Comparative study of different analytical methods for the determination of sterols in human serum by liquid chromatography coupled to mass spectrometry

The determination of sterols in human serum allows the diagnosis of inherited disorders in cholesterol metabolism and the evaluation of cardiovascular disease risk. Ten sterols were included in this work: desmosterol and lanosterol (cholesterol precursors); stigmasterol, cholestanol, campesterol, sitosterol and sitostanol (phystosterols) and 7-α-hydroxy 4-cholesten-3-one, 24-hydroxycholesterol and 27-hydroxycholesterol (oxysterols). Historically, sterols have been analyzed by gas chromatography, which involves laborious and time-consuming derivatization steps. Nowadays, liquid chromatography coupled to mass spectrometry has also been used for the analysis of sterols in serum and mammalian cells and tissues.The aim of this study is to reduce the sample processing time of the determination of sterols in human serum.Two different approaches have been compared: an off-line and on-line system. Both methods need a suitable cartridge for cleaning the sample before its subsequent chromatography analysis. Solid phase extraction (SPE) cartridges were used for off-line sample treatment. Six different retention mechanisms were studied, including nonpolar, polar and ionic interactions. In the on-line system, the sample treatment was conducted with the help of a restricted access material (RAM). This sorbent represent a special class of materials that are able to fractionate a biological sample into protein and analyte fractions, based on molecular weight cut-off. The limits of quantification obtained in the off-line method were between 8 and 274 ng/mL. In the on-line method limits of detection and quantification found ranged between 0.01 ng/mL (7-α-hydroxy-4-cholesten-3-one) and 0.5 μg/mL (sitostanol) and from 0.03 ng/mL and 1.7 μg/mL respectively

Desarrollo de un método analítico para la determinación de esteroles en suero humano mediante un sistema on-line extracción en fase sólida-cromatografía de líquidos-espectrometría de masas

Se ha desarrollado un método analítico para determinar cinco esteroles presentes en suero humano. Los esteroles son biomoléculas marcadoras de enfermedades hereditarias relacionadas con el metabolismo del colesterol como la Hipercolesterolemia Familiar. El sistema realiza el tratamiento de muestra, cromatografía y detección de forma automática, facilitando el procesamiento y análisis de muestras biológicas

Mercury release and speciation in chemical looping combustion of coal

In the in situ Gasification Chemical Looping Combustion of coal (iG-CLC), the fuel is gasified in situ in the fuel reactor and gasification products are converted to CO2 and H2O by reaction with the oxygen carrier. This work is the first study on mercury release in Chemical Looping Combustion of coal. The fraction of the mercury in coal vaporized in the fuel reactor depended mainly on the fuel reactor temperature and the coal type. In the fuel reactor, mercury was mainly emitted as Hg0 in the gas phase and the amount increased with the temperature. In the air reactor, mercury was mostly emitted as Hg2+. In a real CLC system, mercury emissions to the atmosphere will decrease compared to conventional combustion as only mercury released in the air reactor will reach the atmosphere. However, measures should be taken to reduce Hg0 in the CO2 stream before the purification and compression steps in order to avoid operational problems.The authors thank the Government of Aragón and La Caixa (2012-GA-LC-076 project) and the Spanish Ministry for Science and Innovation (ENE2010-19550 project) for the financial support. P. Gayán thanks CSIC for the financial support of the project 201180E102. The authors also thank to Alcoa Europe-Alúmina Española S.A. for providing the Fe-enriched sand fraction used in this work. G. Galo is acknowledged for his contribution to the experimental results.Peer reviewe

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat