study.

BACKGROUND: There is a substantial disparity in coronary artery disease (CAD) burden between Iran and other nations that place a strong emphasis on the assessment of CAD risk factors and individuals' awareness and ability to control them. METHODS: Two thousand participants of a community-based Iranian population aged 20-74 years were investigated with a mean follow-up of 9.9 years (range: 7.6 to 12.2). An analysis of Cox regression was conducted to determine the association between CAD development and classic risk factors such as age, sex, smoking, physical activity, education, obesity, dyslipidemia, hypertension, and diabetes mellitus. Furthermore, we computed the population attributable fraction for these risk factors. RESULTS: After a follow-up period of nearly 10 years, 225 CAD events were reported, constituting 14.5% of the overall incidence. Nighty three percent of participants had more than one risk factor. Age was the most predictive risk factor, with a hazard ratio (HR) and confidence interval (CI) of 5.56 (3.87-7.97, p < 0.001) in men older than 45 and females older than 55 compared to lower ages. In comparison to females, males had an HR of 1.45 (CI: 1.11-1.90, p value = 0.006) for developing CAD. Nearly 80% of the patients had dyslipidemia, with a hazard ratio of 2.19 (CI: 1.40-3.44, p = 0.01). Among the participants, 28.9% had hypertension, and 52% had prehypertension, which had HRs of 4.1 (2.4-7.2, p < 0.001) and 2.4 (1.4-4.2, p < 0.001), respectively. Diabetes, with a prevalence of 17%, had an HR of 2.63 (CI: 2 -3.47, p < 0.001), but prediabetes was not significantly associated with CAD. Awareness of diabetes, dyslipidemia, and hypertension was 81%, 27.9%, and 48.1%, respectively. Regarding medication usage, the corresponding percentages were 51% for diabetes, 13.2% for dyslipidemia, and 41% for hypertension. CONCLUSIONS: Compared to previous studies in Iran and neighboring countries, the current study found a higher incidence of CAD, more prevalent risk factors, and a lower awareness and ability to control these risk factors. Thus, an effective preventive strategy is needed to reduce the CAD burden in Iran.

Empirically derived dietary patterns and postpartum depression symptoms in a large sample of Iranian women.

BACKGROUND: Postpartum Depression (PPD) is a major depressive disorder that mainly begins within one month after delivery. The present study aimed to determine the relationship between dietary patterns and the occurrence of high PPD symptoms in women participating in the initial phase of the Maternal and Child Health cohort study, Yazd, Iran. METHODS: This cross-sectional study was carried out in the years 2017-2019 included 1028 women after childbirth The Food Frequency Questionnaire (FFQ) and the Edinburgh Postnatal Depression Scale (EPDS) were study tools. The EPDS questionnaire was used to measure postpartum depression symptoms and a cut-off score of 13 was considered to indicate high PPD symptoms. The baseline data related to dietary intake was collected at the beginning of the study at the first visit after pregnancy diagnosis and the data related to depression, were collected in the second month after delivery. Dietary patterns were extracted by exploratory factor analysis (EFA). Frequency (percentage) and mean (SD) were used for description. Chi-square test, Fisher's exact test, independent sample t-test, and multiple logistic regression (MLR) were used for data analysis. RESULTS: The incidence of high PPD symptoms was 24%. Four posterior patterns were extracted including prudent pattern, sweet and dessert pattern, junk food pattern and western pattern. A high adherence to the western pattern was associated with a higher risk of high PPD symptoms than a low adherence (ORT3/T1: 2.67; p < 0.001). A high adherence to the Prudent pattern was associated with a lower risk of high PPD symptoms than a low adherence (ORT3/T1: 0.55; p = 0.001). There are not any significant association between sweet and dessert and junk food patterns and high PPD symptoms risk (p > 0.05). CONCLUSION: High adherence to prudent patterns was characterized by high intake of vegetables, fruit and juice, nuts and beans, low-fat dairy products, liquid oil, olive, eggs, fish, whole grains had a protective effect against high PPD symptoms, but the effect of western pattern was characterized by high intake of red and processed meats and organs was reverse. Therefore, it is suggested that health care providers have a particular emphasis on the healthy food patterns such as the prudent pattern.

