In-house validation of an LC-MS method for the multiplexed quantitative determination of total allergenic food in chocolate

Mass spectrometry has been widely accepted as a confirmatory tool for the sensitive detection of undeclared presence of allergenic ingredients. Multiple methods have been developed so far, achieving different levels of sensitivity and robustness, still lacking harmonization of the analytical validation and impairing comparability of results. In this investigation, a quantitative method has been validated in-house for the determination of six allergenic ingredients (cow's milk, hen's egg, peanut, soybean, hazelnut, and almond) in a chocolate-based matrix. The latter has been produced in a food pilot plant to provide a real and well-characterized matrix for proper assessment of method performance characteristics according to official guidelines. In particular, recent considerations issued by the European Committee for Standardization have been followed to guide a rigorous single-laboratory validation and to feature the main method performance, such as selectivity, linearity, and sensitivity. Synthetic surrogates of the peptide markers have been used both in native and labelled forms in matrix-matched calibration curves as external calibrants and internal standards, respectively. A two-order of magnitude range was investigated, focusing on the low concentration range for proper assessment of the detection and quantification limits (LOD and LOQ) by rigorous calibration approach. Conversion factors for all six allergenic ingredients have been determined for the first time to report the final quantitative information as fraction of total allergenic food protein (TAFP) per mass of food (µgTAFP/gfood), since such a reporting unit is exploitable in allergenic risk assessment plans. The method achieved good sensitivity with LOD values ranging between 0.08 and 0.2 µgTAFP/gfood, for all ingredients besides egg and soybean, whose quantitative markers reported a slightly higher limit (1.1 and 1.2 µgTAFP/gfood, respectively). Different samples of chocolate bar incurred at four defined concentration levels close to the currently available threshold doses have been analyzed to test the quantitative performance of the analytical method, with a proper estimate of the measurement uncertainty from different sources of variability. The sensitivity achieved resulted in compliance with the various threshold doses issued or recommended worldwide.

Development of conversion factors to estimate the concentrations of heavy metals in manure-derived digestates

During biogas production, a residual by-product rich in organic matter, nutrients, and trace elements - called digestate - is generated. Due to the nature of the anaerobic digestion process (i.e., conversion of organic matter into biogas) and the non-digestibility of trace elements, metal concentrations are higher in digestate than initially in the treated feedstock, resulting in a detrimental effect on the environment when directly applied as fertiliser on the soil. This study aims to predict the concentration of heavy metals in digestate through four different process parameters (Biogas yield - M1, Biodegradable fraction - M2, Dry matter - M3 and Power generation - M4) in full-scale biogas plants. For the validation of the process parameters, the predictions were compared against laboratory analyses of feedstocks and digestates samples from mono- and co-digestion processes. The convergence between the conversion factors based on laboratory data and process parameters (CLD and CFA, respectively) ranged in the following order: M3 > M2 > M1 > M4. Based on laboratory analyses, better predictions were obtained for Al, Cr, Cu, Fe, Mn, and Zn employing M3. Moreover, a robust convergence was achieved between the CLD and CFA conversion factors for the mono-digestion process. Further assessment of a diverse range of feedstocks is needed to increase the convergence between the conversion factors based on process parameters and laboratory data, specifically for the co-digestion process M3. The concentrations of Cd, Co, Ni, and Pb elements were below the detection limits, whereas Cr, Cu, and Zn did not exceed the legal threshold limits of the legislations.

Fish tissue conversion factors for mercury, cadmium, lead and nine per- and polyfluoroalkyl substances for use within contaminant monitoring

