Cellulose nanocrystals (or whiskers) and microfibrillated cellulose (MFC) were successfully obtained from sisal fibers and modified with n-octadecyl isocyanate (C(18)H(37)NCO) using two different methods with one innovation that consists of an in situ solvent exchange procedure. The surface chemical modification was characterized by elemental analysis, as well as FTIR and XPS spectroscopies. The crystalline structure of both unmodified and modified nanoparticles was investigated through X-ray diffraction measurements. It was shown that the efficiency of the chemical modification is strongly dependent on the nature of the nanoparticle with explanation linked to specific area, ability of peeling, and solvent dispersion. The surface chemical modification with n-octadecyl isocyanate allows dispersion of the nanoparticles in organic solvents and may allow processing of nanocomposite films from a casting/evaporation technique for a broad range of polymeric matrices.

To examine the influence of the sampling method on beryllium (Be) exposure assessment, a study was conducted in foundries and smelters to contrast the performance of five different dust sampling devices. Six sampling surveys were conducted in four different settings, and both personal and fixed station samples were collected using the following sampling heads: IOM samplers (inhalable dust), 35-mm plastic cassettes (total dust), aluminum SKC cyclones (respirable dust), 8-stage Sierra cascade impactors, and 12-stage MOUDI impactors. In total, beryllium concentrations were determined for 66/68 inhalable dust samples, 62/62 total dust samples, 56/57 respirable dust samples, 54/64 8-stage Sierra samples, and 19/25 12-stage MOUDI samples. In the magnesium foundry and aluminum smelters, the concentrations obtained during specific tasks could exceed the actual permissible exposure limit of the province of Quebec (0.15 mug/m(3)) or of the ACGIH threshold limit value (TLV)(0.05 mug/m(3)). The median of median dust concentration ratios computed from the sampling heads at the fixed station decreased as follows: IOM (1.00)> Sierra (0.76)> 37-mm cassette (0.61)> MOUDI (0.48)> respirable (0.12). The same trends were observed with the ratios of the median of median Be concentrations at the fixed station but with a larger scattering within sampling heads as follows: IOM (1.00)> Sierra (0.69)> 37-mm cassette (0.64)> MOUDI (0.54)> respirable (0.19). The median of median ratios of dust (IOM (1.00)> Sierra (0.56)> 37-mm cassette (0.35)> respirable (0.06)) and Be (IOM (1.00)> Sierra (0.66)> 37-mm cassette (0.48)> respirable (0.11)) in dust were lower, and there was less scattering for the 37-mm cassette and SKC cyclone used during breathing zone sampling than for the same sampling heads at the fixed station. Inhalable aerosol measurements should remain the tool for estimating the risk of exposure to beryllium in these settings until a clear dose response is established for these sampling heads.

ABSTRACT Objectives. We aimed to quantify children's levels of pain and fear during needle puncture procedures in a context where intravenous sedation-analgesia seems to be effective for pain and anxiety relief. The relevance of a nonpharmacological intervention in the pharmacological regimen was evaluated. Design. Fear and pain were assessed by children, parents and physicians, on a visual analog scale (VAS, 0-10 cm), before and during puncture procedures. Higher scores represented more intense pain/fear. Results. During 4 consecutive months, 18 children were recruited, but four were excluded from analyses because they did not receive the full sedation regimen (midazolam/ketamine)(N = 14, mean age +/- SD: 9.9 +/- 3.4 years). Parents self-reported their own anxiety before the procedure (4.69 +/- 3.17), but no correlation was found with their children's self-reported fear. Before procedures, the children's fear was self-reported on a VAS by children (2.93 +/- 2.93), parents (4.45 +/- 2.87), and physicians (3.67 +/- 2.48). During procedures under sedation, the children's pain (1.71 +/- 2.74) did not correlate with the parents'(4.01 +/- 3.23) and physicians'(1.83 +/- 2.32) ratings. Children anticipating high levels of pain and fear on the VAS experienced higher levels of pain (r = 0.65, P < 0.05) and fear (r = 0.59, P < 0.05) during the procedures. Sixteen parents (16/18) agreed to participate with their children if a study evaluating hypnosis for pain and anxiety was conducted. Conclusions. Sedation is effective in lowering levels of fear and pain in children during procedures, but they still anticipate fear before the procedures. Parents are anxious for their children. Future hypnotic intervention could be helpful for children as well as parents to cope with anxiety during procedures.

