Bushehr Province Research Articles

The medication usage pattern and prevalence of polypharmacy among patients with sickle cell disease: a population-based study in southern Iran

ABSTRACT Background Due to the numerous complications associated with sickle cell disease (SCD), patients often receive a variety of medications alongside their SCD treatment. However, a notable gap exists in the current literature regarding medication use patterns among them. This study aimed to investigate medication usage patterns in patients with SCD. Research design and methods This cross-sectional study, conducted in Bushehr Province, employed a stratified random sampling method to select eligible participants with SCD. A thorough interview gathered various information, including details about the medications. The Anatomical Therapeutic Chemical classification system was utilized for drug classification. Polypharmacy was defined as the concurrent use of at least five medications. Results A total of 300 individuals with SCD were included in this study. Polypharmacy was observed in 26.3% (95% CI: 20.8%-32.8%) of the study population. The analyses revealed positive associations between the use of more concurrent medication use and higher age groups and having multimorbidity. Antianemic preparations (86.7%), antineoplastic agents (58.3%), and vitamins (41.0%) were the most frequent medication classes used by the study participants. Conclusions Our study revealed notable underutilization of hydroxyurea and a high rate of polypharmacy, associated with age and multimorbidity, among patients with SCD in southern Iran.

Microplastics contamination suppressed immune and health status in cage cultured Barramundi: An investigation on pollution sources, ecotoxicological impacts, and transcription of genes involved in detoxification

This study aimed to study the abundance and ecotoxicological consequences of microplastics (MPs) in cage-cultured Barramundi from the Persian Gulf. The fish, water, sediment, and aquafeed samples were taken from 4 cage-culture sites and reference points in Bushehr and Hormozgan provinces. Gills showed the highest normalized, while muscles exhibited the lowest MPs concentration. Waters and sediments from cage-culture sites had significantly higher MPs than reference points. Raman spectrophotometry identified polyurethane, polyether, and polyolefin as prevalent MPs. Unexpectedly, larger fish had lesser number of MPs per unit of their weight. MPs contamination adversely affected fish health and immune. Specifically, fish with elevated MPs contamination exhibited significantly reduced levels of acetylcholinesterase and gamma-glutamyl transferase, and an increase in the activities of aspartate aminotransferase and alanine aminotransferase. The level of immune parameters including lysozyme, total immunoglobulin and complements were all decreased in fish with high MPs. A clear association was determined between MPs contamination and expression levels of cytochrome P450 1A1 and glutathione S-transferase in the liver. Low MPs biomagnification and hazard risk to the final consumer, but high threat to fish own health and immune were observed.

Investigation of gyrA and parC mutations and the prevalence of plasmid-mediated quinolone resistance genes in Klebsiella pneumoniae clinical isolates

BackgroundThe emergence of fluoroquinolone resistance in clinical isolates of Klebsiella pneumoniae is a growing concern. To investigate the mechanisms behind this resistance, we studied a total of 215 K. pneumoniae isolates from hospitals in Bushehr province, Iran, collected between 2017 and 2019. Antimicrobial susceptibility test for fluoroquinolones was determined. The presence of plasmid mediated quinolone resistance (PMQR) and mutations in quinolone resistance-determining region (QRDR) of gyrA and parC genes in ciprofloxacin-resistant K. pneumoniae isolates were identified by PCR and sequencing.ResultsOut of 215 K. pneumoniae isolates, 40 were resistant to ciprofloxacin as determined by E-test method. PCR analysis revealed that among these ciprofloxacin-resistant isolates, 13 (32.5%), 7 (17.5%), 40 (100%), and 25 (62.5%) isolates harbored qnrB, qnrS, oqxA and aac(6’)-Ib-cr genes, respectively. Mutation analysis of gyrA and parC genes showed that 35 (87.5%) and 34 (85%) of the ciprofloxacin-resistant isolates had mutations in these genes, respectively. The most frequent mutations were observed in codon 83 of gyrA and codon 80 of parC gene. Single gyrA substitution, Ser83→ Ile and Asp87→Gly, and double substitutions, Ser83→Phe plus Asp87→Ala, Ser83→Tyr plus Asp87→Ala, Ser83→Ile plus Asp87→Tyr, Ser83→Phe plus Asp87→Asn and Ser83→Ile plus Asp87→Gly were detected. In addition, Ser80→Ile and Glu84→Lys single substitution were found in parC gene.ConclusionsOur results indicated that 90% of isolates have at least one mutation in QRDR of gyrA orparC genes, thus the frequency of mutations was very significant and alarming in our region.