Fish tissue levels have to comply with environmental quality standards (EQSs) within the European Water Framework Directive. However, within monitoring, contaminants are sometimes measured in a different tissue than the tissue for which the environmental (whole fish) or human (fillet (equivalent to muscle tissue)) quality standard is set. Tissue conversion factors (k), describing the relationship between concentrations in different tissues, can be used to obtain a quality standard for the appropriate tissue. Several different approaches have been suggested for the calculation of k. For monitoring purposes, we propose the use of a simple, easy reproducible approach that assumes proportionality between two tissue, or tissue and whole fish, concentrations. This allows for an easy comparison of studies and adoption of ks into independent monitoring programs. Here, we determined ks for three metals (mercury (Hg), lead (Pb), cadmium (Cd)) and nine per- and polyfluoroalkyl substances (PFAS) including perfluorooctanesulfonic acid (PFOS) across six marine and freshwater fish species from Northern European lakes and the Baltic Sea. We found significant species differences for Hg for k_{muscle/whole fish}, for Cd and Pb for k_{liver/whole fish} and for Cd for k_liver/muscle. For perfluoroalkyl carboxylic acids (PFCA), we found a chain length dependence with lowest k_liver/muscle at low and high chain lengths (C₈, C₁₃) and highest for median chain lengths (C₉-C₁₂). Further, there were differences between fish species with k_liver/muscle for PFOS almost doubling from eelpout (10.3) to herring (19.2) and increasing up to a factor 4 between eelpout and herring for other PFASs. FOSA had two distinctive groups, herring with a k_liver/muscle of 48.7 and a second group with ks of 2.3 to 5.9 for all other fish species. Our results suggest that differences in the tissue somatic index, and contaminant uptake, tissue transfer and metabolism result in the need for species-specific ks within monitoring.

Agency as conversion process

Its importance for understanding social dynamics notwithstanding, the concept of agency is one of sociology's more controversial ideas. The debate around this concept has mostly been developed at a theoretical level and the empirical studies tend to rely on socio-psychological interpretations of agency as a stable, inner force capable of influencing prospects, decisions, and behavior with little room for change in agency capacity. Social sciences, though, should take a more dynamic stance on agency and highlight the role of the different elements of the social context that can enable or hinder individual agency capacity. Prompted by recent developments of the Capability Approach, this article proposes a framework for the study of agency that defines individual agency as the result of a conversion process of personal resources shaped by conversion factors. Conversion factors operate at micro, meso, and macro levels of analysis, each of which can be oriented toward past experiences, present conditions, and future prospects. This article also seeks to analytically distinguish three types of agency outcome: adaptation, autonomy, and influence. Such a framework will facilitate the transformation of the slippery notion of agency into more tractable empirical phenomena which increase its analytical and critical capacity.

Comparison of estimated and calculated fetal radiation dose for a pregnant woman who underwent computed tomography and conventional X-ray examinations based on a phantom study

This study aimed to determine the mean fetal doses for patients who underwent computed tomography (CT) and/or conventional X-ray (CXR) examinations. In addition to developing an approach to estimate the fetal dose based on data registered in the picture archive and communication system (PACS), the radiation doses for pregnant women and their fetuses were estimated using the VirtualDoseCT and VirtualDoseIR softwares. To verify the data, the fetal dose was measured using thermoluminescent dosimeters (TLDs) implanted at different uterus sites of an anthropomorphic pregnant phantom. Calculated fetal dose values were estimated in relation to the dose-area product (DAP) and volume CT dose index (CTDI_vol). DAP and CTDI_vol were obtained from data registered in the PACS. The fetal doses varied between < 0.001 and 3.9 mGy and between 0.26 and 16.21 mGy for the CXR and CT examinations, respectively. These values were similar to those of previous studies on both imaging modalities. The conversion factors obtained to calculate fetal doses for CXR examinations were between 0.01 and 0.73 mGy/Gy cm², whereas they varied between 0.02 and 0.61 mGy/mGy for CT examinations. Overall, the fetal dose conversion factors based on DAP and CTDI_vol values can be used for fast fetal dose estimations in common CXR and CT examinations.

Conversion factors for effective dose and organ doses with the air Kerma area product in hysterosalpingography

Histerosalpingography (HSG) remains the dominant diagnostic tool for investigation of infertility in women. Conversion factors used to estimate effective (E) and organ doses (H_T) from air Kerma area product (KAP) are needed to estimate patient doses in HSG, performed with state-of-the-art fluoroscopic X-ray systems with digital detectors. In this study, estimates of E and H_T for six critical organs/tissues, were derived on an individual basis in 120 HSG procedures and in 1410 irradiation events, performed on two X-ray systems from information available through the radiation dose structured report using Monte Carlo methods. Mean values of E and H_ovaries were1.0 ± 0.9 mSv and 5.6 ± 5.4 mGy. E/KAP conversion factors of 0.13; 0.18; 0.28 and 0.35 mSv Gy^-1cm^-2 were established for irradiation events with a Cu filtration of 0.0; 0.1; 0.4 and 0.9 mm. A high agreement was obtained between E estimated through Monte Carlo methods and E/KAP conversion factors accounting separately for the different modes of fluoroscopy and the radiography component of HSG, with a systematic error of 0 mSv and lower/upper limits of agreement of -0.6 and 0.5 mSv. On the contrary, the use of a single coefficient of conversion did not provide accurate estimates of E, showing a bias of -0.4 mSv and lower and upper limits of agreement of -1.9 and 1.2 mSv. An algorithm for the estimation of effective and organ doses from KAP has been established in HSG procedures depending on the Cu filtration in the X-ray irradiation events.