Presented and prioritizing waste management strategies using SWOT and QSPM approach in two private hospitals in Yazd in 2021.

BACKGROUND: This study aimed to present a strategic waste management in two private hospitals in Yazd using models of the strengths, weaknesses, opportunities, and threats (SWOT) and quantitative strategic planning matrix (QSPM). METHODS: The strengths, weaknesses, opportunities, and threats of the organization was identified according to existing documents and expert team. The internal and external factors were identified by internal factor evaluation (IFE) and external factor evaluation (EFE) matrices. The strategies to improve waste management in two hospitals were presented by comparing internal and external factors. Finally, the attractiveness table was compiled and weighted using the QSPM method to prioritize the strategies. RESULTS: The results demonstrated that 24 strengths, 30 weaknesses, 16 opportunities, and 22 threats were identified. The final score of internal and external factors for hospital A and B were (X: 2.37, Y:1.88) and (X: 2.37, Y: 2.01), respectively. Based on the results, 12 strategies were presented. Finally, the strategy of "the improvement of green management indicators" was implemented as a priority according to QSPM matrix. CONCLUSION: The result of this study duplicated that using the QSPM and SWOT models is assist to present viable strategies to improve the health-care waste management.

Amendment with halophytes and wind deposit allow subsequent cultivation of sorghum on a saline-sodic soil in the arid region of Yazd (Iran).

Aridity and salinity limit sustainable biomass production and agricultural practices in desert areas. The capability of halophytes plantation with wind deposits containing around 10% gypsum was evaluated for reclamation of saline soil and its effect on the production of Sorghum bicolar L., in an arid area. Two substance treatments at concentrations of 25 and 50 ton ha-1 gypsum and wind deposits at levels of 85 and 170 ton ha-1 were applied. Biological treatments were applied using halophyte plantation as a pioneer species. Sorghum was cultivated for all substance treatments and the production of sorghum was determined for the different treatments. Results indicated that the method leads to a reduction of salinity from 139 to <4 dS m-1 and SAR declined from 129.6 to 6.2 after a period of 15 months. The performance of wind deposits used in these experiments was higher than pure gypsum to reclaim saline soils. Maximum production of sorghum has been obtained by the treatment of 85 ton ha-1 wind deposit. Results indicated land reclamation and biomass production of forage seems possible when using wind deposit in the study area and therefore the wind deposit can effectively be used for reclamation of saline soil and plant production in arid environments.

This study evaluated the efficiency and environmental benefits of halophyte plantations incorporated with wind deposits resulting from wind erosion for saline-sodic soil reclamation. This approach illustrated the capability of the method as an eco-friendly and inexpensive method for biomass production in arid regions for the first time. The appropriate halophyte plants and optimum amount of wind deposit were evaluated in comparison to gypsum amendment for saline-sodic soil reclamation and biomass production.

Is our urban water system still sustainable? A simple statistical test with complexity science insight.

Sustainable development is being reconsidered as a process with unknown endpoint. Outputs of sustainable urban water systems defined as 'policies, projects, laws, technologies, and consumption and reuse amounts associated with urban water sustainability goals' are therefore being viewed as inadequate monitoring instruments. I propose a new methodology for sustainability monitoring whereby normality of a system is diagnosed through normality of its supporting inputs in lieu of normality of its complex outputs. Supporting inputs are 'intents and behaviors that support system goals'. Supporting inputs follow a principle of self-organization to remain in the norm and behavior zone commonly associated with system goals. This implies that normality of supporting inputs can be inferred from their longitudinally normal or Gaussian distribution that can be explored by significance tests; in particular, the Shapiro-Wilk test which is most powerful for n < 50. We identify fourteen supporting inputs of sustainable urban water systems - such as internet searches, community campaigns, staff training, agent-principal reporting and legislation propositions about water sustainability - and define quantitative indicators for them. The Shapiro-Wilk test and Kolmogorov-Smirnov test (K-S) of these indicators and a subsequent Boxplot outlying examination of non-normal indicators are undertaken in Yazd - a desert city in central Iran with a historic record in water conservation - in the light of its complex wastewater speculation. Qualitative examination of non-normal supporting inputs confirms the ability of our statistical methodology to detect problems in the system.

