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Karunakaran V, Harding K, Sarnowski A, Walter E. Trace elements: Clinical perspectives in the critically ill. J Intensive Care Soc 2025; 26:223-236. [PMID: 39926387 PMCID: PMC11800230 DOI: 10.1177/17511437241305269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2025] Open
Abstract
Trace elements are required in minute quantities in the diet but play a vital role in a wide variety of functions, such as co-factors in antioxidant reactions and normal immune function to DNA and protein synthesis and skeletal and tissue remodelling and repair. Critically ill patients are at risk of trace element deficiency or excess, due to changes in intake, absorption, metabolism or excretion. Deficiency or excess can lead to a wide range of cellular and organ dysfunction that may be seen in patients with an acute or critical illness, including cardiomyopathy, impaired glucose tolerance and reduced oxygen delivery. In addition, various diseases, such as systemic inflammation and renal and intestinal failure, and intensive care treatments, such as parenteral nutrition, renal replacement therapy and diuretics, can increase the likelihood of deficient or excessive amounts of micronutrient levels. This narrative review discusses sources and normal physiology of trace element handling and how this may be impaired in critically ill patients. It then discusses various conditions seen in critically ill patients that may be caused or exacerbated by abnormal trace element status and the current evidence around whether supplementation is of benefit in particular critical illnesses.
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Affiliation(s)
| | - Keri Harding
- Intensive Care Unit, Royal Surrey County Hospital, Surrey, UK
| | | | - Edward Walter
- Intensive Care Unit, Royal Surrey County Hospital, Surrey, UK
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Loera Y, Gruppi C, Swing K, Campbell‐Staton SC, Milá B, Smith TB. Heavy Metal Contamination in Birds from Protected Regions in the Amazon. ENVIRONMENTAL TOXICOLOGY AND CHEMISTRY 2024; 43:2601-2607. [PMID: 39185679 PMCID: PMC11619747 DOI: 10.1002/etc.5984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Revised: 07/29/2024] [Accepted: 07/30/2024] [Indexed: 08/27/2024]
Abstract
The extraction of crude oil and gold has substantially increased heavy metal contamination in the environment, yet the study of wildlife exposure and biological response to this pollution remains nascent even in the most biodiverse places in the world. We present a survey of heavy metal exposure in the feathers of wedge-billed woodcreepers (Glyphorynchus spirurus), a resident neotropical bird found within protected regions of the Amazon near oil and gold extraction sites. Our results show elevated heavy metal contamination in samples collected from protected areas proximate to known oil and gold extraction. Surprisingly, several samples from remote reference sites also displayed elevated levels of various heavy metals, suggesting a background of natural deposition or complex heavy metal contamination in the environment from anthropogenic sources. These results highlight the need to understand the ecological and biological impacts of increased heavy metal exposure on wildlife across space and time, including remote regions of the world purportedly untouched by these human-mediated stressors. Toward this goal, historical and contemporary data from native bird populations may provide crucial indicators for heavy metal contamination and exposure in wildlife and human communities. Environ Toxicol Chem 2024;43:2601-2607. © 2024 The Author(s). Environmental Toxicology and Chemistry published by Wiley Periodicals LLC on behalf of SETAC.