Evaluation of fluoride exposure using disability-adjusted life years and health risk assessment in south-western Iran: A novel Monte Carlo simulation

Consumption of fluoride-contaminated water is a worldwide concern, especially in developing countries, including Iran. However, there are restricted studies of non-single-value health risk assessment and the disease burden regarding fluoride intake nationwide. Prolonged exposure to excessive fluoride has been linked to adverse health effects such as dental and skeletal fluorosis. This can lead to under-mineralization of hard tissues, causing aesthetic concerns for teeth and changes in bone structure, increasing the risk of fractures. As such, we aimed to implement probability-based frameworks using Monte Carlo methods to explore the potential adverse effects of fluoride via the ingestion route. This platform consists of two sectors: 1) health risk assessment of various age categories coupled with a variance decomposition technique to measure the contributions of predictor variables in the outcome of the health risk model, and 2) implementing Monte Carlo methods in dose-response curves to explore the fluoride-induced burden of diseases of dental fluorosis and skeletal fractures in terms of disability-adjusted life years (DALYs). For this purpose, total water samples of 8053 (N=8053) from 57 sites were analyzed in Fars and Bushehr Provinces. The mean fluoride concentrations were 0.75 mg/L and 1.09 mg/L, with maximum fluoride contents of 6.5 mg/L and 3.22 mg/L for the Fars and Bushehr provinces, respectively. The hazard quotient of the 95th percentile (HQ>1) revealed that all infants and children in the study area were potentially vulnerable to over-receiving fluoride. Sobol’ sensitivity analysis indices, including first-order, second-order, and total order, disclosed that fluoride concentration (Cw), ingestion rate (IRw), and their mutual interactions were the most influential factors in the health risk model. DALYs rate of dental fluorosis was as high as 981.45 (uncertainty interval: UI 95 % 353.23–1618.40) in Lamerd, and maximum DALYs of skeletal fractures occurred in Mohr 71.61(49.75–92.71), in Fars Province, indicated severe dental fluorosis but mild hazard regarding fractures. Residents of the Tang-e Eram in Bushehr Province with a DALYs rate of 3609.40 (1296.68–5993.73) for dental fluorosis and a DALYs rate of 284.67 (199.11–367.99) for skeletal fractures were the most potentially endangered population. By evaluating the outputs of the DALYs model, the gap in scenarios of central tendency exposure and reasonable maximum exposure highlights the role of food source intake in over-receiving fluoride. This research insists on implementing defluoridation programs in fluoride-endemic zones to combat the undesirable effects of fluoride. The global measures presented in this research aim to address the root causes of contamination and help policymakers and authorities mitigate fluoride's harmful impacts on the environment and public health.

Relationship between mental workload and musculoskeletal disorders with intention to leave service among nurses working at neonatal and pediatric departments: a cross-sectional study in Iran

BackgroundDespite the challenge of nursing shortage in the world and its subsequent impact on care quality as well as aggravation of the situation by intention to leave service, this issue has not been properly addressed, especially among neonatal and pediatric nurses. The present study aims to identify the relationship between mental workload and musculoskeletal disorders with intention to leave the service among nurses working at neonatal and pediatric departments.MethodsThis descriptive-analytical study was conducted on 145 nurses working at neonatal and pediatric departments in six hospitals in Bushehr Province using full-census method. The data were collected using national aeronautics and space administration-task load index (NASA-TLX), Cornell musculoskeletal discomfort questionnaire(CMDQ) and Mobley and Horner’s voluntary turnover questionnaire. The data were analyzed using descriptive statistics, independent t-test, Mann-Whitney U test, one-way analysis of variance (ANOVA), Kruskal-Wallis test, Pearson’s and Spearman correlation tests and hierarchical linear regression in simultaneous model in SPSS 19.0.ResultsThe mean score of intention to leave the service was 9.57 ± 3.20 (higher than the moderate level) and the mean mental workload was 71.65 ± 15.14 (high level). Pain in at least one of the legs (100%), back (77.3%) and knees (76.6%) was highly prevalent. However, no statistically significant correlation was found between musculoskeletal disorder categories and intention to leave the service (p > 0.05). The regression analysis results revealed among mental workload domains, only effort-induced workload was negatively and significantly correlated with intention to leave the service (p = 0.003; β=-0.078). However, the number of night shifts per month was positively and significantly correlated with intention to leave the service (p = 0.001; β = 0.176).ConclusionsPlanning for appropriate allocation of night shifts, investigating the etiology of musculoskeletal disorders and providing solutions for reducing mental workload should be prioritized by policymakers, while maintaining pediatric nurses’ motivation for making efforts.