Potentially toxic elements and polycyclic aromatic hydrocarbons in street dust of Yazd, a central capital city in Iran: contamination level, source identification, and ecological-health risk assessment.

Contamination level, source, and ecological-health risk of potentially toxic elements (PTEs) and polycyclic aromatic hydrocarbons (PAHs) in the street dust of Yazd, a central capital city in Iran, were investigated for the first time regarding samples collected from 21 sites. Geochemical indices pointed out an enrichment trend of [Formula: see text] and an ecological risk trend of [Formula: see text]. The ecological risk indices of PAHs reflected high ecological risk for pyrene (Pyr). The statistical approach along with the isomeric ratios of PAHs suggested that the traffic-related sources, such as wearing of tires and brake pads, and the vehicular exhaust emissions were greatly responsible for the elevated concentrations of Pb, Cu, Sb, and PAHs, while Al, Ni, Co, V, Mn, As, and, to a lesser extent, Fe, Zn, Mo, and Cr were mainly influenced by geogenic sources. The human health risk assessment of PTEs and PAHs reflected that As, Cr, and Pb pose the highest non-carcinogenic risk in adults and children, compared with other PTEs and also PAHs. The carcinogenic health risk of Pb in the children and PAHs in both subpopulations was high for cancer development.

Prevalence of modifiable cardiovascular risk factors in Yazd inner-city municipalities.

BACKGROUND: Cardiovascular disease (CVD) is the leading cause of death in the world. With effective intervention and control of cardiovascular risk factors, mortality rates may be reduced. The aim of this study was to investigate the prevalence of modifiable risk factors across five municipalities in Yazd city. METHODS: Ten thousand residents of the Yazd greater area aged 20-69 years were selected using cluster random sampling method. Overall, 200 clusters were randomly selected based on the postcodes of residents who lived in the five municipalities of Yazd. Those who lived in Yazd annexed cities and rural areas were excluded. A valid questionnaire was completed and physical examination performed as done (94.9% response rate). Instances of self-reported diabetes mellitus, high blood cholesterol, tobacco smoking, and unhealthy diet were recorded. Blood pressure, height, and weight were measured and physical activity was classified by International Physical Activity Questionnaire (IPAQ). A chi-square test was used to analyze the differences in variables across municipalities. Statistical analyses were performed using SPSS V. 16. RESULTS: We analyzed 8749 participants' data from Yazd city. The prevalence of diabetes mellitus, hypercholesterolemia, and hypertension were 14.1, 16.7 and 18.6%, respectively. One in every four people consumed the recommended five servings of vegetables per day. Fish consumption was less than 5% at least once a week among participants. An unhealthy diet (85.7%); low physical activity (52.2%), hypertension (36.7%) and obesity (26.3%) were the most common cardiovascular risk factors. Only 2.1% of adults had no risk factors for CVD, and almost 75% of people had more than one risk factor. The prevalence of risk factors (excluding hypertension) was significantly different across the municipalities. Residents of region three had the highest prevalence of all risk factors aside from inactivity and unhealthy diet. CONCLUSION: unhealthy dietary habits and inactivity are the most common modifiable risk factors of CVD in Yazd. Spatial variations of cardiovascular risk factors observed. This geographic health inequality requires more attention from policymakers to control CVD risk factors across different municipalities accordingly. Promoting healthy lifestyle is the top priority of health intervention programs. It is recommended to increase access to sport arenas and restrict access to tobacconist in high-risk areas.

