Appraisal of Heavy Metal Contents in Commercial Inorganic Fertilizers Blended and Marketed in Nigeria

Abstract Human food chain toxicity has been shown to be influenced by application of inorganic fertilizers. Three samples of commercial inorganic fertilizers marketed in Nigeria were analysed for their heavy metal contents. The fertilizer samples used were N 15 P 15 K 15 (CF1), N 20 P 10 K 10 (CF2) and N 27 P 13 K 13 (CF3). Molybdenum (Mo) levels were the highest and Vanadium (V), Arsenic (As), Mercury (Hg) and Silver (Ag) were not detected by our analytical method. The concentrations of Mo in the CF1 (2, 570.0 mg/kg), CF2 (2,3000.0 mg/kg) and CF3 (1,340.0 mg/kg), were above the maximum acceptable concentration (20mg/kg) while CF1 (0.129 mg/ha/yr) and CF2 (0.115 mg/ha/yr) were above the maximum annual metal addition to soil (0.079 mg/ha/yr), as established by Canadian standard for fertilizers. Only CF1 (5.805 kg/ha) was above long-term cumulative assessment of metal addition to soil (3.57 kg/ha). Other heavy metals detected were Magnesium(Mg), Iron(Fe), Nickel(Ni), Zinc(Zn), Cadmium(Cd), Manganese(Mn), Cupper(Cu), Cobalt(Co), Lead(Pb), Chromium(Cr) and Boron(B). Cd and Pb mean concentrations of the fertilizer samples examined ranged from 2.84 to 11.32 mg/kg and 7.43 to 9.02 mg/kg respectively. Cd followed significantly (p<0.05) with phosphate percentage by weight of the inorganic fertilizers. Though the concentrations of these non-nutrient/toxic metals were below the recommended levels, it is important to encourage manufacturers to indicate their concentrations on the fertilizer labels in view of their health implications

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Cross-sectionally dependent heterogeneous panel causality analysis

The purpose of this study is to determine the direction causality between nuclear energy consumption and economic growth in OECD countries. The empirical model that includes capital and labor force as the control variables is estimated for the panel of fourteen OECD countries during the period 1980-2007. Apart from the previous studies in the nuclear energy consumption and economic growth relationship, this study utilizes the novel panel causality approach, which allows both cross-sectional dependency and heterogeneity across countries. The findings show that there is no causality between nuclear energy consumption and economic growth in eleven out of fourteen cases, supporting the neutrality hypothesis. As a sensitivity analysis, we also conduct Toda-Yamamoto time series causality method and find out that the results from the panel causality analysis are slightly different than those from the time-series causality analysis. Thereby, we can conclude that the choice of statistical tools in analyzing the nature of causality between nuclear energy consumption and economic growth may play a key role for policy implications. Crown Copyright (C) 2011 Published by Elsevier Ltd. All rights reserved

Development of hepatocellular carcinoma in hepatitis B virus- and hepatitis C virus-related cirrhosis

WOS: 00017570470025

Hemophagocytic syndrome after living-related liver transplantation

WOS: 000183852600067PubMed ID: 12826200Hemophagocytic syndrome (HPS) is a life-threatening hematological disorder in immunocompromised patients. Although the number of patients with HPS following liver transplantation is scarce the outcome is usually fatal. We report a patient who developed HPS following living-related liver transplantation (LRLT) and was treated successfully by a combination of intravenous (IV) immunoglobulin (Ig) and granulocyte colony-stimulating factor (GCSF)

Adenoma of the Retinal Pigment Epithelium Mimicking Ciliochoroidal Melanoma

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