Geological and Geotechnical Assessment of Gabal Ataqa Dolostones, for Pavement Construction in Egypt

Aggregate is a collective term for the mineral materials such as sand, gravel and crushed stone. By weight, aggregate generally occupies about 92-96 percent of the hot mix asphalt (HMA), and about 79-85 percent of the Portland cement concrete (PCC). Aggregate is also used for Base and Sub-base courses for both flexible and rigid pavements. This research aims to investigate the geological and geotechnical properties of Gabal Ataqa dolostone for pavement construction projects in Egypt. A total of six dolomite microfacies were recognized and classified according to the dolomite rock classification. The X-Ray Diffraction (XRD) analysis showed that Ataqa dolostones consist mainly of dolomite (89.79%) and calcite (7.74%), while quartz (2.3 %) and halite (0.18 %) were found in small amounts in some samples. Generally Ataqa dolostone is around stoichiometric (50.96%), and may belong to dolomite of late diagentic coarse crystalline dolomite. The chemical investigation showed that the major elements of the investigated dolostone rocks are SiO2 (1.72 %); CaO (32.03%), MgO (19.18%), Fe2O3 (0.22 %), Na2O (0.11%), and Al2O3 (0.05%) while the loss on ignition is about (46.19 %.). The trace elements consist of strontium (116 ppm), barium (14.0 ppm); and very low amount of zirconium (3 ppm). Petrographic, chemical, mineralogical, and compressive strength of Ataqa dolostone rocks beside, geotechnical properties of the produced coarse aggregates were investigated. Los Angeles abrasion, apparent specific gravity, water absorption, disintegration, and stripping were evaluated. The results of the conducted testing indicate that Ataqa dolostone rocks are suitable for road construction and concrete industry.

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