Prevalence and morphopathological characteristics of linguatulosis in one-humped camel (Camelus dromedarius) in Yazd, Iran.

Linguatula serrata is a cosmopolitan zoonotic parasite. Its adult form inhabit the nasal and respiratory passages of canids as the definitive hosts while its immature stages localize in the mesenteric lymph nodes or in other organs of herbivorous intermediate hosts. We examined the liver, mesenteric, and mediastinal lymph nodes of 272 camels slaughtered at the slaughterhouse of Yazd, Iran. Forty-one out of 272 camels (15.1 %) were infected with nymphs of L. serrata. Twenty-four out of 166 males (14.45 %) and 17 out of 106 females (16 %) were positive. The livers of five camels, which also had nymphs in their lymph nodes, were infected with the larval stage of this parasite. The infection rate increased with age and was highly significant, while sex did not play a significant role in the prevalence of this parasitic infection. The infected lymph nodes were grossly enlarged, edematous, and consisted of hemorrhagic and necrotic lesions. Histopathologically, the architecture of the infected lymph nodes was degraded, necrotic, and sectioned migrating stages of L. serrata were clearly visible. In some lymph nodes, parasitic granulomatous lymphadenitis with necrosis and in some cases, degenerated parasite in central area was observed. High prevalence of infection in camels suggests possibility of similar high rate of infection in other animals of this region. In view of the consumption of raw or undercooked visceral organs of camel by humans of this region, the importance of careful inspection at slaughterhouse needs to be emphasized.

Efficiency evaluation of urban development in Yazd City, Central Iran using data envelopment analysis.

Unplanned growth of cities is a matter of concern these days. Lack of attention to proper patterns of urban development has left so many harmful effects on human health and the environment. One of the most effective methods that can be used to measure the efficiency of urban development is data envelopment analysis (DEA). The present study is an attempt to evaluate the performance and efficiency of development of Yazd City using the DEA over the years 1983-2013. In this regard, the ecological factors, affecting the growth of the city of Yazd in the study period, were identified initially. The factors include elevation, slope, aspect, geology, morphology, soil, water quantity, climatic features, and land cover. Next, using variable returns to scale (BCC) based on the output-oriented approach, the efficiency of development of Yazd City was calculated by GAMS software to recognize efficient and inefficient units. Then, Anderson-Peterson (AP) ranking method was used to rank the most efficient units in the development of Yazd City over the study years. The obtained results indicated that the DMUs 2 (1984), 3 (1986), 12 (1994), 15 (1997), 21 (2004), up to 30 (2013) were efficient and introduced as units with proper performance in terms of ecological indicators affecting the urban growth. According to the Anderson-Peterson method, DMU 3 (1986) was recognized as the most efficient unit, ranked the highest (with a score of 1.20319) among the other 30 units in terms of ecological indicators affecting development of the urban growth. The research findings could clarify the strength and weak points of the ecological characteristics of the city. According to which, a comprehensive understanding of the performance of the city could be given to relevant authorities in order to amend inefficient units of urban development or direct the orientation of the city growth toward the most efficient directions.

Yazd Breast Cancer Project Profile; A Community Based Trial for the Evaluation of Self-Examination and Physical Examination of the Breast Cancer Disease.