Data on four species of Longidorus Micoletzky, 1922 (Nematoda: Longidoridae) from southern and southeastern Iran, including description of a new species.

Four species of the genus Longidorus were recovered from southern (Bushehr province) and southeastern (Southern Khorasan province) Iran. The first species, L. paratabrizicus n. sp. represents a new member to the genus and is characterised by 4.8-5.6 mm long females with anteriorly flattened lip region separated from the rest of the body by depression, amphidial fovea pocket-shaped without lobes, tail conical, dorsally convex, ventrally almost straight with bluntly rounded tip and males in population. By having similar lip region and tail shape, the new species most closely resembles five species viz. L. artemisiae, L. globulicauda, L. patuxentensis, L. sturhani, and L. tabrizicus. It represents the cryptic form of the last species. The second species belongs to L. mirus, recovered in both southern and southeastern Iran, representing the first record of the species after its original description. As an update to the characteristics of this species, it's all juvenile developmental stages were recovered and described. The criteria to separate L. mirus from two closely related species, L. auratus and L. africanus, are discussed. The third species belongs to L. persicus, a new record in southern Iran. The fourth species, L. orientalis was recovered in high population density in association with date palm trees in Bushehr province. The phylogenetic relationships of the new species and recovered populations of L. mirus and L. persicus were reconstructed using two ribosomal markers and the resulted topologies were discussed.

An extensive investigation on human risk associated with PAHs in fish and sediment in Bushehr, Northern of Persian Gulf

Here, a comprehensive study was designed to estimate the human risk assessment attributed to exposure of polycyclic aromatic hydrocarbons (PAHs)in sediment and fish in most polluted shore area in north of Persian Gulf. To this end, a total of 20 sediment and inhabitual Fish, as one of most commercial fish, samples were randomly collected from 20 different stations along Bushehr Province coastline. The 16 different components of PAHs were extracted from sediment and edible parts of inhabitual fish and measured with high-performance liquid chromatography (HPLC) and gas chromatography (GC), respectively. In addition, dietary daily intake (DDI) values of PAHs via ingestion Indian halibut and the incremental lifetime cancer risk (ILCR) attributed to human exposure to sediments PAHs via (a) inhalation, (b) ingestion, and (c) dermal contact for two groups of ages: children (1–11 years) and adults (18–70 years) were estimated. The results indicated that all individual PAHs except for Benzo(b)flouranthene (BbF) and Benzo(ghi) perylene (BgP) were detected in different sediment sample throughout the study area with average concentration between 2.275 ± 4.993 mg.kg–1 dw. Furthermore, Naphthalene (Nap) with highest average concentration of 3.906 ± 3.039 mg.kg–1 dw was measured at the Indian halibut. In addition, the human risk analysis indicated that excess cancer risk (ECR) attributed to PAHs in sediment and fish in Asaluyeh with high industrial activities on oil and derivatives were higher the value recommended by USEPA (10−6). Therefore, a comprehensive analysis on spatial distribution and human risk assessment of PAHs in sediment and fish can improve the awareness on environmental threat in order to aid authorities and decision maker to find a sustainable solution.

Marine litter along the shores of the Persian Gulf, Iran

Plastic wastes —including cigarette butts (CBs)— are dangerous for marine ecosystems not only because they contain hazardous chemicals but also because they can finally turn into micro- or even nano-particles that may be ingested by micro- and macro-fauna. Even large pieces of plastics can trap animals. In this research, the pollution status of macroplastics (abundance, size, type, and colour) and cigarette butts (CBs, number/m2) on the northern coasts of the Persian Gulf has been investigated. A total of 19 stations were explored in Bushehr province (Iran), which covers a length equivalent to 160 km of the Persian Gulf coastline. Among the collected plastic waste (2992 items), disposable mugs were the most frequent (18 %). Plastics with sizes 5–15 cm were the most abundant, and the most common type of plastic was PET (P-value <0.05). The origin of most macroplastics was domestic (2269 items). According to the Index of Clean Coasts (ICC), most surveyed beaches were extremely dirty. The average number and density of CBs in this study were 220 and 2.45 items/m2, respectively. Household litter was the most abundant type of waste in the studied beaches, and this problem can be better managed by training and improving the waste disposal culture. In general, it is suggested that an integrated and enhanced management for fishing, sewage and surface water disposal, and sandy recreational beaches be implemented in Bushehr to control plastic waste.

