Synthesis of alcoholic ZnO nanocolloids in the presence of piperidine organic base: nucleation-growth evidence of Zn5(OH)8Ac2.2H2O fine particles and ZnO nanocrystals.

Piperidine as a new free OH* organic base has been successfully used to prepare Zn5(OH)8(Ac).22H2O particles (named Zn-HDS) or concentrated alcoholic ZnO sols. Considering the applications of Zn-HDS and ZnO compounds, as well as interests of these synthesis mechanisms for fundamental chemistry, such investigations are of importance. This strategy not only allows preparing Zn-HDS compounds at room temperature but also brings evidence of some new nucleation-growth, and permits the preparation of well crystalline ZnO nanocrystals at low temperature (maximum 60 degrees C). It was possible to convincingly prove that the formation of Zn-HDS phase is concomitant to the ZnO nanocrystals formation and that Zn-HDS could be considered as an intermediate initiator of ZnO nanocrystals. A parallel approach was used for the fast screening of the synthesis progress.

How central and connected am I in my family? Bridging and bonding social capital in family configurations of young adults with psychiatric disorders.

AIMS: This article explores the structures of relational resources that individuals with psychiatric disorders get from their family configurations using the concept of social capital. METHODS: The research is based on a sample of 54 individuals with psychiatric disorders and behavioural problems, and a comparison sample of 54 individuals without a clinical record matched to the clinical respondents for age and sex. Standard measures of social capital from social network methods are applied on family configurations of individuals from both samples. Differences are tested by variance analysis. RESULTS: Structures of family resources available to individuals with psychiatric disorders are distinct. Individuals with psychiatric disorders perceive themselves as less central in their family configurations and less connected to their family members. Their significant family members are perceived as less connected with each other. As a whole, their family configurations are smaller and do not include spouses or partners. Therefore bridging and bonding social capitals are not readily available for them. CONCLUSION: As family configurations of individuals with psychiatric disorders provide fewer relational resources than other families, they are not able to deal with social integration of individuals with psychiatric disorders on their own.

[Comparative evaluation of clinical practice guidelines for the treatment of schizophrenia]. / Traitement pharmacologique de la schizophrénie: évaluation comparative de la qualité des recommandations de pratique clinique.

INTRODUCTION: Many clinical practice guidelines (CPG) have been published in reply to the development of the concept of "evidence-based medicine" (EBM) and as a solution to the difficulty of synthesizing and selecting relevant medical literature. Taking into account the expansion of new CPG, the question of choice arises: which CPG to consider in a given clinical situation? It is of primary importance to evaluate the quality of the CPG, but until recently, there has been no standardized tool of evaluation or comparison of the quality of the CPG. An instrument of evaluation of the quality of the CPG, called "AGREE" for appraisal of guidelines for research and evaluation was validated in 2002. AIM OF THE STUDY: The six principal CPG concerning the treatment of schizophrenia are compared with the help of the "AGREE" instrument: (1) "the Agence nationale pour le développement de l'évaluation médicale (ANDEM) recommendations"; (2) "The American Psychiatric Association (APA) practice guideline for the treatment of patients with schizophrenia"; (3) "The quick reference guide of APA practice guideline for the treatment of patients with schizophrenia"; (4) "The schizophrenia patient outcomes research team (PORT) treatment recommendations"; (5) "The Texas medication algorithm project (T-MAP)" and (6) "The expert consensus guideline for the treatment of schizophrenia". RESULTS: The results of our study were then compared with those of a similar investigation published in 2005, structured on 24 CPG tackling the treatment of schizophrenia. The "AGREE" tool was also used by two investigators in their study. In general, the scores of the two studies differed little and the two global evaluations of the CPG converged; however, each of the six CPG is perfectible. DISCUSSION: The rigour of elaboration of the six CPG was in general average. The consideration of the opinion of potential users was incomplete, and an effort made in the presentation of the recommendations would facilitate their clinical use. Moreover, there was little consideration by the authors regarding the applicability of the recommendations. CONCLUSION: Globally, two CPG are considered as strongly recommended: "the quick reference guide of the APA practice guideline for the treatment of patients with schizophrenia" and "the T-MAP".

[Mental retardation and psychiatry]. / Handicap mental et psychiatrie.

In the canton de Vaud (Switzerland) the psychiatric units devoted to mental retardation have been suppressed during the deinstitutionalization process in the 1970/80s. However, the use of psychiatric hospitalizations has increased these last years. This increase is accompanied by an interdiction of seclusion and restraint outside of the specialized psychiatric unit. A unit of liaison psychiatry has been created as an alternative to psychiatric hospitalization and to assist directly the staff of specialized institutions for people with mental retardation or the family of the patient. The article describes the challenges of liaison psychiatry in this field and the potential benefits of research for the psychiatry of mental retardation.

