Quercetin is a strong antioxidant and a major dietary flavonoid. Epidemiological studies suggest that consumption of quercetin protects against cardiovascular disease, but its absorption in man is controversial. We fed nine subjects a single large dose of onions, which contain glucose conjugates of quercetin, apples, which contain both glucose and non-glucose quercetin glycosides, or pure quercetin-3-rutinoside, the major quercetin glycoside in tea. Plasma levels were then measured over 36 h. Bioavailability of quercetin from apples and of pure quercetin rutinoside was both 30% relative to onions. Peak levels were achieved less than 0.7 h after ingestion of onions, 2.5 h after apples and 9 h after the rutinoside. Half-lives of elimination were 28 h for onions and 23 h for apples. We conclude that conjugation with glucose enhances absorption from the small gut. Because of the long half-lives of elimination, repeated consumption of quercetin-containing foods will cause accumulation of quercetin in blood.© 1997 Federation of European Biochemical Societies.Key words: Flavonoid glycoside; Dietary quercetin; Bioavailability; Pharmacokinetics; Human pounds, which are called glycosides in general, or more specifically glucosides, rutinosides, or xylosides depending on their sugar moiety. The sugar-flavonol bond is a (3-glycosidic bond which is resistant to hydrolysis by pancreatic enzymes. It was thought that such glycosides cannot be absorbed [1]. However, when we measured faecal quercetin in ileostomy subjects we found that human absorption of quercetin-p-glucosides from onions was 52%, whereas absorption of quercetin without its sugar moiety, the so-called aglycone, and of quercetin-|3-rutinoside were both only about 20% [12]. These data suggest that the sugar moiety of quercetin glycosides affects their absorption. In the present study we determined the bioavailability and other pharmacokinetic parameters of various quercetin glycosides contained in foods. Subjects ingested onions, apples and pure quercetin rutinoside (rutin), the major quercetin compound found in tea [13]. Onions contain mainly glucose glycosides of quercetin [14,15]. Apples contain a variety of quercetin glycosides, including galactosides, arabinosides, rhamnosides, xylosides, and glucosides ( Fig. 1) [16][17][18]. Preliminary pharmacokinetic data on onions have been published [19].

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Flavonols are dietary antioxidants which may prevent coronary heart disease. To be able to study absorption of flavonols in humans, we developed a postcolumn derivatization with aluminum for HPLC with fluorescence detection. Variables governing postcolumn chelation, such as water content, buffer, organic modifier of the eluent, concentration of Al(3+), presence of acetic acid in the postcolumn reagent, and temperature, were studied and optimized. Of the flavonoids, only flavonols that contain a free 3-hydroxyl and 4-keto oxygen binding site form fluorescent complexes with Al(3+). The method has a detection limit of 0.15 ng/mL for quercetin, 0.05 ng/mL for kaempferol, 0.45 ng/mL for myricetin, and 0.05 mg/mL for isorhamnetin, thus improving detectability of quercetin 300-fold as compared to that possible with UV detection. The reproducibility relative standard deviation of the method is 1.4%. This extremely sensitive method enables, for the first time, determination of flavonols in body fluids after consumption of a normal diet.

Resilience is an important concept to determine how well a Dutch Emergency Response Safety Region behaves under stress. The main objective of this study is to determine the intrinsic value of ''resilience'' for Dutch Emergency Response Safety Regions. In this study it is concluded that the concept of ''resilience'' can be best described by the generic approach ''operational resilience''. A large scale survey among safety stakeholders in The Netherlands was conducted where the following items describing operational resilience were explored: situation awareness (awa); management of keystone vulnerabilities (kv); adaptive capacity (ac) and quality (q). Results show resilience of an emergency response organization can be described by a unique dynamic operational resilience f(R ero ) UV factor. A simplified approach of unique dynamic operational resilience is suggested by using a quick scan method to speed up the process of assessment.

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An emergency response organization is resilient when it learns from and is well equipped to handle (potential) risks and hazards. In this paper, we will address the organizational resilience fit for Dutch emergency response organizations (safety regions) in relation to various types of crisis. The approach presented in this paper is based on a quantitative organizational resilience model. We validated the model by means of a survey conducted among the employees of Dutch safety regions. In this survey, we queried how the employees perceive the different attributes related to a set of crisis types. We used the results to calculate the quantitative representation of organizational resilience. We found that the presence of a Quality Management system or a Safety Management system does not significantly influence the organizational resilience of the organization. However, a statistically significant difference for organizational resilience was found in the type of staff assignment: volunteer, professional, or volunteer and professional. The volunteers rated the organizational resilience lower. We recommend to increase a safety region’s organizational resilience by enhancing communication and organizational engagement of volunteers, stop pursuing a Quality/Safety Management program and perform further research on (international) emergency response organizations.

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