There is some evidence to suggest that a benefit might be derived from a program that incorporated both annual physical examination of the breast (BPx) and the teaching of breast self-examination (BSE). Current investigation presents the profile of a multicenter community based intervention for evaluating the effect of BSE+BPx on the reduction of morbidity and mortality due to breast cancer amongst women residing in urban areas of Yazd (Iran) from 2008 to 2018. There were three distinctive phases in this trial with 10 years duration: pilot phase with the duration of 1 year, active intervention phase with 4 rounds of annual screening of BPx+BSE and follow up phase with 5 years duration. Tools of enquiry included a pre-tested questionnaire, repeated annual physical examination of the breast and more importantly mammography, sonography, and fine needle aspiration (FNA). Data were analyzed using descriptive statistics such as frequencies, percent, mean (SD), tests of chi-square and student t-test with 95% confidence level. Comparison of socio-demographic and socio-economic factors such as age, age at marriage, family size, number of live births, occupation, education level, total family income and marital status showed that no significant difference was seen between the groups (P>0.05). A response rate of 84.5% was seen by participants of the experiment group visiting the health centers for the first BPx. Our results showed that except for the education and marital status, the difference in other main demographic and socio-economic factors between the groups were not significant, and the response rate of individuals in the experiment group was at an acceptable level.

Occurrence, distribution and risk assessment of phthalate esters in dust deposited in the outdoor environment of Yazd industrial park using Monte Carlo simulation.

In this study, the distribution of eight phthalate esters (PAEs), namely (dimethyl phthalate (DMP), diethyl phthalate (DEP), di-n-butyl phthalate (DBP), butyl benzyl phthalate (BBP), bis (2-ethylhexyl) phthalate (DEHP), and di-n-octyl phthalate (DnOP)) were examined across fifteen sampling stations in Yazd industrial Park. All the PAEs in dust deposited in the outdoor environment were analyzed using a Gas-mass chromatography (GC-MS/MS) device. Both probabilistic and deterministic approaches were utilized to assess the non-carcinogenic and carcinogenic health risks for adult occupational population groups. These risks were associated with three exposure pathways: inhalation, ingestion, and dermal exposure to six phthalates in the dust samples. The findings revealed, among the fifteen sampling stations, highest and lowest concentrations of the PAEs in dust deposited in the outdoor environment were observed in S8 and S6, with BEHP (326.21 ± 4.35) µg/g and DMP (0.00 ± 0.02) µg/g, respectively. The total hazard index (HI) values were below one in all samples, indicating that the combined non-carcinogenic health risk from exposure to phthalates via inhalation, ingestion, and dermal pathways is within acceptable levels in each studied area. The total cancer risk (CR) values for BBP across all exposure routes were consistently low, with magnitudes ranging from 10- x 10-15to 10 x 10-11. The order of cancer risk from phthalate exposure in outdoor environments was ingestion > dermal > inhalation. The sensitivity analysis (SA) results indicated that the influential parameters in the carcinogenic risk in adult occupational population groups were concentration for inhalation and dermal pathways, as well as ingestion rate for the ingestion pathway. The result of this study provides new insight in to PAEs pollution and risk assessments related to the dust deposited in the outdoor environment of industrial Park. Furthermore, this finding is beneficial to the controlling the exposure and promoting steps to reduce PAEs contamination and manage health in the industrial area.

Factors affecting the choice of treatment center by infertile couples: A cross-sectional study in Yazd Reproductive Sciences Institute.

Background: Infertility is one of the critical health issues in Iran. There are more than 70 specialized infertility treatment centers in Iran, of which the Yazd Reproductive Sciences Institute, is one of the most important ones. Objective: This study aimed to determine the factors influencing infertile couples' choice of Yazd Reproductive Sciences Institute. Materials and Methods: This cross-sectional study was conducted on 275 infertile couples aged 18 and older, referring to Yazd Reproductive Sciences Institute, Yazd, Iran from September 2021 to March 2022. Data were gathered using a 2-part questionnaire. Data analysis was done through SPSS software. We used descriptive statistics, Kruskal-Wallis, Mann-Whitney, and t test for data analysis. Results: Most participants were individuals who came from other provinces of Iran (74.9%) and were referred to the Yazd Reproductive Sciences Institute. Among the 4 categories that influenced couples' decision to choose this center, factors related to the personnel and treatment staff received the highest score (75.83), while personal factors received the lowest score (65.76). The average score for factors related to doctors was 72.90, and for factors related to the center, it was 73.65. The satisfaction with personnel and treatment staff varied based on participants' education levels, with those who had lower levels of education reporting higher levels of satisfaction (p < 0.001). Conclusion: The primary factors contributing to the success of the Yazd Reproductive Sciences Institute in attracting clients were the dedication and expertise of the staff, as well as the esteemed reputation of the doctors at the center.