Abstract Objective: The aim of this study was to assess women's satisfaction with a hypnotic intervention for anxiety and pain management during a pregnancy-terminating procedure. Methods: Women (N = 350) scheduled for first-trimester surgical abortion were randomly assigned to standard care or to a short, standardized hypno-analgesia intervention before and during the procedure. We assessed their individual use of the various hypnotic strategies proposed during the intervention and their views (likes/dislikes) about the hypnotic intervention, the pregnancy termination experience, and their participation in this randomized study. Results: Mental imagery of a secure place was the strategy used by most women (71%) in the hypnosis group, but a significant proportion of them also used dissociation (42%) and focal analgesia (39%). Advantages of hypnosis over standard care were found in the patients' report that they could resume their normal activities right after being discharged from the hospital (72% in hypnosis vs. 56% in control group) and in their appreciation of the accompaniment (hypnotherapist vs. nurse) provided during the procedure (97% in hypnosis vs. 56% in control group). Among those who received hypnosis, 97% affirmed that they would recommend hypnosis to a friend for a similar procedure. More than 98% in both groups indicated they would again volunteer to participate in a study evaluating hypnosis for pain management. Conclusions: Women in the hypnosis group generally reported higher levels of satisfaction with various aspects of the procedure. This is consistent with the growing literature in favor of hypnotic interventions to improve pain management and care.

Soft tissue sarcomas are rare tumors. They may occur in any part of the body. Early step of management are essential because they directly affect functional consequences and survival of patients. It is very important to rapidly evoke the diagnostic of soft tissue sarcoma. Multidisciplinary discussion is indispensable at different step of the management: before the diagnostic to organize radiological check up and preoperative biopsy, before resection of localized tumor to decide the surgical procedure, with anatomopathological results to discuss an adjuvant treatment, at metastatic setting to decide a systemic treatment to start or inclusion in a clinical trial.

The objective of the present work was to estimate the efficiency of moistened wipes in removing beryllium with different solutions including Citranox, Alconox, NaCl 5%, Resolve, and Ledizolv on various types of surfaces such as unpainted metal, wood frames, painted metal, concrete, painted concrete, and Plexiglas from three different occupational settings. Of the three plants that were investigated, only surfaces in the aluminium smelter were decontaminated down to the clearance reference level of 0.2 mug 100 cm(-2), with all the solvents used. In the machine tooling and milling department, the clearance level of 0.2 mug 100 cm(-2) was reached after the three decontaminations, with all the solvents. In the machine plant for the military, aerospace, and telecommunications industries, the beryllium concentrations on the concrete wall, before decontamination with the high-pressure gun, were usually >3 mug 100 cm(-2), and concentrations as high as 31 mug 100 cm(-2) were measured. After the high-pressure cleanup, the beryllium concentrations were sometimes reduced by a factor of 10, but never reached the clearance level. Beryllium compounds that had adhered to most types of structures that we attempted to decontaminate were reduced to below the clearance reference value except on concrete floors. There did not seem to be any difference between the decontamination actions for all the solvents used in this study.