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Affiliation(s)
- Yeraldi Loera
- Department of Ecology and Evolutionary BiologyPrinceton UniversityPrincetonNew JerseyUSA
| | - Cristian Gruppi
- Center for Tropical Research, Institute of the Environment and SustainabilityUniversity of CaliforniaLos AngelesCaliforniaUSA
| | - Kelly Swing
- College of Biological and Environmental SciencesUniversidad San Francisco de QuitoQuitoEcuador
- Tiputini Biodiversity Station, Universidad San Francisco de QuitoQuitoEcuador
| | | | - Borja Milá
- Museo Nacional de Ciencias Naturales, Consejo Superior de Investigaciones CientíficasMadridSpain
| | - Thomas B. Smith
- Center for Tropical Research, Institute of the Environment and SustainabilityUniversity of CaliforniaLos AngelesCaliforniaUSA
- Department of Ecology and Evolutionary BiologyUniversity of CaliforniaLos AngelesCaliforniaUSA
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Mohammad LM, Karami M, Mehrabi Y, Hashemi Nazari SS, Farhang Dehghan S, Baiee HA, Rafiee M. Investigating Blood Lead Levels and Its Health Effects on Employees of a Petroleum Industry and the Surrounding Residents: A Case Study of Kirkuk City, Iraq. J Occup Environ Med 2024; 66:924-931. [PMID: 39095050 DOI: 10.1097/jom.0000000000003199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/04/2024]
Abstract
OBJECTIVE This study has been aimed to investigate factors associated with elevated blood lead levels (BLLs) across different percentiles in individuals employed in the petroleum industry and residents of Kirkuk City . In addition, to provide evidence-based approaches to mitigate exposure risks and safeguard vulnerable populations. METHODS The study involved 357 participants and utilized quantile regression to examine BLL in petroleum industry workers and Kirkuk residents. RESULTS Median BLLs were higher among workers (17.5 μg/dL) compared to residents in the city (9.9 μg/dL) and suburbs (7.4 μg/dL). Factors such as smoking, outdoor work, and lower education were associated with elevated BLLs, as confirmed by quantile regression. CONCLUSIONS This study found higher BLLs in petroleum workers compared to Kirkuk residents, associated with smoking, outdoor work, and lower education. The results emphasize the need for targeted interventions and policies to mitigate lead exposure risks in this industrial region.
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Affiliation(s)
- Luay M Mohammad
- From the Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran (L.M.M., M.K., Y.M., S.S.H.N.); Environmental and Occupational Hazards Control Research Center, Research Institute for Health Sciences and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran (M.K., S.F.D.); Department of Family and Community Medicine, Al-Hilla University College, Babylon, Iraq (H.A.B.); and Department of Environmental Health Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran (M.R.)
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Saeed T, Abbasi NA, Zahid MT, Fatima N, Ullah K, Khokhar MF. Toxicological profile and potential health concerns through metals and trace elements exposure in brick kiln workers from Lahore, Pakistan. ENVIRONMENTAL GEOCHEMISTRY AND HEALTH 2024; 46:150. [PMID: 38578528 DOI: 10.1007/s10653-024-01937-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Accepted: 02/22/2024] [Indexed: 04/06/2024]
Abstract
This study examined levels of lead (Pb), cadmium (Cd), chromium (Cr), copper (Cu), mercury (Hg), and arsenic (As) in blood, hair, and nails of 18 brick kiln workers from three brick kiln units located around a metropolitan city, Lahore, Pakistan. All the trace elements except Hg and As were detected in the studied matrices of Brick kiln workers. In general, brick kiln workers reflect the highest concentration of Pb, followed by Cd, Cr, and Cu. Of the pollutants analyzed, Pb has the highest mean (min-max) concentrations at 0.35 (0.09-0.65) in blood (μg/mL), 0.34 (0.14-0.71) in hairs (μg/g), and 0.44 (0.32-0.59) in nails (μg/g) of brick kiln workers. Following Pb, the trend was Cd 0.17 (0.10-0.24), Cu 0.11(0.03-0.27), and Cr 0.07 (0.04-0.08) in blood (μg/mL), followed by Cr 0.11(0.05-0.20), Cd 0.09 (0.03-0.13), and Cu 0.08 (0.04-0.16) in hairs (μg/g) and Cu 0.16 (0.05-0.36), Cd 0.13 (0.11-0.17), and Cr 0.10 (0.05-0.14) in nails (μg/g) respectively. Relatively higher concentrations of metals and other trace elements in blood depicts recent dietary exposure. The difference of trace elements except Pb was non-significant (P > 0.05) among studied matrices of workers as well as between Zigzag and traditional exhaust-based brick kilns. The concentrations of Pb, Cd and Cr in blood of brick kilns workers are higher than the values reported to cause health problems in human populations. It is concluded that chronic exposure to metals and other trace elements may pose some serious health risks to brick kiln workers which needs to be addressed immediately to avoid future worst-case scenarios.
