Komplikation im Rahmen der Kyphoplastie

A 59-year-old woman had a nontraumatic osteoporotic fracture of the seventh thoracic vertebral body. Despite correct operative technique, in the course of kyphoplasty cement was dislocated through the segment vein into the azygos vein and from there into the superior vena cava. The patient was free of cardiopulmonary symptoms throughout. Oral anticoagulation was administered for 3 months to prevent thromboembolism, and regular clinical and echocardiographic follow-up examinations were also performed during this period.

Food Contamination with Organic Materials in Perspective: Packaging Materials as the Largest and Least Controlled Source? A View Focusing on the European Situation

The comparison of the various sources of food contamination with organic chemicals suggests that in the public, but also among experts, the perception of risk is often distorted. Firstly, neither pesticides nor environmental pollutants contribute the most; the amount of material migrating from food packaging into food may well be 100 times higher. Secondly, control of these large migrants is often lagging behind the standards set up for other sources, since many of the components (particularly those not being "starting materials") have not been identified and, thus, not toxicologically evaluated. Finally, attitudes towards different types of food contaminants are divergent, also reflected by the legal measures: for most sources of food contamination there are strict rules calling for minimization, whereas the European packaging industry has even requested a further increase in the tolerance to as close as possible to the limit set by the toxicologists. This paper calls for a more realistic perception and more coherent legal measures-and improvements in the control of migration from packaging material.

Polyadipates used as plasticizers in food contact: Fraction below 1000 Da determined by size exclusion chromatography with evaporative light scattering detection and segmental response linearization or UV detection

Polyadipates might be a suitable replacement for conventional plasticizers in plastisols to produce lids for glass jars complying with legal limits for oily foods. For the characterization of polyadipates, the proportion of the material with a molecular mass below 1000 Da is important. Determination of the material < 1000 Da is also important for checking compliance with the specific legal limit. The analytical problems and the sources of uncertainty are investigated. Even when calibrated with constituents of polyadipates, preseparation at 1000 Da is of limited accuracy, since stretched and cyclic components of the same molecular mass have different retention times; a compromise must be found. UV detection leaves substantial uncertainty as the response particularly of the < 1000 Da components varies and tends to be below that of the higher molecular mass polyadipates. Evaporative light scattering detection has a nonlinear response for which a segmental correction (linearization of the integration raw data) is suggested: The raw data of the integration is linearized by an exponential function before the chromatogram is reconstructed.

Compositional GC-FID analysis of the additives to PVC, focusing on the gaskets of lids for glass jars

A gas chromatographic (FID) method is described which aims at the quantitative compositional analysis of the additives in plasticized PVC, particularly the plastisols used as gaskets for lids of glass jars. An extract of the PVC is analysed directly as well as after transesterification to ethyl esters. Transesterification enables the analysis of epoxidized soya bean and linseed oil (ESBO and ELO) as well as polyadipates. For most other additives, the shifts in the chromatogram resulting from transesterification is used to confirm the identifications made by direct analysis. In the gaskets of 69 lids from the European market used for packaging oily foods, a broad variety of plastisol compositions was found, many or possibly all of which do not comply with legal requirements. In 62% of these lids, ESBO was the principal plasticizer, whereas in 25% a phthalate had been used.

Injector-internal thermal desorption from edible oils. Part 2: Chromatographic optimization for the analysis of migrants from food packaging material

Injector-internal thermal desorption from edible oil or fat is a convenient sample preparation technique for the analysis of solutes in lipids or extracts from fatty foods. The injector temperature is selected to vaporize the solutes of interest while minimizing evaporation of the bulk material of the oil. This technique has been in routine use for pesticides for some time. Now its potential is explored for migrants from food contact materials, such as packaging, into simulant D (olive oil) or fatty/oily food, which means extending the range of application towards less volatile compounds. The performance for high boiling components was investigated for diisodecyl phthalate (DIDP) and diundecyl phthalate (DUP). Since the injector temperature needs to be as high as 260degreesC, some bulk material of the oil enters the column and must be removed after every analysis. This is achieved by a coated precolumn backflushed towards the end of each analysis. Desorption of the solutes is particularly efficient in the initial phase, when a thin sample film is spread on the liner wall, and is largely determined by the diffusion speed in the oil after the latter has contracted to droplets. An increased carrier gas flow rate during the splitless period supports the transfer into the column. It is concluded that the technique is attractive for migrant analysis, with DUP being at the upper limit of the boiling point.

Injector-internal thermal desorption from edible oils. Part 1: Visual experiments on sample deposition on the liner wall

Injector-internal thermal desorption from edible oils or fats enables the analysis of a wide range of compounds in oils or extracts of fatty food without prior removal of the sample matrix. The oil or fat is deposited onto the wall of the injector liner. The solutes of interest are evaporated, leaving behind the sample matrix. The injector is kept at a temperature volatilizing the solutes of interest, but minimizing evaporation of the bulk material of the oil. This technique was optimized regarding sample deposition on the liner wall (Part 1) and desorption of high boiling compounds, such as migrants from food packaging materials into simulant D (olive oil) or fatty food (Part 2). The sample liquid should be transferred to the liner wall and spread to a thin film in order to facilitate the release of high boiling components. Visual experiments with perylene-containing solutions showed that the oil must be diluted to reduce the viscosity (separation from the needle tip). The oil concentration should not exceed 20% in order to rule out that squirting sample liquid drops to the bottom of the vaporizing chamber. Further dilution to about 10% oil improves spreading of the liquid to a thin film. A rather high boiling solvent should be used, such as n-butyl acetate, to prevent thermospray at the needle exit and violent evaporation from the liner wall with sputtering liquid. Using a 5-mm ID liner, 5-10-microL injections of 10-20% oil solutions were at the upper limit.

Large volume splitless injection with concurrent solvent recondensation: Keeping the sample in place in the hot vaporizing chamber

An injector liner packed with a plug of glass wool is compared with a laminar and a mini laminar liner for large volume (20-50 microL) splitless injection with concurrent solvent recondensation (CSR-LV splitless injection). Videos from experiments with perylene solutions injected into imitation injectors show that glass wool perfectly arrested the sample liquid and kept it in place until the solvent had evaporated. The sample must be transferred from the needle to the glass wool as a band, avoiding 'thermospraying' by partial solvent evaporation inside the needle. The liquid contacted the liner wall when the band was directed towards it, but from there it was largely diverted to the glass wool. In the laminar liners, part of the liquid remained and evaporated at the entrance of the obstacle, while the other proceeded to the center cavity. Vapors formed in the center cavity drove liquid from the entrance of the obstacle upwards, but the importance of such problems could not be verified in the real injector. Some liquid split into small droplets broke through the obstacle and entered the column. Breakthrough through the laminar liners was confirmed by a chromatographic experiment. An improved design of a laminar liner for large volume injection is discussed as a promising alternative if glass wool causes problems originating from insufficient inertness.

Relative hopane content confirming the mineral origin of hydrocarbons contaminating foods and human milk

Hopanes, triterpenoid hydrocarbons formed under geological conditions, were analysed to confirm the mineral origin of the unresolved complex mixtures of hydrocarbons observed in the gas chromatography with flame ionization detection chromatograms of human milk and certain foodstuffs. The 'relative hopane content' (RHC) is introduced, i.e. it is the area ratio of the sum of the hopanes and the paraffins in the same segment of the chromatogram. The RHC in various mineral oil products (motor oils, hydraulic oils, lubricating oils, Vaseline) was 3.4%, with a relative standard deviation of 19%. The RHC determined in samples of vegetable oils, mussels and clams as well as of human milk containing an unresolved complex mixture of hydrocarbons was in the same range, confirming that these samples were contaminated by mineral oil material.