Occurrence of Palygorskite and the Major Soil Properties Influencing its Distribution in Selected Soils of Bushehr Province

Occurrence of Palygorskite and the Major Soil Properties Influencing its Distribution in Selected Soils of Bushehr Province

Investigating the Inequality Trend in Health Resource Distribution in Iran: A Case Study in Bushehr Province

Background: Equity in access to health resources is a fundamental goal of health systems worldwide. Objectives: This study aims to assess the distribution of essential health resources necessary for healthcare provision in Bushehr Province. Methods: This cross-sectional study spans ten years and utilizes several widely recognized indices in health resource distribution equity and equality, including the Gini Coefficient, Concentration Index, Horizontal Inequity, Robin Hood Index, Theil Index, Atkinson Index, and Quantile Ratio. These indices were calculated based on both the population level and the proposed resource allocation model (PRAM) using Excel Software 2018 and Stata version 18. Results: The findings indicate a degree of inequality in the distribution of all health resources examined, with special beds exhibiting much higher levels of inequality than others. The sensitivity of the studied indices varied across the distributed resources. Moreover, the trend of inequality generally decreased for all examined resources. The PRAM results suggest that adopting a different approach to resource distribution can significantly reduce inequality levels. Conclusions: Despite a downward trend in the inequality of health resource distribution, significant disparities persist. Altering the resource distribution system from the conventional geographical division could aid in achieving equity and equality in healthcare. Such changes could also reduce the costs associated with the health system.

Territorial patterns of COVID-19 in Iran

Motives: Spatial analysis has become an essential tool in understanding the underlying factors that contribute to the distribution of viral pandemics, diseases, injuries, and mortality patterns. By visualizing geographical data in spatial maps, researchers can identify local distribution patterns and potential drivers behind these patterns. In health and medical sciences, there has been a growing recognition that spatial analysis and mapping techniques are helpful in addressing various challenges related to the allocation of healthcare resource in both urban and rural areas. Aim: The objective of this study was to analyze the spatial distribution pattern of the COVID-19 pandemic and the Index of Proximity Distribution (IPD) across 31 provinces of Iran between February 2019 and February 2023. A two-stage sampling method combining convenience and cluster sampling was used to examine COVID-19 distribution patterns in 31 provinces of Iran between 22 February 2020 and 22 February 2023. COVID-19 and IPD data were collected as part of this panel study. Data were analyzed using t-tests, chi-square tests, and analysis of variance (ANOVA) in SPSS version 28 (α = 0.05). Subsequently, daily COVID-19 infection data for each province in the analyzed period were processed in ArcGIS software, and the spatial distribution pattern of the pandemic in Iran were visualized by point density analysis. Standard distance and standard deviation ellipse techniques were employed to assess the density or dispersion of infected individuals and to determine the spatial distribution pattern of COVID-19 in Iran. A spatial autocorrelation (Moran’s I) analysis was conducted to identify the spatial distribution pattern of COVID-19 in Iran. Additionally, distance-based spatial autocorrelation was used to examine the prevalence of COVID-19 infection across Iranian provinces. In a grouping analysis, 31 Iranian provinces were classified into five groups based on the number of COVID-19 cases, and spatial statistics were used to examine the prevalence of COVID-19 within each group. A hot spot analysis and a standard distance (SD) analysis were conducted to explore spatial correlations in the number of individuals affected by COVID-19 in each province. Results: Based on the Moran index, a random spatial pattern with a Z-Score of 1.485 was identified in March 2019, whereas a clustered distribution of COVID-19 with a Z-Score of 3.039 was determined in February 2023. The distance-based spatial autocorrelation analysis revealed a positive value of the Moran index (0.136627) at a distance of 383.3 kilometers from Tehran, which points to positive spatial autocorrelation and a higher number of COVID-19 cases in nearby regions. Conversely, the Moran index assumed a negative value of 0.040246 at a distance of 726.6 kilometers from Tehran, which suggests that the number of pandemic cases decreased over distance from Tehran. Moreover, based on the results of the hot spot analysis, Tehran province was identified as a hot cluster with a higher prevalence of COVID-19 cases in that region. In contrast, Bushehr province was classified as a cold cluster with a lower prevalence of COVID-19 cases in comparison with the surrounding regions. These findings provide valuable insights into the spatial distribution and clustering of COVID-19 cases in Iran. The shift from a random spatial pattern in 2019 to clustered distribution in 2023 indicates that the pandemic spread rate increased over time. The positive spatial autocorrelation near Tehran highlights the role of proximity and population movement in the transmission of the virus. Furthermore, the identification of hot spots and cold spots in a country can inform targeted interventions and resource allocation to effectively manage and control the pandemic. Overall, this study demonstrates the value of spatial analysis in identifying the spatial distribution patterns and the dynamics of the COVID-19 pandemic in Iran. The integration of spatial analysis techniques with epidemiological data contributes to a better understanding of spatial-temporal patterns, facilitates effective public health responses and resource allocation strategies. These findings contribute to the growing body of knowledge on the spatial epidemiology of COVID-19 and can aid in informing future preparedness and response efforts in Iran and other regions that face similar challenges.