A review of dental cone-beam CT dose conversion coefficients

OBJECTIVE

The purpose of this study was to review the literature to examine the usage and magnitude of effective dose conversion factors (DC_E) for dental cone beam CT (CBCT) scanners.

METHODS

A PubMed literature search for publications relating to radiation dosimetry in dental radiography was performed. Papers were included if they reported DC_E, or reported ICRP 103 effective dose and dose-area product. 71 papers relating to dental CBCT dosimetry were found, of which eight reported effective dose conversion factors or provided enough information to calculate dose conversion factors. Scanner model, effective dose, dose-area product, tube voltage, field of view size and DC_E were extracted from the papers for analysis.

RESULTS

DC_E values ranged from 0.035 to 0.31 µSv/mGy-cm² with a mean of 0.129 µSv/mGy-cm² (SD = 0.056). When categorized into small (<100 cm²), medium (100-225 cm²) and large (>225 cm²) fields of view (FOV), linear fits to the effective dose and dose-area product yielded slopes of 0.129, 0.111 and 0.074 µSv/mGy-cm² for small, medium and large FOVs respectively.

CONCLUSION

The range of reported DC_E values and spread with respect to field of view category suggests that DC_E values that depend on FOV would provide more accurate effective dose estimates. Tube voltage was found to be a smaller factor in determining DC_E. Reasonable values for DC_E taking into account FOV size were obtained. There is considerable room for more work to be done to examine the behaviour of DC_E with changes to patient age and dental CBCT imaging parameters.

Conversion factors for effective dose and organ doses with the air kerma area product in patients undergoing percutaneous transhepatic biliary drainage and trans arterial chemoembolization

Conversion factors used to estimate effective (E) and organ doses (H_T) from air Kerma area product (KAP) are required to estimate population doses in percutaneous transhepatic biliary drainage (PTBD) and trans arterial chemoembolization (TACE) interventional procedures. In this study, E and H_T for ten critical organs/tissues, were derived in 64 PTBD and 48 TACE procedures and in 14,540 irradiation events from dosimetric, technical and geometrical information included in the radiation dose structured report using the PCXMC Monte Carlo model, and the ICRP 103 organ weighting factors. Conversion factors of: 0.13; 0.19; 0.26 and 0.32 mSv Gy^-1 cm^-2 were established for irradiation events characterized by a Cu filtration of 0.0; 0.1; 0.4 and 0.9 mm, respectively. While a single coefficient of conversion is not able to provide estimates of E with enough accuracy, a high agreement is obtained between E estimated through Monte Carlo methods and E estimated through E/KAP conversion factors accounting separately for the different modes of fluoroscopy and the fluorography component of the procedures. An algorithm for the estimation of effective and organ doses from KAP has been established in biliary procedures which considers the Cu filtration in the X-ray irradiation events. A similar algorithm could be easily extended to other interventional procedures and incorporated in radiation dose monitoring systems to provide dosimetric estimates automatically with enough accuracy to assess population doses.

Comparing lanbotulinumtoxinA (Hengli®) with onabotulinumtoxinA (Botox®) and incobotulinumtoxinA (Xeomin®) in the mouse hemidiaphragm assay