Inability of Unpacked Gooseneck Liners To Stop the Sample Liquid after Injection with Band Formation (Fast Autosampler) into Hot GC Injectors

With the introduction of the fast autosampler, the rules on how to perform splitless injection should have been revisited: the fast autosampler releases the sample liquid as a band that is no longer nebulized by solvent vapors as in previous injection techniques. In empty gooseneck liners, the sample liquid is shot to the bottom of the injector and jumps around in a largely uncontrolled manner. Visual experiments showed that the liquid is partially rejected. Another portion passes by the column inlet into the column attachment region, while the last part may directly enter the column. The impact on chromatography was investigated by using a mixture of n-alkanes: the higher boiling components passing by the column entrance into the zone of the column attachment were largely lost, i.e., were discriminated against the volatile components. It was concluded that empty gooseneck liners are not suitable for injection by fast autosamplers.

Exposure of babies to C15–C45 mineral paraffins from human milk and breast salves

Mineral paraffins widely occur in foods, but are also ingredients of body lotions, lip sticks, and breast salves. In this study it is shown that mineral paraffins are detectable in human milk. Thirty three human milk samples were found to contain mineral C(15)-C(45) paraffins at a mean concentration of 95+/-215mg/kg fat and a maximum of 1300mg/kg. The mineral paraffins found in human milk had average molecular weights between C(23) and C(33), and often more than half of the paraffins were below C(25). Beside exposure of babies via human milk, the intake by direct licking off salves (in the worst case consisting of vaseline) from the breast of their nursing mothers may be much higher. In a worst case situation, daily intake from breast care products by babies is estimated to reach 40mg/kg bw. Many compositions do not comply with the specifications and a temporary group ADI of 0-4mg/kg bw established by the SCF. This possible exposure of babies either calls for a toxicological re-evaluation of the mineral paraffins or for measures ensuring that exposure of babies is reduced.

Potential of acrylamide formation, sugars, and free asparagine in potatoes: a comparison of cultivars and farming systems

Glucose, fructose, sucrose, free asparagine, and free glutamine were analyzed in 74 potato samples from 17 potato cultivars grown in 2002 at various locations in Switzerland and different farming systems. The potential of these potatoes for acrylamide formation was measured with a standardized heat treatment. These potentials correlated well with the product of the concentrations of reducing sugars and asparagine. Glucose and fructose were found to determine acrylamide formation. The cultivars showed large differences in their potential of acrylamide formation which was primarily related to their sugar contents. Agricultural practice neither influenced sugars and free asparagine nor the potential of acrylamide formation. It is concluded that acrylamide contents in potato products can be substantially reduced primarily by selecting cultivars with low concentrations of reducing sugars.

Obstacle avoidance during human walking: transfer of motor skill from one leg to the other

The aim of this study was to evaluate whether a newly acquired locomotor skill can be transferred to the mirror condition. Subjects were trained to step over an obstacle on a treadmill, the appearance of which was signalled by an acoustic stimulus, while visual information was prevented. Feedback information about foot clearance was provided by acoustic signals. During two successive runs (each consisting of 100 steps over the obstacle) the same leg was leading (i.e. the leg crossing the obstacle first). In the following third run, the leading and trailing legs were changed. During each of the three successive runs the adaptational changes were analysed by recording leg muscle electromyographic (EMG) activity, joint angle trajectories and foot clearance over the obstacle. The training effect gained between the first and second runs and the transfer to the mirror condition (third run) were evaluated. Adaptational changes of all measures, except ankle joint trajectory, could to a significant extent be transferred to the mirror condition. No side-specific differences in the amount of transfer were found, neither from the right to the left side, nor vice versa. These observations are at variance with adaptational changes observed during split-belt walking or one-legged hopping on a treadmill, where no transfer to the mirror condition occurred. It is assumed that this might be due to the specific requirements of the tasks and the leg muscles involved. While in the split-belt and hopping experiments leg extensor muscles are mainly involved, leg flexors predominate in the performance of the present task. It is hypothesised that the learning effects observed in the present experiments are mediated at a higher level (e.g. brainstem) of locomotor control.