Anti-Trichomonas vaginalis Activity of Marine Ascidians (Tunicates; Ascidiacea) from the Bushehr Province, Iran.

The aim of the current research is to evaluate the antiparasite effects of compounds isolated from marine ascidian tunicates on Trichomonas vaginalis. Ascidian tunicates after collection were cut into small pieces, freeze-dried, and powdered. The resulting material was subjected to extraction in double-distilled water, ethanol, n-hexane, and dichloromethane. To fractionate the extracts and identify the most bioactive compound, silica gel column chromatography and GC-M/S analysis were used. Fraction 18 of silica gel column chromatography of ethanol extract was the most effective against T. vaginalis. The respective IC50, CC50, and SI values for fraction 18 were 28.62 μg/mL, ˃800 μg/mL, and ˃27.95. GC-M/S analysis of this fraction identified a major phenolic compound (2, 4-bis (1, 1-dimethyl ethyl), whose toxicity against vero cells was only 10.15%. The ethanolic fraction containing phenol-2,4-bis (1,1-dimethylethyl), which has a potent lethality effect on T. vaginalis, may be considered as an antiparasite drug candidate.

Does road construction have beneficial effects on vegetation biodiversity and tree regeneration in arid woodlands?

AbstractThe regeneration, plant diversity, and change of soil properties are the determining factors affecting the stability of natural forests. Road construction activities are considered among the most important contributing factors. This study was conducted to see if road construction has positive or negative effects on plant diversity, soil physicochemical properties, and tree regeneration in arid woodlands and fulfill the lack of information about road construction in arid woodlands. For this purpose, two roads were selected in the arid woodlands of Bushehr Province, Iran. Twenty‐four sampling plots with an area of 200 square meters were selected on the RE and in the forest interior around the studied roads. Plant species diversity, soil physiochemical properties, and tree regeneration were determined in the studied plots. Our result indicated 49 plant species belonging to 20 families in the studied sites. RE plots represented 37 species while plots in the forest interior represented 40 species. Ficus johannis, Ziziphus spina‐christ, Eryngium billardieri, Astragalus fasciculifolius, Medicago rigidula, Vicia peregrine, and Peganum harmala appeared only in the plots located at the RE. But Dicyclophora persica, Convolvulus acanthocladus, Capparis parviflora, Pulicaria aucheri, Senecio sp., Phlomis olivieri, Teucrium polium, Ziziphora tenuior, Salvia sp., Haplophyllum canaliculatum, Fumaria parviflora, and Scabiosa olivieri appeared only in the forest interior plots. Although no significant differences were observed for richness between the RE and forest interior plots, Shannon–Wiener diversity indices revealed significant differences between the studied groups. Therefore, the composition of the plant species was not the same in the RE and forest interior plots. M. rigidula and V. peregrine as nitrogen‐fixating and palatable plant species appeared in the RE plots but not in the interior plots. Moreover, medicinal plants like D. persica and C. acanthocladus, P. aucheri, H. canaliculatum, and P. olivieri were recorded in the interior plots. Besides, the tree regeneration and soil nutrients were significantly higher in the RE plots compared to the interior plots. Overall, road construction in arid woodlands results in plant and soil community changes. Nitrogen‐fixing species appeared by providing unfavorable environmental conditions for livestock grazing at the RE. Therefore, soil nitrogen and organic matter increased, and consequently, tree regeneration increased in the RE plots. In contrast, medicinal plants appeared in the interior plots, where grazing pressure was higher than in the RE plots. Medicinal plants probably produce some chemical components unfavorable for livestock grazing.

