Breastfeeding patterns and risk of childhood acute lymphoblastic leukaemia.

The risk of childhood acute lymphoblastic leukaemia (ALL) was investigated in relation to breastfeeding patterns in the Northern California Childhood Leukaemia Study. Data collected by self-administered and in-person questionnaires from biological mothers of leukaemia cases (age 0-14 years) in the period 1995-2002 were matched to birth certificate controls on date of birth, sex, Hispanic ethnic status, and maternal race. Ever compared to never breastfeeding was not associated with risk of ALL at ages 1-14 years (odds ratio=0.99; 95% CI=0.64-1.55) and ages 2-5 years (OR=1.49; 95% CI=0.83-2.65). Various measures of breastfeeding duration compared to absence of breastfeeding also had no significant effect on risk. Complimentary feeding characteristics such as type of milk/formula used and age started eating solid foods among breastfed children were not associated with ALL risk. This study provides no evidence that breastfeeding affects the occurrence of childhood ALL

Influence de divers facteurs écologiques sur la bioaccumulation d'éléments métalliques (Cd, Cu, Pb, Zn) chez de jeunes palourdes (Ruditapes philippinarum) au cours du prégrossissement en nourricerie

La bioaccumulation des métaux chez les mollusques peut être une conséquence de la désorption des éléments métalliques fixés sur les particules inertes ou vivantes en suspension dans l'eau qui leur servent de nourriture. Les meilleures expériences réalisées jusqu'ici semblent indiquer que les matières en suspension ont un rôle mineur dans la contamination des mollusques. Mais quelles que soient les précautions prises, les expériences ne simulent jamais parfaitement les phénomènes naturels. Aussi, nous avons choisi de reprendre cette question à l'aide d'une expérience en grand volume où le nombre de paramètres contrôlés est restreint mais où les organismes sont dans des conditions aussi proches que possible de la réalité.Au cours d'un prégrossissement expérimental, les jeunes palourdes reçoivent des quantités variables contrôlées de nourriture phytoplanctonique. La fourniture d'une nourriture plus abondante a pour conséquence d'augmenter les quantités de cuivre et de zinc et au contraire de diminuer celles de plomb contenues dans chaque individu. Elle entraîne également une diminution des concentrations en cadmium et plomb traduisant une « dilution biologique » de ces métaux. L'augmentation de la densité de la population expérimentale a un effet négatif sur les quantités de cuivre et de zinc contenues dans les individus. A âge identique, les individus les plus grands présentent des concentrations plus faibles en cuivre et zinc et plus élevées en cadmium et plomb.L'utilisation des eaux marines souterraines présente deux avantages: une production algale intense à un coût économique négligeable et la possibilité par échange thermique de réchauffer en hiver les eaux marines naturelles et ainsi de maintenir une croissance des mollusques toute l'année. L'emploi des eaux de forage n'entraîne aucun effet néfaste dans les phénomènes de bioaccumulation des métaux, du moins pour ceux étudiés ici : cadmium, cuivre, plomb et zinc.Metal bioaccumulation in bivalves may occur as a consequence of the ingestion of inert or living particles with fixed trace elements. The best experiments like those carried out by BORCHARDT (1983, 1985) concerning Cd in mussels have shown that the role suspended matter plays in the contamination of molluscs is insignificant. But, however reliable the experimental methodologies, laboratory conditions never reproduce perfectly natural phenomena. We planned therefore to restudy the problem by using a largescale experiment where the procedure was characterized by a restricted number of controlled parameters and the organisms as close as possible to the real conditions.During an experimental nursing of young carpet shells, we assessed the influence of various controlled quantifies of phytoplankton and of experimental population density on the transfer of metal from their environment to molluscs.Carpet-shell brood (Ruditapes philippinarum) was distributed in several cylindrical containers the bottom of which consisted in a sieve. Food and seawater were renewed continuously by means of an ascending current (BAUD et BACHER, 1990). Nursing assays were carried out during summer over a period of 74 days. Eight groups of carpet shells were constituted according to food supplies (0, lx, 2x and 4x of Skeletonema costatum grown upon underground seawater plus natural phytoplankton) and population density (25 000 or 50 000 individuals per experimental container). Young molluscs were fed according to a cycle of 3 h-feeding periods and 2 h-periods with no food alternately. The average concentrations of algal cells in mollusc breeding seawater were 17.5, 35 and 70.103 cells/L. This seawater was renewed at a flow rate of 3 m3/h.At the end of the nursing period, molluscs exposed to different experimental conditions were separated by using sieves of different mesh-size (6, 8 and 10 mm). Young carpet shells were purged for 36 h in order to limit the overvaluation of bioaccumulated metal levels due to ingested matter (AMIARD-TRIQUET et al., 1984; KENNEDY, 1986). In each experimental and size-related categories, 90 individuals were sampled and divided into 3 groups of 30 specimens.In these groups, soft tissues were separated from the shells and oven-dried at 80 °C for 48 h. The dry samples were powdered and three aliquot parts of about 100 mg each were digested with 1 ml of concentrated nitric acid (HNO3, Suprapur) at 95 °C for 1 h. Then the trace element analyses were performed in this solution diluted with deionized water by dame (Zn) or by flameless (Cd, Cu, Pb) atomic absorption spectrophotometry using the Zeeman effect (AMIARD et al., 1987).The influence of both food supplies and experimental population density on the dry weight of soil tissues of young carpet shells, their metal concentration and body burdens were examined by means of multi-linear regression analysis.Increasing body burdens of Cu (4) and Zn (5) and decreasing body burden of Pb (3), corresponded to more abundant food supplies. The increase of phytoplankton supplies induced a decrease of Cd (6) and Pb (7) concentrations as a consequence of a « biological dilution » of these metals. Increasing density induced a depletion of Cu (4) and Zn (5) body burdens. Among individuals of the same age, the biggest ones exhibited the lowest concentrations of Cu and Zn (8 and 9) and the highest concentrations of Cd and Pb (6 and 7).Increased food supplies induce a biological dilution of Cd and Pb in young carpet-shells. These results are in agreement with previous data concerning Cd, Cu, Pb and Zn in different species (MACKAY et al., 1975; BOYDEN, 1971; PHELPS et al., 1985; BERTHET, 1986). Thus front a sanitary point of view, the use of ground seawater for algal culture is not a risk since metal concentrations in molluscs are not enhanced