The two options for sample evaporation in hot GC injectors: thermospray and band formation. optimization of conditions and injector design

Although classical split and splitless injection is more than 30 years old, we only start to understand the vaporization process in the injector. Solvent evaporation determines much of the process and is the first obstacle to overcome. Videos recorded on devices imitating injectors showed that sample (solvent) evaporation is often a violent process which is poorly controlled and might well explain many of the puzzling quantitative results often obtained. We do not adequately take into account that two vaporization techniques are in use. Partial solvent evaporation inside the syringe needle (optimized as "hot needle injection") produces thermospray: the sample liquid is nebulized upon leaving the needle. The resulting fog is rapidly slowed and moves with the gas. Solute evaporation largely occurs from microparticles suspended in the gas phase. Empty liners are most suitable. Fast autosamplers suppress vaporization in the needle, i.e., nebulization, and shoot a band of liquid into the chamber that must be stopped by a packing or obstacles suitable to hold the liquid in place during the 0.2-5 s required for solvent evaporation. Solute evaporation largely occurs from the surfaces onto which the sample is deposited. Insights into these mechanisms help optimize conditions in a more rational manner. Methods should specify whether they were optimized and validated for injection with thermospray or band formation. The insights should also enable a significant improvement of the injector design, particularly for splitless injection.

Method for determining novolac glycidyl ether (NOGE) and its chlorohydrins in oily canned foods

In order to be analysed, NOGE components with epoxy groups must be separated from polar food material to prevent losses through uncontrolled reactions. Samples are homogenized minimally and extracted into a phase of minimized polarity. The NOGE components are then separated from the oil by extraction into acetonitrile and analysed by RPLC with fluorescence detection. Hydrolysis of the epoxy, and chlorohydroxy functions to diols may help the analysis. Application and limitations of the method are illustrated by examples. Detection limits vary widely, depending on interfering food components, but legal limits below 1 mg/kg can hardly be reliably enforced.

Contamination of animal feed and food from animal origin with mineral oil hydrocarbons

Oils and fats used for the production of animal feed can become contaminated with mineral oil material originating from gas oils (C18-C35) or synthetic oils (poly-alpha olefins, C25 to beyond C45). An important cause is assumed to be the discharge of waste oils, such as motor oil and hydraulic oils. Mineral oil material was analysed by on-line LC-GC-FID directly in the fat or in a raw extract from animal feed or foodstuffs. In Switzerland in summer/autumn 1999 concentrations in oils and fats for feed production were often found to be between 100 and 1000 mg/kg. In the feeds, the average concentration was around 100 mg/kg with values ranging up to a maximum of 1000 mg/kg; few samples were free of contamination. In animal body fat, the average concentration determined in summer 1999 was 25 mg/kg, with a maximum of 150 mg/kg, although in samples from December 1999, contamination was substantially lower. In the fat phase of eggs, the average concentration was 30 mg/kg, with a maximum of 80 mg/kg. Paraffin oil is used for feed production, which may account for part of the contamination problem (e.g. eggs).

Video-taped sample evaporation in hot chambers simulating gas chromatography split and splitless injectors. II. Injection with band formation

The processes in devices imitating a vaporising injector were video-taped using perylene as a fluorescent marker for non-evaporated sample. Processes are summarised which are observed after the sample liquid passed through a cool needle and left as a band of liquid moving at high velocity (as typical for injection by fast autosamplers). This liquid is shot past the column entrance unless stopped either by a packing, e.g., wool or by suitable obstacles. Packings of low thermal mass are locally cooled to the solvent boiling point and suck in the liquid. Stopping the liquid by obstacles is more difficult because solvent vapours prevent contact of the liquid with the hot surfaces, and was reliably achieved only by the laminar liner. For the same reason, transfer onto the liner wall only occurs for higher boiling liquids.