The changing trends of childhood poisoning at a tertiary children’s hospital in South Africa

Context. Information on childhood poisoning in the developingworld, including South Africa, is scarce, despite its contribution tomorbidity and mortality.Objective. We describe the profile of children with exposuresand poisonings presenting to Red Cross War Memorial Children’sHospital (RCWMCH) in Cape Town, South Africa, from 2003 to2008 and compare the trends of causative agents over the past twodecades.Methods. Cases were identified by review of the RCWMCH caserecords.Results. Of the total incidents (N=2 872), paraffin (kerosene)was the commonest agent (n=692, 24%) with 124 poisoningsincluding two deaths. Drugs were the most common toxin group(n=988, 34%), including 139 single-drug poisonings with 5deaths; 4 associated with traditional medicine use. Householdcleaning product incidents (n=302, 10%) resulted in 29 singleproductpoisonings with no deaths. Pesticide incidents (n=311,10%) included 6 deaths; 203 (65%) incidents were due toorganophosphates or carbamates. The suburban distribution ofthe main toxin groups varied. Comparing 1987 and 2008, thenumber of incidents decreased from 1 116 to 447; drug and paraffinincidents decreased respectively (from 673 to 150 and from 332 to87), household cleaning products and cosmetics increased (21 to69) and pesticide incidents increased (7 to 69).Conclusion. Despite a decrease in the overall number of incidentsover two decades at RCWMCH, paraffin and drugs remainthe principal agents responsible for paediatric exposures andpoisonings, with increasing incidents due to household cleaningproducts and pesticides. Identification of these toxin groups comingfrom specific suburbs allows for targeted prevention initiatives

Tumour antigenicity in ovarian cancer.

The blastogenic response to a crude cell extract of ovarian cancer cells has been studied in 48 patients with ovarian cancer (9, autologous, 39 allogeneic), in 26 female controls matched for age and in 18 female patients with other types of cancer in remission from disease. The responses in ovarian cancer patients in remission and relapse were considered separately. The blastogenic responses to cell extracts of foetal ovary, foetal lung, foetal liver and normal adult ovary were also assessed in a proportion of all 3 groups. The blastogenic responses to ovarian cancer and foetal ovary cell extracts were found to be significantly greater in the ovarian cancer patients in remission than in the controls, but the responses to ovarian cancer extract were not greater in the relapse group or in patients with other cancers. As a blastogenic response to normal ovarian extract was also present in some of these patients, the data so far do not support the hypothesis of a tumour specific antigen. This tumour associated response may be occurring to determinants in foetal or adult ovarian tissue to which the patient becomes sensitized in malignant disease. The response is complex and the nature of the antigen requires further analysis

Tumour-associated immune responses and isolated carcinoembryonic antigen and alpha feto-protein levels related to survival in ovarian cancer patients.

The presence of a tumour-associated immune response in 37 patients with ovarian cancer as assessed by blastogenesis (lymphocyte transformation) evoked by ovarian cancer cell extracts, has been correlated with survival following the test. The difference in these responses is unlikely to be accounted for on the basis of general impairment of cell-mediated immuno-competence. Serum carcinoembryonic antigen (CEA) was also determined in 27 ovarian cancer patients to assess its prognostic significance. Raised CEA levels and absence of blastogenic response to tumour cell extract during relapse are associated with a worse prognosis but neither of these parameters are significant in remission. Possible applications of these findings to the clinical management of ovarian cancer patients are discussed. Serum alpha feto-protein levels measured by radioimmunoassay were not found to be raised in any of the 32 ovarian cancer patients in whom it was measured

Dynamic lattice distortions driven by surface trapping in semiconductor nanocrystals

Nonradiative processes limit optoelectronic functionality of nanocrystals and curb their device performance. Nevertheless, the dynamic structural origins of nonradiative relaxations in nanocrystals are not understood. Here, femtosecond electron diffraction measurements corroborated by atomistic simulations uncover transient lattice deformations accompanying radiationless electronic processes in semiconductor nanocrystals. Investigation of the excitation energy dependence shows that hot carriers created by a photon energy considerably larger than the bandgap induce structural distortions at nanocrystal surfaces on few picosecond timescales associated with the localization of trapped holes. On the other hand, carriers created by a photon energy close to the bandgap result in transient lattice heating that occurs on a much longer 200 ps timescale, governed by an Auger heating mechanism. Elucidation of the structural deformations associated with the surface trapping of hot holes provides atomic-scale insights into the mechanisms deteriorating optoelectronic performance and a pathway towards minimizing these losses in nanocrystal devices.Comment: 17 pages, 4 figure

Comparative Toxicity of Nanoparticulate CuO and ZnO to Soil Bacterial Communities

The increasing industrial application of metal oxide Engineered Nano-Particles (ENPs) is likely to increase their environmental release to soils. While the potential of metal oxide ENPs as environmental toxicants has been shown, lack of suitable control treatments have compromised the power of many previous assessments. We evaluated the ecotoxicity of ENP (nano) forms of Zn and Cu oxides in two different soils by measuring their ability to inhibit bacterial growth. We could show a direct acute toxicity of nano-CuO acting on soil bacteria while the macroparticulate (bulk) form of CuO was not toxic. In comparison, CuSO4 was more toxic than either oxide form. Unlike Cu, all forms of Zn were toxic to soil bacteria, and the bulk-ZnO was more toxic than the nano-ZnO. The ZnSO4 addition was not consistently more toxic than the oxide forms. Consistently, we found a tight link between the dissolved concentration of metal in solution and the inhibition of bacterial growth. The inconsistent toxicological response between soils could be explained by different resulting concentrations of metals in soil solution. Our findings suggested that the principal mechanism of toxicity was dissolution of metal oxides and sulphates into a metal ion form known to be highly toxic to bacteria, and not a direct effect of nano-sized particles acting on bacteria. We propose that integrated efforts toward directly assessing bioavailable metal concentrations are more valuable than spending resources to reassess ecotoxicology of ENPs separately from general metal toxicity

Pyogenic spondylitis

Pyogenic spondylitis is a neurological and life threatening condition. It encompasses a broad range of clinical entities, including pyogenic spondylodiscitis, septic discitis, vertebral osteomyelitis, and epidural abscess. The incidence though low appears to be on the rise. The diagnosis is based on clinical, radiological, blood and tissue cultures and histopathological findings. Most of the cases can be treated non-operatively. Surgical treatment is required in 10–20% of patients. Anterior decompression, debridement and fusion are generally recommended and instrumentation is acceptable after good surgical debridement with postoperative antibiotic cover

Defining the Functional Domain of Programmed Cell Death 10 through Its Interactions with Phosphatidylinositol-3,4,5-Trisphosphate

Cerebral cavernous malformations (CCM) are vascular abnormalities of the central nervous system predisposing blood vessels to leakage, leading to hemorrhagic stroke. Three genes, Krit1 (CCM1), OSM (CCM2), and PDCD10 (CCM3) are involved in CCM development. PDCD10 binds specifically to PtdIns(3,4,5)P3 and OSM. Using threading analysis and multi-template modeling, we constructed a three-dimensional model of PDCD10. PDCD10 appears to be a six-helical-bundle protein formed by two heptad-repeat-hairpin structures (α1–3 and α4–6) sharing the closest 3D homology with the bacterial phosphate transporter, PhoU. We identified a stretch of five lysines forming an amphipathic helix, a potential PtdIns(3,4,5)P3 binding site, in the α5 helix. We generated a recombinant wild-type (WT) and three PDCD10 mutants that have two (Δ2KA), three (Δ3KA), and five (Δ5KA) K to A mutations. Δ2KA and Δ3KA mutants hypothetically lack binding residues to PtdIns(3,4,5)P3 at the beginning and the end of predicted helix, while Δ5KA completely lacks all predicted binding residues. The WT, Δ2KA, and Δ3KA mutants maintain their binding to PtdIns(3,4,5)P3. Only the Δ5KA abolishes binding to PtdIns(3,4,5)P3. Both Δ5KA and WT show similar secondary and tertiary structures; however, Δ5KA does not bind to OSM. When WT and Δ5KA are co-expressed with membrane-bound constitutively-active PI3 kinase (p110-CAAX), the majority of the WT is co-localized with p110-CAAX at the plasma membrane where PtdIns(3,4,5)P3 is presumably abundant. In contrast, the Δ5KA remains in the cytoplasm and is not present in the plasma membrane. Combining computational modeling and biological data, we propose that the CCM protein complex functions in the PI3K signaling pathway through the interaction between PDCD10 and PtdIns(3,4,5)P3

Resistance of thermally modified ash (Fraxinus excelsior L.) wood under steam pressure against rot fungi, soil-inhabiting micro-organisms and termites

Thermal modification processes have been developed to increase the biological durability and dimensional stability of wood. The aim of this paper was to study the influence of ThermoWood® treatment intensity on improvement of wood decay resistance against soil-inhabiting micro-organisms, brown/white rots and termite exposures. All of the tests were carried out in the laboratory with two different complementary research materials. The main research material consisted of ash (Fraxinus excelsior L.) wood thermally modified at temperatures of 170, 200, 215 and 228 °C. The reference materials were untreated ash and beech wood for decay resistance tests, untreated ash wood for soil bed tests and untreated ash, beech and pine wood for termite resistance tests. An agar block test was used to determine the resistance to two brown-rot and two white-rot fungi according to CEN/TS 15083-1 directives. Durability against soil-inhabiting micro-organisms was determined following the CEN/TS 15083-2 directives, by measuring the weight loss, modulus of elasticity (MOE) and modulus of rupture (MOR) after incubation periods of 24, 32 and 90 weeks. Finally, Reticulitermes santonensis species was used for determining the termite attack resistance by non-choice screening tests, with a size sample adjustment according to EN 117 standard directives on control samples and on samples which have previously been exposed to soil bed test. Thermal modification increased the biological durability of all samples. However, high thermal modification temperature above 215 °C, represented by a wood mass loss (ML%) due to thermal degradation of 20%, was needed to reach resistance against decay comparable with the durability classes of ‘‘durable’’ or ‘‘very durable’’ in the soil bed test. The brown-rot and white-rot tests gave slightly better durability classes than the soil bed test. Whatever the heat treatment conditions are, thermally modified ash wood was not efficient against termite attack neither before nor after soft rot degradation