Leaching of Some Essential and Non-Essential Heavy Metals from Modern Glazed Ceramic Crockeries Imported into Qatar from China, India and Spain

In this study, the leaching potential of ceramic crockeries available in Qatar market has been evaluated using inductively coupled plasma mass spectrometry (ICP-MS). Ceramic crockeries decorated with glaze matter containing various essential (Zinc, Iron, and Barium, etc.) and non-essential heavy metals (lead and cadmium) can adulterate the foodstuff and/or can release deadly metals into the food substance. Chines, Indian, and Spanish ceramic crockeries were randomly selected from the products available in the local Qatari market and analyzed to determine the level of leachable essential and non-essential heavy metals. Leaching studies were performed according to the ASTM 738-94 standard test methods for specific metals leaching into 4% acetic acid solutions over 24 hours exposure time. ASTM 738-94 is a precise and standard method and particularly designed for the determination of some heavy metals extracted by acetic acid from the glazed ceramic surface. Results show that all the ceramic crockeries contain both leachable essential and non-essential heavy metals. However, the concentration of these heavy metals is not potentially high to cause any adverse effect on human health

Health and Safety Concerns: Quantitative Studies of Leaching of Metals from Glazed Surfaces of Traditional Ceramic Potteries

Traditional ceramic wares have been known as a source of heavy metals poisoning. Traditional ceramic potteries may be improperly glazed, and the glaze used to make the pottery may contain over amounts of heavy metals. These over glazed ceramic wares can release deadly metal into foodstuff and constitute health hazards. In this work, Quantitative studies were done according to ASTM C 738.81 (1982) leaching standard test methods for the determination of trace amount of selected metals from glazed surfaces of traditional ceramic potteries by 4% acetic and 2% citric acid standard solutions at different temperatures. Finally, leaching potential has been done using ICP-MS analysis. The capacity of each ceramic tableware sample ranged between 250 and 350ml. The ceramic wares selected randomly from products available in the local markets at Doha (Qatar), Cairo (Egypt) and Gharyan (Libya)

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Direct alcohol fuel cells: Assessment of the fuel's safety and health aspects

Fuel cell (FC) is simply a device that directly converts the chemical energy of fuel into electrical energy through electrochemical oxidation. Hence, FC inherently exhibits a low-temperature and high-energy conversion efficiency. Direct alcohol fuel cells (DAFCs) overcome the storage, handling, and safety challenges typically associated with gaseous fuels such as hydrogen. Most of the research and development work in DAFC is focusing on maximizing its performance by varying fuel concentration, operating conditions, and electrocatalysts used. However, less attention is being given to the health and safety aspects associated with these fuels and operating conditions. Most of these fuels are known to be highly flammable, toxic, and become even more hazardous at elevated temperatures. The present work performs a systematic assessment of the safety and health aspects of the widely used fuels for DAFCs, namely methanol, ethanol, ethylene glycol, and glycerol. The safety assessment is considering the flammability characteristics, along with other safe operation aspects. While the health assessment considers the toxicity of fuel and its reaction byproducts to human and aquatic life. The evaluation has provided an envelope of conditions at which the FC operation would be considered “safer” by applying basic principles of inherent safety, i.e., minimizing, substituting, moderating, and simplifying

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially