Expanded Screening of One Million Swedish Babies with R4S and CLIR for Post-Analytical Evaluation of Data.

Sweden has one neonatal screening laboratory, receiving 115 to 120 thousand samples per year. Among the one million babies screened by tandem mass spectrometry from November 2010 until July 2019, a total of 665 babies were recalled and 311 verified as having one of the diseases screened for with this methodology, giving a positive predictive value (PPV) of 47% and an incidence of 1:3200. The PPV was high (41%) already in the first year after start of screening, thanks to the availability of the collaborative project Region 4 Stork database. The PPV is presently 58%. This improvement was achieved by the implementation of second-tier analyses in the screening for methylmalonic aciduria, propionic aciduria, isovaleric aciduria, and homocystinuria, and the employment of various post analytical tools of the Region 4 Stork, and its successor the collaborative laboratory integrated reports.

Investigation of a cylindrical chemosorptive denuder for sampling and phase separation of toluene diisocyanate aerosols.

A cylindrical chemosorptive denuder in series with a glass fibre filter has been evaluated for sampling toluene diisocyanate (TDI) aerosols. The sampler is designed for measuring personal exposure to diisocyanates. Several denuder coatings and derivatising reagents were investigated. Dimethylpolysiloxane (SE-30) and 5% phenyl dimethylpolysiloxane (SE-54) with either dibutylamine (DBA) or dipentylamine (DPeA) as derivatising reagents yielded the lowest vapour breakthrough (the amount (%) of the vapour that passes through the denuder), close to values predicted by theory. Immobilisation of the SE-30 denuder coating by in-situ cross-linking yielded comparable results. With an SE-30/DBA-coated denuder operating within an airflow range of 100-500 mL min(-1), the phase separation was shown to be consistent with theoretical predictions derived by use of the Gormley-Kennedy equation. This provides a means of calculating the vapour breakthrough and correcting experimentally obtained values with regard to vapour-particulate phase distribution, suggesting that the denuder can provide accurate phase-distribution measurements. The SE-30/DBA denuder can be used over a concentration range spanning nearly six orders of magnitude. Its capacity is sufficient to perform 15-min exposure measurements of a TDI aerosol with air concentrations as high as 1,700 microg m(-3), 40 times higher than the Swedish occupational exposure limit (OEL). At the other end of the range, the estimated limit of detection (LOD) was less than 2 ng m(-3) for both the vapour and the aerosol phases when LC-ESI-MS-MS was used for chemical analysis.

A chemosorptive cylindrical denuder designed for personal exposure measurements of isocyanates-evaluation on generated aerosols of 4,4'-methylenediphenyl diisocyanate.

A denuder/filter system constructed for solvent-free personal exposure measurements was evaluated for separation of vapour and particulate 4,4'-methylenediphenyl diisocyanate (4,4'-MDI) generated from heated PUR-foam. The two different phases were collected in the denuder and on the filter, respectively, by chemosorption on a polydimethylsiloxane (SE-30)-dibutylamine (DBA) stationary phase. Both repeatability and the total mass concentration of 4,4'-MDI were similar to that obtained from the reference method, in this case an impinger/filter system. The penetration of particles through the denuder at 300 ml min(-1) was nearly 100% in the particle size range 25 to 700 nm, which fits well with the Gormley-Kennedy equation. Denuder/filter sampling of the 4,4'-MDI aerosol at 500 ml min(-1) yielded a phase distribution that was in accordance with the results from the reference method. The method limit of detection was 6 ng m(-3) and 4 ng m(-3) for the denuder and filter, respectively, when using an air sampling flow rate of 300 ml min(-1) and a sampling period of 15 min. This is well below the Swedish occupational exposure limit (OEL) of 50 and 100 microg m(-3) for an 8-hour working day and a 5-min period, respectively.

Effects of thermal degradation products from polyurethane foams based on toluene diisocyanate and diphenylmethane diisocyanate on isolated, perfused lung of guinea pig.

OBJECTIVES: The composition of thermal degradation products from two types of polyurethane foams, one based on toluene diisocyanate (TDI) and the other on diphenylmethane diisocyanate (MDI), was analyzed and their toxic lung effects were compared. METHODS: Isolated perfused lungs of guinea pig were subjected to thermal decomposition products of polyurethane foams from an aerosol generator with compartments for diluting, mixing, and sampling. RESULTS: Thermal degradation of MDI-based polyurethane foams released MDI, phenyl isocyanate, and methyl isocyanate. The emitted particulate fraction was 75% for MDI, whereas that for TDI from TDI-based polyurethane foam was 3%. Thermal degradation products from MDI-based foam caused a pronounced dose-dependent decrease in the measured lung function parameters (conductance and compliance). In contrast, the thermal degradation products from TDI-based foam did not cause any decrease in lung function. CONCLUSIONS: Thermal degradation products generated from MDI-based polyurethane foam were more toxic to the lung than those generated from TDI-based polyurethane foam. This difference was probable due to MDI in the particle phase.