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Affiliation(s)
- Talha Saeed
- College of Earth and Environmental Sciences (CEES), University of the Punjab, Quaid-E-Azam Campus, Lahore, Pakistan
- Institute of Environmental Sciences & Engineering (IESE), National University of Science & Technology (NUST), Islamabad, Pakistan
| | - Naeem Akhtar Abbasi
- College of Earth and Environmental Sciences (CEES), University of the Punjab, Quaid-E-Azam Campus, Lahore, Pakistan.
| | - Muhammad Talha Zahid
- Institute of Environmental Sciences & Engineering (IESE), National University of Science & Technology (NUST), Islamabad, Pakistan
| | - Noor Fatima
- College of Earth and Environmental Sciences (CEES), University of the Punjab, Quaid-E-Azam Campus, Lahore, Pakistan
| | - Kaleem Ullah
- College of Earth and Environmental Sciences (CEES), University of the Punjab, Quaid-E-Azam Campus, Lahore, Pakistan
| | - Muhammad Fahim Khokhar
- Institute of Environmental Sciences & Engineering (IESE), National University of Science & Technology (NUST), Islamabad, Pakistan
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Saeed T, Abbasi NA, Zahid T, Fatima N, ullah K, Kokhar MF. Toxicological profile and health risk assessment through trace elements exposure in brick kiln workers from Lahore, Pakistan.. [DOI: 10.21203/rs.3.rs-3267981/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Abstract
This study examined lead (Pb), cadmium (Cd), chromium (Cr), copper (Cu), mercury (Hg), and arsenic (As) levels in blood, hair, and nails of 18 brick kiln workers from three brick kiln units located around a metropolitan city, Lahore, Pakistan. All the trace elements except Hg and As were detected in the studied matrices of Brick kiln workers. In general, brick kiln workers had the highest concentration of Pb, followed by Cd, Cr, and Cu. Among trace elements, Pb has the highest mean (min-max; µg/g)) concentrations at 0.35 (0.09–0.65) in blood, 0.34 (0.14–0.71) in hairs, and 0.44 (0.32–0.59) in nails of brick kiln workers. Following Pb, the trend was Cd 0.17 (0.10–0.24), Cu 0.11(0.03–0.27), and Cr 0.07 (0.04–0.08) in blood, followed by Cr 0.11(0.05–0.20), Cd 0.09 (0.03–0.13), and Cu 0.08 (0.04–0.16) in hairs and Cu 0.16 (0.05–0.36), Cd 0.13 (0.11–0.17), and Cr 0.10 (0.05–0.14) in nails respectively. The difference of trace metals except Pb was non-significant (P > 0.05) among studied matrices of workers as well as between Zigzag and traditional exhaust based brick kilns. Non-carcinogenic risk of Pb and Cd were above USEPA and WHO limits while Pb, Cd, and Cr carcinogenic risks were close to the threshold limits. It is concluded that chronic exposure to trace elements poses serious health risks to brick kiln workers which needs to be addressed to avoid future worst-case scenarios.
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Batyrova G, Tlegenova Z, Kononets V, Umarova G, Kudabayeva K, Bazargaliyev Y, Amanzholkyzy A, Umarov Y. Hair Toxic Trace Elements of Residents across the Caspian Oil and Gas Region of Kazakhstan: Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11158. [PMID: 36141431 PMCID: PMC9517423 DOI: 10.3390/ijerph191811158] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 09/02/2022] [Accepted: 09/03/2022] [Indexed: 06/16/2023]
Abstract
This study aimed to assess the relationship between the content of toxic trace elements, such as aluminum (Al), arsenic (As), beryllium (Be), cadmium (Cd), mercury (Hg), and lead (Pb), in the hair of the adult population of western Kazakhstan and the distance of their residence from oil and gas fields. The cross-sectional study included 850 adults aged 18-60 years. Inductively coupled plasma mass spectrometry was used to measure the level of Al, As, Be, Cd, Hg, and Pb in hair. The relationship between the concentration of toxic trace elements in the hair and the distance from oil and gas fields was assessed in three groups (<16 km, 16-110 km, and >110 km), using multiple linear regression analysis. The highest concentration of Hg = 0.338 μg/g was determined in the group living near oil and gas fields (0-16 km), whereas the lowest concentration of Al = 3.127 μg/g and As = 0.028 μg/g was determined in participants living at a long distance (more than 110 km) (p < 0.001). The concentration of Al (-0.126 (CI: -0.174; -0.077)), Hg (-0.065 (CI: -0.129; -0.001)), and Pb (0.111 (CI: 0.045; 0.177)) is associated with the distance to oil and gas fields. The obtained data indicate a change in the toxic trace element content in the hair of residents in the Caspian region of western Kazakhstan, a change that is most pronounced in residents living in the zone of oil and gas pollution. The distance to the oil and gas fields affects the content of toxic elements in scalp hair. In particular, the concentration of Al and Hg is associated with a decrease in the distance to oil and gas fields, while the concentration of Pb is associated with an increase in the distance to these fields. The lowest content of Al and As was determined in the hair of study participants living in the most remote areas (more than 110 km from oil and gas fields). Our results demonstrate the need for the biomonitoring of toxic elements to determine long-term temporal trends in the impact of chemicals on public health in western Kazakhstan.