Cytotoxic Sulfoquinovosyl Glycerols from the Seaweed Sargassum Angustifolium from Persian Gulf.

Seaweeds are an important source of marine organisms that produce a lot of bioactive compounds. In this research, the seaweed Sargassum angustifolium was collected from Bushehr province of Persian Gulf of Iran. The seaweed was extracted by methanol:ethyl acetate (1:1) using maceration method. The compounds were isolated with different column chromatography and HPLC(High Performance Liquid Chromatography) by silica gel and hexane:ethyl acetate as mobile phase. The isolated compounds were elucidated structurally by various 1 and 2 D-NMR and MS spectra. Besides the cytotoxicity test was done against HeLa using standard MTT assay and normal cells. It afforded four known sulfoquinovosyl diacylglycerides and fucosterol. Compounds 1-5 showed cytotoxic effects against HeLa and HUVEC cell lines, with IC50 values of 12.2 ± 2.3, 25.8 ± 3.7, 14.9 ± 2.6, 9.8 ± 1.2 μM, and 5.6 ± 1.2, respectively.

Comparison of virulence factors between ESBL and non-ESBL producing Klebsiella pneumoniae isolates.

Klebsiella pneumoniae is an opportunistic pathogen responsible for causing nosocomial and community-acquired infections. Its pathogenicity is associated with a variety of virulence factors and antibiotic resistance. The aim of the present study was to compare virulence attributes between ESBL and non-ESBL producing isolates. A total of 113 K. pneumoniae including 56 ESBL and 57 non ESBL-producers were collected in Bushehr province, Iran, from November 2017 to February 2019. Enzymatic profile, hypermucoviscosity and biofilm formation were investigated phenotypically. In addition, the presence of rmpA, aerobactin, kfu, allS, mrkD, ybtS, entB, iutA, fimH, wabG, wcaG, K1 and K2 genes were detected by PCR and sequencing. There was no statistically significant difference in enzymatic profile between ESBL and non-ESBL producers. The prevalence of the hypermocoviscosity was lower among ESBL compared to non-ESBL producers but the intensity of biofilm was higher in the ESBL producers. Among the virulence genes, K1, rmpA, iutA, and aero were observed only in non-ESBLs. Moreover, the carriage of allS, K, K2, rmpA, iutA and aero genes was higher in hypermucoviscous in comparison with non hypermucoviscous isolates. The identification of potentially pathogenic isolates plays an important role in preventing their spread as well as the success of their treatment.

COVID-19-Related Anxiety and Its Relationship With Job Burnout in Health Workers From Bushehr Province, Southern Iran

Background &amp; Aims Health workers during the COVID-19 pandemic had high responsibilities of prevention and treatment, which can cause anxiety in them considering the negative effects of the pandemic on mental health. This study aims to investigate the COVID-19-related anxiety level and its relationship with job burnout in health workers from Bushehr province, southern Iran. Materials &amp; Methods This is a descriptive-correlational study with a cross-sectional design that was conducted in 2022. Participants were 365 health workers from health centers affiliated to Bushehr University of Medical Sciences, who were selected by census method. The data was collected using a sociodemographic form, the Maslach Burnout Inventory, and the corona virus anxiety scale. SPSS software, version 16 was used for data analysis. Results Of 365 health workers, 308 completed the questionnaires. The majority of thm were female (69.5%) and married (85.7%). Their mean age and work experience were 37.8 and 13.9 years, respectively. The anxiety in most health workers (70.8%) was mild (Mean: 12.58 ±10.81). The findings also showed that 31.8% had moderate to severe emotional exhaustion; depersonalization was mostly low (82.1%), and about half had low personal achievement (49.7%). There was a significant relationship between COVID-19-related anxiety and emotional exhaustion (r=0.667; P&lt;0.001), depersonalization (r=0.472, P&lt;0.001), and personal achievement (r=-0.188, P=0.001). Conclusion There is a significant relationship between anxiety caused by COVID-19 and job burnout in health workers. Although the pandemic did not cause high anxiety among health workers in Bushehr province, it can disrupt their performance. Policymakers in Iran should pay more attention to the negative effects of pandemics on health workers.