LanbotulinumtoxinA (LAN) is manufactured and registered in China since 1994. Despite its widespread use in China and its increasing use in other Asian countries and in South America, it is not yet well known elsewhere. We wanted to compare its potency labelling using the mouse diaphragm assay (MDA), an isolated muscle model for botulinum toxin (BT) potency measurements, which is superior to clinical tests and which was recently refined as an alternative batch release assay for BT manufacturing. We also wanted to estimate LAN manufacturing quality by testing its inter-batch potency consistency. Potencies of 20, 60 and 100 MU of LAN, onabotulinumtoxinA (ONA) and incobotulinumtoxinA (INCO) were measured by the inversely related paresis time (PT) in the MDA. The PT (M ± SD) of all doses of LAN, ONA and INCO was 90.4 ± 27.0 min, 114.9 ± 46.5 min and 94.3 ± 29.9 min, respectively. Statistical analysis demonstrated indistinguishable potency labelling of LAN and INCO, but revealed a slightly lower potency of ONA compared to LAN and INCO. PT of LAN batch 1 and LAN batch 2 was 86.9 ± 21.2 min and 94.0 ± 32.8 min, respectively (no statistically significant difference), suggesting an adequate LAN manufacturing consistency. The MDA is an appropriate instrument for potency testing of BT drugs, including new ones currently under development. Our results allow comparing therapeutic effects, adverse effects and economics of LAN, ONA and INCO. They also suggest adequate manufacturing consistency of LAN.

Limpet (Patella sp) as a biomonitor for organic pollutants. A proxy for mussel?

The scarcity of the most widely used species for assessing marine pollution (mussels) in some areas brings out the need to test the use of a different organism. In this study, 11 sampling sites along the Atlantic Spanish coast were selected and both mussels (Mytilus galloprovincialis) and limpets (Patella sp.) were analysed for PAHs, PBDEs and PCBs. The concentrations of the different pollutants in both species followed the same general distribution allowing us to differentiate polluted and unpolluted sites using any of them. Although the concentrations found in limpets were generally lower than those measured in mussels, a good correlation was observed for most of the groups of pollutants and also for every individual congener. A conversion factor was proposed for most of the individual PAH and PCB congeners, allowing the conversion of limpet concentration into mussel concentration that can be directly applied in assessments using environmental criteria derived for mussels.

Conversion ratios of n-3 fatty acids between plasma and erythrocytes: a systematic review and meta-regression

As biomarkers of dietary intake or disease risk factor, n-3 fatty acid (FA) can be measured in plasma phospholipids (PL), total lipids (TL) or erythrocytes. However, the numeric relationships between n-3 FA in these lipid pools are not clear. Our goal was to derive conversion ratios for plasma and erythrocyte n-3 FA. Potential studies were identified through systematic literature search in PubMed, Embase and the Cochrane Library of Systematic reviews (1950 to October 2014). In all, fifty-six studies reporting n-3 in healthy individuals were included, of which thirty-four articles reported plasma PL and erythrocytes, and twenty-two reported plasma TL and erythrocytes. Meta-regressions were performed to quantify the ratio between plasma and erythrocyte n-3 FA weight percentages, controlling for covariates including age, sex and study design. The conversion ratios from plasma PL to erythrocytes for EPA, DHA, DPA and total n-3 PUFA are 0·75, 1·16, 2·32 and 1·22; the corresponding conversion ratios from plasma TL to erythrocytes are 1·00, 2·10, 3·85 and 2·08, respectively. The conversion ratios were validated using reported values from the literature and measured data from fifty individuals. The relative error of the predicted results were within 10 % of the mean reported values except for EPA, and the individual measured data except for DPA, in plasma TL. The conversion ratios between plasma PL and erythrocytes were more stable compared with plasma TL. Such conversion ratios will be useful for nutritionists or public health professionals to assess FA profiles of different populations using data collected with different methodologies.

Missing the Unhealthy? Examining Empirical Validity of Material Deprivation Indices (MDIs) Using a Partial Criterion Variable

This study investigates the empirical validity of the material deprivation indices (MDIs) using a partial criterion variable, namely UHCNIR (unmet health care need due to inadequate resources). This alternative approach helps to assess absolute validity (Type I and II errors) and sources of error in the measurement of poverty for a specific aspect of poverty (in this case inability to receive adequate health care due to affordability problems). A simple mismatch analysis identifies a sizable group, around 1% of the adult EU population, missed by MDIs despite being in UHCNIR. A majority of this 1% experiences not only UHCNIR but also multiple other deprivations, commonly reports having some difficulties making ends meet, and prevalently has a disability or a chronic health problem. The analysis reveals that MDIs miss specifically those "unhealthy poor" since these measures do not include a relevant item, and thus cannot adjust for different needs and costs in health care and account for the distinct poverty experiences of these people. Therefore, the main methodological assumption of MDIs, identifying the people in poverty with only a limited set of key deprivation indicators is not supported by this empirical analysis.