Contaminação de aflatoxinas em castanha-do-brasil com casca em sistemas extrativista e de plantio.

Diante de problemas de contaminação por aflatoxinas enfrentados na cadeia produtiva da castanha-do-brasil, o objetivo deste trabalho foi estudar o teor de aflatoxinas em castanhas com casca em diferentes etapas dos sistemas de produção: extrativista e de plantio. A produção extrativista consiste na coleta de ouriços recém caídos das árvores e permanecidos no solo por vários dias, empilhamento na floresta, abertura e seleção de castanhas com casca, seguida de armazenamento/secagem sob ventilação durante vários meses. Contudo, no sistema de plantio somente os ouriços com menos de 5 dias no solo são coletados, em seguida são desinfectados com hipoclorito de sódio a 1% e armazenados sob ventilação até abertura e seleção das castanhas com casca. Sessenta amostras de castanha-do-brasil com casca foram coletadas diretamente ou após abertura dos ouriços na região amazônica do Brasil, provenientes da produção extrativista no Acre e do sistema de plantio no Amazonas. As aflatoxinas (B1, B2, G1, G2) foram determinadas por Cromatografia Líquida de Alto Desempenho com detector de fluorescência bem como a atividade de água (aw) nas castanhas descascadas. Nas etapas do sistema extrativista na floresta, dos 33 ouriços coletados, castanhas provenientes de um ouriço com menos de 5 dias de contato com o solo e um ouriço empilhado durante 15 dias apresentaram contaminação por AFB1 inferior a 0,1 µg/kg de matéria fresca (MF). Entretanto o nível de AFB1 variou de 0,6 a 4,4 µg/kg de MF em 3 ouriços com mais de 30 dias em contato com o solo, mais susceptíveis a serem danificados e degradados por condições climáticas e predadores da floresta amazônica. No sistema de plantio, dos 5 ouriços coletados, somente uma amostra proveniente de um ouriço com menos de 5 dias de contato com o solo apresentou contaminação por AFB1, inferior a 0,1 µg/kg de MF. Em armazém ventilado do sistema de plantio, AFB1 foi detectada com teor inferior a 0,1 µg/kg de MF em uma amostra dos 10 ouriços coletados. Todavia no sistema extrativista, os teores de aflatoxinas das castanhas com casca aumentaram e foram superiores ao regulamento europeu (10 µg/kg de MF, UE n°165/2010) ao longo do armazenamento (até 90 dias). A secagem sob ventilação durante o armazenamento não é suficientemente eficaz para atingir rapidamente uma aw inferior a 0,7, evitando o desenvolvimento de fungos aflatoxinogênicos e a produção de aflatoxinas. Resultados sugerem o ouriço como uma barreira de proteção contra estes fungos além de confirmar os estudos anteriores do projeto Safenut que indicam a etapa de secagem sob ventilação e armazenamento das castanhas com casca durante meses no sistema extrativista como etapa crítica na contaminação por aflatoxinas. Portanto, no sistema de plantio, a coleta e o armazenamento após desinfecção com hipoclorito de sódio somente dos ouriços recém caídos das árvores, mesmo por um período de dois meses, permitem evitar a contaminação das castanhas por aflatoxinas