Lymphopenia is frequent in advanced cancers and predicts the toxicity of chemotherapy. Its effect on relapse and survival is uncertain. Its prognostic value for survival was analyzed in three databases of previously reported prospective multicenter studies:(a) FEC chemotherapy in metastatic breast carcinoma;(b) CYVADIC in advanced soft tissue sarcoma (European Organization for Research and Treatment of Cancer-Soft Tissue and Bone Sarcoma Group 62791); and (c) prospective, consecutive phase III studies of aggressive diffuse large-cell non-Hodgkin's lymphomas conducted at Centre Léon Bérard between 1987 and 1993. Univariate and multivariate analyses of prognostic factors for survival were performed. The incidence of lymphopenia of <1,000/microL before treatment was constant among the series: 25%, 24%, and 27%, respectively. Lymphopenia was significantly more frequent (P < 0.05) in metastatic breast cancer patients with performance status (PS) of >1, non-Hodgkin's lymphoma patients with international prognostic index (IPI) of > 0, and advanced soft tissue sarcoma and metastatic breast cancer patients with bone metastases. Inunivariate analysis, lymphopenia of <1,000/microL significantly correlated to overall survival in patients with metastatic breast cancer (median, 10 versus 14 mo; P < 0.0001), advanced soft tissue sarcoma (median, 5 versus 10 months; P < 0.01), and non-Hodgkin lymphoma (median, 11 versus 94 months; P < 0.0001). In multivariate analysis (Cox model), lymphopenia was an independent prognostic factor for overall survival in metastatic breast cancer [RR (relative risk), 1.8; 95% CI (confidence interval), 1.3-2.4] along with liver metastases and PS; in advanced soft tissue sarcoma (RR, 1.46; 95% CI, 1.0-2.1) along with liver metastases, lung metastases, and PS; and in non-Hodgkin's lymphoma (RR, 1.48; 95% CI, 1.03-2.1) along with IPI. Our findings show that lymphopenia is an independent prognostic factor for overall and progression-free survival in several cancers.[Cancer Res 2009;69(13):5383-91].

Asbestos exposure is a well-known risk factor for various lung diseases, and when they occur, workmen's compensation boards need to make decisions concerning the probability the cause is work related. In the absence of a definitive work history, measures of short and long asbestos fibers as well as counts of asbestos bodies in the lung can be used as diagnostic tests for asbestos exposure. Typically, data from one or more lung samples are available to estimate the probability of asbestos exposure, often by comparing the values with those from a reference nonexposed population. As there is no gold standard measure, we explore a variety of latent class models that take into account the mixed discrete/continuous nature of the data, that each subject may provide data from more than one lung sample, and that the within-subject results across different samples may be correlated. Our methods can be useful to compensation boards in providing individual level probabilities of exposure based on available data, to researchers who are studying the test properties for the various measures used in this area, and more generally, to other test situations with similar data structure.

Marine picocyanobacteria of the genera Prochlorococcus and Synechococcus numerically dominate the picophytoplankton of the world ocean, making a key contribution to global primary production. Prochlorococcus was isolated around 20 years ago and is probably the most abundant photosynthetic organism on Earth. The genus comprises specific ecotypes which are phylogenetically distinct and differ markedly in their photophysiology, allowing growth over a broad range of light and nutrient conditions within the 45 degrees N to 40 degrees S latitudinal belt that they occupy. Synechococcus and Prochlorococcus are closely related, together forming a discrete picophytoplankton clade, but are distinguishable by their possession of dissimilar light-harvesting apparatuses and differences in cell size and elemental composition. Synechococcus strains have a ubiquitous oceanic distribution compared to that of Prochlorococcus strains and are characterized by phylogenetically discrete lineages with a wide range of pigmentation. In this review, we put our current knowledge of marine picocyanobacterial genomics into an environmental context and present previously unpublished genomic information arising from extensive genomic comparisons in order to provide insights into the adaptations of these marine microbes to their environment and how they are reflected at the genomic level.

The insoluble residues obtained by submitting amylopectin-rich native starch granules from waxy maize to a mild acid hydrolysis consist of polydisperse platelet nanocrystals that have retained the allomorphic type of the parent granules. The present investigation is a detailed characterization of their molecular composition. Two major groups of dextrins were found in the nanocrystals and were isolated. Each group was then structurally characterized using beta-amylase and debranching enzymes (isoamylase and pullulanase) in combination with anion-exchange chromatography. The chain lengths of the dextrins in both groups corresponded with the thickness of the crystalline lamellae in the starch granules. Only approximately 62mol% of the group of smaller dextrins with an average degree of polymerization (DP ) 12.2 was linear, whereas the rest consisted of branched dextrins. The group of larger dextrins (DP 31.7) apparently only consisted of branched dextrins, several of which were multiply branched molecules. It was shown that many of the branch linkages were resistant to the action of the debranching enzymes. The distribution of branched molecules in the two populations of dextrins suggested that the nanocrystals possessed a regular and principally homogeneous molecular structure.