Bone marrow embolism: should it result from traumatic bone lesions? A histopathological human autopsy study

Bone marrow embolism (BME) is likely a consequence of fractures in which pulmonary vessels are the most affected. However, some cases of BME were reported in the absence of trauma. Thus, a traumatic injury might not be necessary for developing BME. This study discusses BME cases in patients without signs of fractures or blunt trauma. The discussion addresses various possible mechanisms for the appearance of BME. Options include cancer in which bone marrow metastasis is a suggestive cause. Another proposal is the chemical theory where bone marrow fats are released via lipoprotein lipase in a pro-inflammatory state, resulting in vascular/pulmonary obstruction. Other cases discussed in this study are hypovolemic shock and drug-abuse related BME. All autopsy cases with BME were included regardless of the cause of death for a period of 2 years. Autopsies involved complete dissection with the macroscopic evaluation of the affected organs, including the heart, lungs, and brain. Tissues were also prepared for microscopic examination. Of the 11 cases, eight showed non-traumatic BME (72%). These findings conflict with theories in the literature that BME most commonly occurs after fractures or trauma. One of the eight cases exhibited mucinous carcinoma; one is presented with hepatocellular carcinoma; and two cases showed severe congestion. Lastly, one case was found to be associated with each of the following conditions: liposuction, drug abuse, pulmonary hypertension, and heart failure. Each case suggests a different pathophysiology for developing BME, yet the exact mechanisms are not fully understood. Further study of non-traumatic associated BME is recommended.

Heavy metals and rare earth elements in phosphate fertilizer components using instrumental neutron activation analysis

The technique of instrumental neutron activation analysis was applied as a sensitive nondestructive analytical tool for the determination of heavy metals and rare earth elements in phosphate fertilizer ingredients. The contents of heavy metals Fe, Zn, Co, Cr and Sc as well as rare earth elements La, Ce, Hf, Eu, Yb and Sm were determined in four samples representing the phosphate fertilizer components (e.g. rock phosphate, limestone and sulfur). These samples were collected from the Abu-Zabal phosphate factory in El-Qalubia governarate, Egypt. The aim of this study was to determine the elemental pattern in phosphate ingredients as well as in the produced phosphate fertilizer. Fair agreement was found between the results obtained for the standard reference material Soil-7 and the certified values reported by the International Atomic Energy Agency. The results for the input raw materials (rock phosphate, limestone and sulfur) and the output product as final fertilizer are presented and discussed.