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limited the experiment to fat-free TPN since lipids are also able to generate peroxides [31] In neonate solutions, the peroxide concentration ranged from 190 to 300 mol/L in sets unprotected from light in contrast to the values for sets protected from light, which ranged from 60 to 130 mol/L In the adult formulation, peroxide reached less than one-tenth of the concentration measured in the neonatal preparation (Fig 6) The authors attributed the difference to the nutrient composition, as the adult formulation was four times lower in vitamins and higher in nal amino acid and glucose concentrations Amino acids and glucose contributed to a decrease in the concentration of peroxides [32] It is possible to see in Figure 6 that protecting solutions from light and air decreases peroxide generation in these formulations.

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However, because of the high peroxide concentration in neonatal solutions, protection from air during the infusion is not ef cient The action of vitamins in the presence of lipids was also investigated by these researchers [33] The generation of peroxide was compared between TPN preparations left at dark and at daylight for 6 h Four different formulations containing and not containing vitamins and lipids were included in the experiment The results, presented in Figure 7 allowed for the conclusion that lipids had a signi cant but minor additive effect compared with vitamins in generating peroxides Contamination of TPN by air during compounding accounted for the photoinduced generation of peroxide in TPN solutions It was, however, more effective to protect the solution from light exposure than to avoid contact with oxygen Since ascorbate reduces photooxidation of lipid emulsions and multivitamin preparations (see Figure 4) [19], Lavoie et al.

[34] studied the formation of oxidative by-products of vitamin C in multivitamins exposed to light They found that the loss of ascorbic acid in photoexposed multivitamin preparations was associated with the generation of products other than dehydroascorbate and 2,3-diketogulonic acid, which are the usual products of vitamin C oxidation The authors showed that hydrogen peroxide at concentrations found in TPN solutions induced the transformation of dehydroascorbate into new, biologically active compounds that had the potential to affect lipid metabolism They believe that these species have peroxide and aldehyde functions [35] Since air (oxygen) is one of the factors responsible for peroxide generation in lipid emulsions and vitamin solutions, Balet et al [36] compared multilayered versus single-layered (EVA) bags in terms of oxidation of parenteral nutrition solutions They measured PV, -tocopherol, and ascorbic acid at the moment of admixing and after 6 and 14 days in 24 parenteral solutions.

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Admixtures in multilayered bags showed less oxidation than in EVA bags; no important difference was observed in -tocopherol content, but just after 6 days storage, ascorbic acid and dehydroascorbic acid disappeared in the EVA bags Sodium metabisul te is an antioxidant agent widely used in pharmaceutical preparations to reduce or prevent oxidation There are some studies, however, that have shown that metabisul te, under speci c conditions, may have indirect oxidant properties Baker et al [37] demonstrated that sul te propofol emulsion, but not EDTA propofol emulsion, underwent chemical changes during a simulated intravenous infusion Compounds were identi ed as propofol oxidation products The increase of propofol oxidation products demonstrated that sul te from metabisul te created a strong oxidant environment when air was introduced Lavoie et al [38].

Antenna Gain (dBi)

Polymeric foams as a class of materials is of particular interest in the present discussion not only because they are an important component of the waste stream but also because ozone depleting substances (ODS) such as Freon were once widely used as auxiliary blowing agents in their manufacture. However, in the United States and in western Europe, Freon is no longer used for the purpose and the practice is being phased out in many other parts of the world. The Montreal Protocol (along with its subsequent associated improvements) has been singularly successful in eliminating the use of major ODSs in polymeric foams and is expected to ensure the phase out of even the low-ODS agents presently allowed for the purpose, in the near future. This section reviews the chemistry of polymeric foams, the role played by Freon, and the substitutes available today for the purpose.

Injection-molded containers 9.7% Other injection molding 4.7%

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