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Affiliation(s)
- Gulnara Batyrova
- Department of Laboratory and Visual Diagnostics, West Kazakhstan Marat Ospanov Medical University, 68 Maresyev Street, Aktobe 030019, Kazakhstan
| | - Zhenisgul Tlegenova
- Department of Internal Diseases No. 2, West Kazakhstan Marat Ospanov Medical University, 68 Maresyev Street, Aktobe 030019, Kazakhstan
| | - Victoria Kononets
- Department of Natural Sciences, West Kazakhstan Marat Ospanov Medical University, 68 Maresyev Street, Aktobe 030019, Kazakhstan
| | - Gulmira Umarova
- Department of Evidence-Based Medicine and Scientific Management, West Kazakhstan Marat Ospanov Medical University, 68 Maresyev Street, Aktobe 030019, Kazakhstan
| | - Khatimya Kudabayeva
- Department of Internal Diseases No. 1, West Kazakhstan Marat Ospanov Medical University, 68 Maresyev Street, Aktobe 030019, Kazakhstan
| | - Yerlan Bazargaliyev
- Department of Internal Diseases No. 1, West Kazakhstan Marat Ospanov Medical University, 68 Maresyev Street, Aktobe 030019, Kazakhstan
| | - Ainur Amanzholkyzy
- Department of Normal Physiology, West Kazakhstan Marat Ospanov Medical University, 68 Maresyev Street, Aktobe 030019, Kazakhstan
| | - Yeskendir Umarov
- Department of Natural Sciences, West Kazakhstan Marat Ospanov Medical University, 68 Maresyev Street, Aktobe 030019, Kazakhstan
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Securitization Concept and Its Application to Environmental Problems in the Kurdistan Region: Prospects and Obstacles. JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH 2022; 2022:8122568. [PMID: 35664425 PMCID: PMC9162834 DOI: 10.1155/2022/8122568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 04/11/2022] [Accepted: 05/04/2022] [Indexed: 11/17/2022]
Abstract
Environmental pollution has caused a wide range of problems across the globe. Various studies have focused on worldwide water and environmental issues and their effects on human health and political and social aspects. This article, on the other hand, discusses soil, water, and air pollution as well as the overuse of water resources. This study then discusses these problems as a security issue in the Kurdistan Region of Iraq (KRI) context. This research adopts a qualitative approach. It reviews the results of previous studies on soil, water, and air pollution in KRI to demonstrate the causes and scale of the problem. It then explores securitization by looking at the main components of the concept and how they can be applied and what needs to be adjusted. Results of the study have shown that pollution is widespread, water is overexploited, and there is a lack of an effective response by the Kurdistan Regional Government (KRG). In addition, in the KRI context, securitization is state-centered, meaning that the country's decision-makers play an important role in securitizing issues. The Kurdistan Regional Government, that is, the securitizing actor, should do more on the speech act, and this should be preceded by substantial political, economic, and psychological changes. Finally, the government must also enforce strict water control to support its water policies.
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