Investigating the impacts of socio-economic vulnerability indicators on COVID-19: A case study of Yazd, Iran.

Socio-economic vulnerability plays a major role in affected countries by disasters and emergencies. This study aims to identify the most effective socio-economic vulnerability indicators on COVID-19 cases and severity in the Yazd city. This study was conducted in 2022. Regarding purpose of study, different methods were applied during this research. They were including reviewing scientific research, expert panel sessions, weighting the socio-economic vulnerability indicators by Analytic Hierarchy Process (AHP) and examining the spatially relationships between vulnerability indicators and COVID-19. Excel and GIS software were applied for data analysis using local correlation coefficient. AHP analysis showed that employment, population density, buildings quality and distance from hospitals were obtained the most weight in the related indicators of socio-economic vulnerability. GIS mapping overlying showed that four socio-economic vulnerability sub indicators including percentage of immigrants, age, population density and distance from health centers had spatially relationships with COVID-19 cases and severity. Western, northern and some central regions of Yazd were identified as the COVID-19 hot spots. Local officials and health authorities should pay immediate attention to the most influential socio-econimic vulnerability indicators that are dominant in the Yazd city. They incorporate measures to the regions identified as hot spots because people who located in these areas are more vulnerable to COVID-19 and the other future natual or man-made disasters.

Development and validation of a questionnaire based on the protection motivation theory to predict cigarette smoking preventive behavior in the Iranian university students.

BACKGROUND: Prevention of smoking is very important at a young age and during the student period. Because of the lack of a questionnaire based on the prevention of smoking behavior, this study was conducted to design and standardize a tool according to the protection motivation theory (PMT). MATERIALS AND METHODS: This was an analytical cross-sectional study where information and opinions of experts and then designing tools and assessing the face validity in the first phase and content validity, construct validity, test-retest reliability, and internal consistency of questions in the second phase were examined. The initial themes and structures were determined based on the literature Review and the opinion of experts. Three hundred students of Yazd Universities were selected by cluster sampling and included in the study. All analyses were performed in SPSS and AMOS software version 24 with a significance level of less than 5%. RESULTS: The final version of the scale had 39 questions in eight dimensions. The overall Cronbach's alpha value was 0.89, and for each dimension, it was more than 0.7. The content validity ratio and content validity index for the whole tool were 0.87 and 0.94, respectively. The results of confirmatory factor analysis showed that the latent construct model had good fit (X2/df = 4.31; RMSEA = 0.07; CFI = 0.94; NFI = 0.92; TLI = 0.91, P < 0.001). CONCLUSION: In this study, a valid and reliable tool based on PMT to predict smoking behavior in students was introduced. This tool can be used in interventional and etiological studies. It also has questions related to the coronavirus disease 2019 (Covid 19) virus and can be used in the coronavirus pandemic.

HLA study in Iranian desert Yazd province inhabitants.

Yazd City (1,200,000 inhabitants) is placed in the middle of its Iran desert province and it was constructed on a oasis in ancient times.However,it was a central point on the Silk Road and merchants from both Asia and Mediterranean/European areas crossed through Yazd City.We have studied HLA-A,-B,-DRB1 and DQB1 alleles in Yazd population.Analysys of nine most frequent extended class I and class II haplotypes shows that four of them are specific of this population.The other six haplotypes are also found in Asian and Mediterranean populations in significant frequency. This supports that the nowadays relatively isolated in desert Yazd area also contains people that may bear HLA genes probably originated because of long lasting merchants route between Europe and Asia through the European/Asian Silk Road in addition to other HLA genes close to other Iranian populations, including Kurds.

