Small doses of fentanyl or sufentanil (synthetic opioids) added to bupivacaine (local anesthetic) for spinal anesthesia for cesarean section reduce the need for intraoperative antiemetic medication and increase the duration of analgesia in the early postoperative period compared with placebo.
Despite contributing 75% of the total wastewater flow to domestic sewers, little is currently known concerning the detailed production patterns and characteristics of grey wastewater. In this study, an inventory of the consumption of household chemicals including a diary survey of water-consuming activities was carried out over seven consecutive days in a block of flats. In total 290 parameters in 92 household chemicals were registered in the inventory in which 30 out of 38 tenants participated. The study was accompanied by quantitative analyses of selected parameters and a screening for organic components in grey wastewater. More than 190 individual components were identified by GC-MS. Identified substances were grouped into eight substance classes based on their application and their concentrations were semi-quantitatively assessed. Several fragrances like citronellol, hexyl cinnamic aldehyde and menthol as well as some preservatives, e.g. citric acid and triclosan, were identified. The measurements also showed that unwanted and unexpected compounds like drugs and pesticides could be present, as well as chemicals not directly deriving from household chemicals or personal care products, e.g. flame-retardants. The inventory provided detailed information about the consumption of various types of household chemicals, but no information on compound concentrations could be assessed due to the limited data in the list of contents of the household chemicals. It was shown that tracking of potentially toxic compounds used in households was possible.
Plastics recycling has the potential to substitute virgin plastics partially as a source of raw materials in plastic product manufacturing. Plastic as a material may contain a variety of chemicals, some potentially hazardous. Phthalates, for instance, are a group of chemicals produced in large volumes and are commonly used as plasticisers in plastics manufacturing. Potential impacts on human health require restricted use in selected applications and a need for the closer monitoring of potential sources of human exposure. Although the presence of phthalates in a variety of plastics has been recognised, the influence of plastic recycling on phthalate content has been hypothesised but not well documented. In the present work we analysed selected phthalates (DMP, DEP, DPP, DiBP, DBP, BBzP, DEHP, DCHP and DnOP) in samples of waste plastics as well as recycled and virgin plastics. DBP, DiBP and DEHP had the highest frequency of detection in the samples analysed, with 360μg/g, 460μg/g and 2700μg/g as the maximum measured concentrations, respectively. Among other, statistical analysis of the analytical results suggested that phthalates were potentially added in the later stages of plastic product manufacturing (labelling, gluing, etc.) and were not removed following recycling of household waste plastics. Furthermore, DEHP was identified as a potential indicator for phthalate contamination of plastics. Close monitoring of plastics intended for phthalates-sensitive applications is recommended if recycled plastics are to be used as raw material in production.
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