Because of the recent frequent observations of major dust storms in southwestern cities in Iran such as Ahvaz, and the importance of the ionic composition of particulate matters regarding their health effects, source apportionment, etc., the present work was conducted aiming at characterizing the ionic composition of total suspended particles (TSP) and particles on the order of ∼10 μm or less (PM(10)) during dust storms in Ahvaz in April-September 2010. TSP and PM(10) samples were collected and their ionic compositions were determined using an ion chromatography. Mean concentrations of TSP and PM(10) were 1,481.5 and 1,072.9 μg/m(3), respectively. Particle concentrations during the Middle Eastern Dust (MED) days were up to four times higher than those in normal days. Ionic components contributed to only 9.5% and 11.3% of the total mass of TSP and PM(10), respectively. Crustal ions were most abundant during dust days, while secondary ions were dominant during non-dust days. Ca(2+)/Na(+) and Cl(-)/Na(+) ratios can be considered as the indicators for identification of the MED occurrence. It was found that possible chemical forms of NaCl, (NH(4))(2)SO(4), KCl, K(2)SO(4), CaCl(2), Ca(NO(3))(2), and CaSO(4) may exist in TSP. Correlation between the anionic and cationic components suggests slight anion and cation deficiencies in TSP and PM(10) samples, though the deficiencies were negligible.

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Introduction: Dust phenomenon is a major environmental problem in world that threatens the middle-east countries specifically. In order to develop a need-based policy and regulate the supporting health program to reduce dust effects requires a proper understanding of the public beliefs about threats posed by this issue. The purpose of this study was to explain the threat appraisal patients with cardiovascular diseases regarding exposure to dust phenomena. Method: This qualitative content-analysis study was conducted from January to June 2018. The participants included 28 cardiovascular patients who referred to the healthcare centers in Ahvaz City. Semi-structured interviews were conducted with open-ended questions and inspiration from threat appraisal process constructs were used to collect data. All data were gathered, transcribed, and analyzed using MAXQDA-10 software and in-depth analysis. Findings: Perceived threat constructs were used and 4 categories and 9 sub-categories were extracted: perceived likelihood of exposure to dust (perceived likelihood of increased non-respiratory problems, perceived likelihood of increased respiratory problems), belief in seriousness and danger of exposure to dust (understanding the severity of physical complications, understanding the severity of mental and psychological complications, understanding the severity of economic complications), external reward of exposure to dust (improving personal and social relationships, improving financial problems), internal reward of exposure to dust (pleasant feeling). Conclusion: This study provided a clearer and deeper understanding of the threat posed by exposure to dust among cardiovascular patients. Based on the results, the authorities can design more targeted and more effective protective plans to raise awareness among community members, especially cardiovascular patients about the negative effects of exposure to dust and the ways to reduce its exposure.

Background: Dust particles are one of the most important environmental problems that are threatening many countries, and patients with cardiovascular diseases (CVDs) are a vulnerable group in this respect. The present study was conducted to examine the protective strategies among patients with CVDs against exposure to dust phenomenon based on the protection motivation theory (PMT). Methods: This cross-sectional study was performed on 183 patients with CVDs who referred to health care centers in Ahvaz city, Khuzestan province, southwest of Iran. Participants were selected from patients with CVDs recruited for routine national Package of Essential Non-communicable Disease (IRA-PEN) through random cluster sampling. Data were collected using a researcher-made questionnaire based on the PMT. Data were analyzed using descriptive and analytical tests such as Pearson correlation coefficient and multiple linear regressions by SPSS version 22. Results: The mean scores of the constructs of perceived response efficacy (4.06 ± 20.06) and sensitivity (19.89 ± 4.30) were higher than those of other constructs. Correlation coefficient test showed a significant positive correlation between risk behaviors of exposure to dust phenomenon and self-efficacy, response efficacy and protection motivation, but negatively correlated with cost response. Also, self-efficacy variable, type of health insurance, and protection motivation were the predictive indicators of behavior. Conclusion: The constructs of the PMT explained the risk reduction behaviors of exposure to dust phenomenon in patients with CVDs. Therefore, this theory can be used as a framework for designing educational programs to increase the motivation of patients with CVDs to adopt risk reduction behaviors for exposure to dust.

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