A new application of multi-criteria decision making in identifying critical dust sources and comparing three common receptor-based models.

Dust storms are a common phenomenon in arid and semi-arid regions in West Asia, which has led to high levels of PM10 in local and remote area. The Yazd city in Iran with a high PM10 level located downstream of dust sources in the Middle East and Central Asia. In this study, based on meteorological and PM10 monitoring data, backward trajectory modeling of air parcels related to dust events at Yazd station was performed using the HYSPLIT model in 2012-2019. The trajectory cluster analysis was used to identify the main dust transport pathways and wind systems. Three methods of Cross-referencing Backward Trajectory (CBT), Potential Source Contribution Function (PSCF) and Concentration Weighted Trajectory (CWT) were used to identify the most critical dust sources. Multi-Criteria Decision Making (MCDM) methods were also used to integrate the results. Nine dust sources affecting central Iran were determined, and six criteria from different aspects were considered. To prioritize the dust sources affecting central Iran from four new MCDM methods, including WASPAS, EDAS, ARAS and TOPSIS were used. The results showed that the Levar wind system (51%), the Shamal wind system (32%) and the Prefrontal wind system (18%) were the most important wind systems to cause dust events in central Iran. The MCDM approach to identify dust sources also showed that Dasht-e-Kavir in central Iran was the most critical dust source. The results also showed that in hot seasons (spring and summer), local and Central Asia dust sources and cold seasons (autumn and winter), Middle East dust sources have the greatest impact on dust events in central Iran. Also, a comparison of common receptor-based methods for identifying dust sources showed that CBT, CWT and PSCF were the most appropriate methods for identifying dust sources, respectively.

Frequency Distribution of Cutaneous Leishmaniasis in the Central Region of Iran

Objective: Cutaneous leishmaniasis is a zoonotic disease and one of the most widespread diseases in our country. This illness is a significant public health concern in most Iranian provinces. Therefore, it is necessary to study the prevalence and identification of new sources of this problem in many regions of Iran. The present study was intended to investigate the epidemiology of cutaneous leishmaniasis in Yazd city. Methods: This descriptive-analytical and cross-sectional study was performed on 121 patients with leishmaniasis in Nicopoor Center, Yazd in 2017. According to ethical and research standards, information about patients, including their gender, age, occupation, location and number of lesions and month of illness were collected and evaluated using SPSS Statistics, Version 21. Results: The highest incidence of leishmaniasis occurred in adults over 50 years of age (28.9%) and in children under the age of 10 (23.1%). An incidence of 41.3% was observed for other occupations, including driver, farmer and child. In second place, the highest frequency was related to housewives (25.6%), and in third place, a higher frequency was observed in students (19%). The most common venereal sites were the hands (38.8%), in second place the feet (28.1%) and in third place the face (15.7%). The highest seasonal frequency of leishmaniasis occurred during the autumn. Conclusion: In light of the current study findings and the adverse effects of leishmaniasis, it is necessary to design strategies with the aim of controlling the disease and to implement appropriate actions with the intention of decreasing its prevalence nationally.

Burden of severe COVID-19 in center of Iran: results of disability-adjusted life years (DALYs).

The outbreak of COVID-19 disease is an international public health concern. Therefore, the analysis of information related to mortality and disability due to COVID-19 is considered important, so the present study was designed and conducted with the aim of assessing COVID-19 Disability-Adjusted Life Years (DALYs) in Yazd. In Yazd province, all suspected cases of COVID-19 that would be referred to central hospitals in order to get confirmed through PCR or CT scan test, were recruited to our study. The fatality data of COVID-19 was gathered from the forensic medicine organization. The Disability-Adjusted Life Years (DALYs) combines in one measure years of life lost (YLL), the loss of healthy life due to premature mortality and years of life lived with disability (YLD), the loss of healthy life because of disease and disability. The total burden of COVID-19 was 23,472 years. The number of years lost due to premature death was 23385 and the number of years of life with disability due to COVID-19 was estimated to be 87 years. The disease burden was 12992 years for men and 10480 years for women. The overall incidence of COVID-19 was 1411 per 100,000, of which 1419 in men and 1402 in women per 100,000. The outbreak of COVID-19 pandemic affected a large population and the residents of Yazd Province lost many years of their lives due to this disease.