The correlation between echinoderms diversity and physicochemical parameters in marine pollution: A case study of the Persian Gulf coastline

This study was conducted with the aim of investigating the correlation between echinoderms diversity and physicochemical parameters in the Persian Gulf coastline in Bushehr province in 4 seasons from March to December 2017. The physicochemical parameters including water temperature, dissolved oxygen (DO), electrical conductivity (EC), salinity, pH and turbidity were measured at each sampling location. The results showed a significant correlation between echinoderms diversity and physicochemical parameters. The correlation coefficient of the Astropecten polyacanthus species with the parameters of temperature, DO, EC, salinity and turbidity was reported as -0.41, 0.64, -0.25, -0.44 and 0.60 respectively. This coefficient for the Ophiothrix fragilis species was reported as -0.68, 0.70, -0.21, -0.36 and -0.55 respectively. The results demonstrated that the most sensitive species were Astropecten polyacanthus and Ophiothrix fragilis respectively. The different species of echinoderms can be used as biological indicators of pollution in evaluating the physicochemical quality of marine environments.

Designing a Sustainable Supply Chain Agility Model in the Oil and Gas Industry of Bushehr Province Using a Mixed Approach

The primary objective of this research is to design a sustainable supply chain agility model in the oil and gas industry of Bushehr Province. This study employs a mixed-method approach (qualitative-quantitative), content analysis, the fuzzy DEMATEL technique, and the Analytic Network Process (ANP). The statistical population consists of managers, officials, and mid- to senior-level experts from companies operating in the oil and gas industry of Bushehr Province. A sample size of 10 managers, experts, and industry specialists was selected for each stage. The qualitative findings revealed that sustainable supply chain agility indicators are comprised of environmental factors (green purchasing, eco-friendly and economic design and packaging, environmental preservation), economic factors (adoption of information technology, responsiveness, speed, competence, flexibility), and social factors (customer collaboration, ethical purchasing, social responsibility, compliance with laws, integration of relationships, and supplier collaboration). In the quantitative section, the first stage using the fuzzy DEMATEL approach showed that environmental factors fall under the category of effect criteria, while economic and social factors fall under the category of cause variables. ANP findings indicated that among the environmental factors, the green purchasing indicator holds the highest weight (0.33), followed by the environmental preservation indicator (0.087) and eco-friendly and economic design and packaging (0.086). Among the economic factors, the speed indicator has the highest weight (0.0524), followed by flexibility (0.0513) and competence (0.0505). Among the social factors, the customer collaboration indicator (0.0439) and compliance with laws (0.0438) have the highest weight.

Explaining the effects of the date tourism festival from the point of view of local residents (case study: water distribution department of Bushehr province)

Explaining the effects of the date tourism festival from the point of view of local residents (case study: water distribution department of Bushehr province)

Exploring the microplastic pollution: Unveiling origins and varieties in coastal sediments and waters of the Bushehr Province, Persian Gulf, Iran

In this study, microplastic (MP) pollution in the coastal sediments and tidal waters of Bushehr province in the Persian Gulf was comprehensively investigated. The sampling stations were selected based on their proximity to various human activities in January and February 2022, such as tourism, fishing, urban development and industry. The results showed that the abundance of MP associated with different human activities varied. The highest concentrations were observed near the petrochemical industry in Asaluyeh, followed by the densely populated Bushehr and the fishing port of Dayyer. Other areas such as Ganaveh, Deylam and Mand also showed varying levels of MP contamination. The average MP concentration was 1.67 × 104 particles/km2 in surface water and 1346.67 ± 601.69 particles/kg in dry sediment. Fiber particles were in the majority in both sediment and water samples, mainly black. The sediment samples had a size range of 100–500 μm (41.34 %), while the water samples were between 500 and 1000 μm (33.44 %). The main polymers found were polyethylene (PE) and polypropylene (PP). This assessment highlights the widespread problem of microplastic pollution in the coastal and intertidal zones of Bushehr province in the Persian Gulf.