Characterization of Residential Pesticide Use and Chemical Formulations through Self-Report and Household Inventory: The Northern California Childhood Leukemia Study

Background: Home and garden pesticide use has been linked to cancer and other health outcomes in numerous epidemiological studies. Exposure has generally been self-reported, so the assessment is potentially limited by recall bias and lack of information on specific chemicals. Objectives: As part of an integrated assessment of residential pesticide exposure, we identified active ingredients and described patterns of storage and use. Methods: During a home interview of 500 residentially stable households enrolled in the Northern California Childhood Leukemia Study during 2001–2006, trained interviewers inventoried residential pesticide products and queried participants about their storage and use. U.S. Environmental Protection Agency registration numbers, recorded from pesticide product labels, and pesticide chemical codes were matched to public databases to obtain information on active ingredients and chemical class. Poisson regression was used to identify independent predictors of pesticide storage. Analyses were restricted to 259 participating control households. Results: Ninety-five percent (246 of 259) of the control households stored at least one pesticide product (median, 4). Indicators of higher sociodemographic status predicted more products in storage. We identified the most common characteristics: storage areas (garage, 40%; kitchen, 20%), pests treated (ants, 33%; weeds, 20%), pesticide types (insecticides, 46%; herbicides, 24%), chemical classes (pyrethroids, 77%; botanicals, 50%), active ingredients (pyrethrins, 43%) and synergists (piperonyl butoxide, 42%). Products could contain multiple active ingredients. Conclusions: Our data on specific active ingredients and patterns of storage and use will inform future etiologic analyses of residential pesticide exposures from self-reported data, particularly among households with young children

Parental Tobacco Smoking and the Risk of Acute Myeloid Leukemia in Children: the Childhood Leukemia International Consortium (CLIC).

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A case of unilateral keloid after bilateral breast reduction

Keloid scar is a manifestation of abnormal wound healing in predisposed individuals. Many treatment modalities have been tried with varying degrees of success. Radiotherapy is one such modality that is widely recognised. We present a case report and literature review based on a patient who developed unilateral keloid scarring following bilateral breast reduction surgery. Some 4 years previously, she had undergone breast conserving surgery followed by adjuvant radiotherapy for breast cancer. After her breast reduction surgery, she developed keloid scarring on the non-irradiated breast only. This case highlights a possible 'preventative' effect of radiotherapy in keloid formation

Parental social contact in the work place and the risk of childhood acute lymphoblastic leukaemia

To study the possible relation between parental social contact through occupation, a marker for a child's risk of infection, and childhood acute lymphoblastic leukaemia (ALL), the parents of 294 children with ALL aged 0–14.9 years and 376 matched controls were interviewed about their jobs after their child's birth up to the age of 3 years. Job titles were assigned to a level of social contact, and an index of occupational social contact months was created using the level and the job duration. Positive interactions between this index and rural residence associated with an increased risk of childhood ALL and common ALL (c-ALL) were observed (interaction P-value=0.02 for both, using tertiles of contact months; interaction P-value=0.05 and 0.02 for ALL and c-ALL, respectively, using continuous contact months); such findings were not observed when job durations were ignored. Our data suggest that duration of parental occupation may be important when examining the association between parental social contact in the workplace and childhood leukaemia