Groundwater quality evaluation using Shannon information theory and human health risk assessment in Yazd province, central plateau of Iran.

This study aims to evaluate the quality of groundwater in the most arid province of Iran, Yazd. It is highly dependent on groundwater resources to meet the domestic, industrial, and agricultural water demand. Position of water samples on the modified Gibbs diagram demonstrates that the interaction with silicates and the increase in direct cation exchange are responsible for the increased salinity of groundwater. Based on entropy theory, the decreasing order of importance of variables in controlling groundwater chemistry is Fe > As > Ba > Hg > NO2 > Pb > K > Cl > Na > Mg > SO4 > NO3 > HCO3 > Ca. The results of entropy weighted water quality index (EWWQI) calculation show that about 34 and 32% of 206 samples in the wet and dry seasons, respectively, are classified as extremely poor quality (ranks 4 and 5). Approximately 60 and 55% of 206 samples in wet and dry seasons, respectively, have excellent, good, and medium quality (ranks 1, 2, and 3). The non-carcinogenic human health risk (NHHR) from intake and dermal contact pathways using deterministic approach show that 36 and 17 samples in both seasons are not suitable for drinking by children. Furthermore, 9 and 2 samples are not suitable for drinking by adults. The results show that children are more vulnerable than adults to these health risks. The non-carcinogenic risks through dermal contact were negligible.

Distribution of Pilus island and antibiotic resistance genes in Streptococcus agalactiae obtained from vagina of pregnant women in Yazd, Iran.

BACKGROUND AND OBJECTIVES: Due to the important role of Streptococcus agalactiae, Group B streptococci (GBS), in production of invasive disease in neonates, investigation regarding the pathogenicity and antibiotic resistance factors is necessary in selecting the appropriate therapeutic agents. Beside capsule, the pilus has been currently recognized as an important factor in enhancing the pathogenicity of GBS. Resistance of GBS to selected antibiotics is noticeably increasing which is mainly due to the anomalous use of these drugs for treatment. The aim of this study was to determine the prevalence of pili genes followed by antibiotic susceptibility of GBS, previously serotyped, isolated from pregnant women in the city of Yazd, Iran. MATERIALS AND METHODS: Fifty seven GBS from pregnant women were subjected to multiplex PCR for determination of PI-1, PI-2a and PI-2b pilus-islands and simultaneously, the phenotype of antibiotic resistance to penicillin, tetracycline, erythromycin, clindamycin, gentamycin and levofloxacin was determined. Antibiotic resistance genes (ermA, ermB, mefA, tetM, int-Tn) were further diagnosed using PCR and multiplex PCR. RESULTS: PI-1+PI-2a with 71.9%; followed by PI-2a (21.1%) and PI-2b (7%) were observed. PI-1+PI-2a in serotype III was (73.2%), serotype II, Ia, Ib and V were 12.2%, 9.8%, 2.4% and 2.4% respectively. GBS penicillin sensitive was 89.5% and 96.5% resistance to tetracycline. The frequency of resistance genes were as follows: tetM (93%), ermA (33.3%), ermB (8.8%), int-Tn (80.7%) and mefA (0). CONCLUSION: Majority of GBS contained PI-1+PI-2a. Hence presence of this pilus stabilizes the colonization, therefore designing a program for diagnosing and treatment of infected pregnant women seems to be necessary.