[Clinical practice guidelines for the treatment of schizophrenia: from theory to practice]. / Recommandations de pratique clinique dans la schizophrénie: de la théorie à la mise en application.

INTRODUCTION: Based on the concept of evidence-based medicine (EBM), the clinical practice guidelines (CPG) occupy an increasingly important place in the field of the treatment of schizophrenia. Although CPGs have been elaborated in a rigorous way, few of them provide the readers with tools for their use in practice. The clinician must therefore create his own method of application. This problem was encountered within the framework of a retrospective study carried out in a rehabilitation unit, where we sought to answer the question concerning the use of the CPG approach in the pharmacological treatment of schizophrenia: "to what degree do doctors, with only indirect knowledge, respect these CPGs?" METHOD: The comparative study between CPG and practical current clinic implied: (1) the choice of a pertinent CPG for the clinical framework studied, (2) the selection of measuring instruments, which allow the quantification of obvious clinical problems approached in the CPG, and (3) the development of a standardized system of comparison to determine the degree of respect of the recommendations. The Expert Consensus Guideline for the treatment of schizophrenia (ECGTS) was selected as the reference. A method of application of the ECGTS is depicted: use of standardized clinical scales; translation of the results of the clinical examination in terms of clinical problems to which the recommendations of the guideline refers; and determination of the degree of respect of the recommendations. RESULTS: In the group of 20 patients included in this study, the recommendations of the ECGTS were totally respected in 65% of the patients, and partially respected in 10%, while in 25% of the patients, they were not respected. COMMENTS: These observations suggest that the clinical approach has to be improved, mainly with regard to the treatment of psychotic and depressive symptoms. This work also showed the limits of the CPG: for example, over half of the patients presented side effects on clinical evaluation, whereas the regulation of their medication respected the recommendations of the ECGTS. CONCLUSION: The future certainly belongs to CPG, which proposes, in addition to the clinical recommendations themselves, a method to check their application in clinical practice.

Synthesis of CeO2@SiO2 core-shell nanoparticles by water-in-oil microemulsion. Preparation of functional thin film.

Synthesis of nanoparticles under restricted environment offered by water-in-oil (W/O) microemulsions provides excellent control over particle size and shape, and inter-particle spacing. Such an environment has been involved to synthesize silica nanoparticles with a CeO2 core, so-called CeO2@SiO2. Aqueous fluids made up of ceria nanoparticles with a size close to 5 nm have been used as the water phase component. The starting CeO2 sols and obtained CeO2@SiO2 nanoparticles have been characterized by dynamic light scattering (DLS), X-ray diffraction, scanning and transmission electron microscopy, and specific surface area measurements. The microemulsion process has been characterized by DLS. Preliminary results on CeO2@SiO2 thin films are presented.

Preparation of colloidal solution of silica encapsulating cyanobiphenyl unit-capped ZnO QD emitting in the blue region.

The encapsulation of ZnO nanoparticles (5 nm) coated by cyanobiphenyl units by the sol-gel technique leads to spherical ZnO@SiO2 nanoparticles displaying blue emission under UV excitation.

The influence of oral tryptophan on cortical evoked responses in normals and schizophrenics.

The cortical evoked responses to sensory stimulation were studied in order to evaluate the central effects of oral tryptophan in normals and schizophrenics. In the first study, seven volunteer male students were tested during four experimental sessions. Visual evoked responses to flashes were recorded at occiput and vertex, before and 1 1/2 hours after the ingestion of 35 mg/kg tryptophan in apple purée with 50 g glucose or placebo. Some significant modifications of evoked responses were observed after tryptophan ingestion: a decrease of amplitude and an increase of variability. The latencies were rather stable, presenting only minor modifications. From these results, corroborated by some data from literature, it may be supposed that tryptophan induces a decrease of arousal. In the second study, seven chronic schizophrenics and 6 volunteer controls were tested, using an analogous experimental design, however with some modifications: the tryptophan dose was increased to 50 mg/kg and administered in 200 ml of milk, instead of apple purée with glucose. The modifications of evoked responses recorded in the preceding study were no longer found. Probably, the substitution of milk for glucose resulted in an alteration of the transport of tryptophan across the blood-brain barrier. The blood parameters were rather similar in the two studies; therefore, the central effects of tryptophan did not parallel its blood levels.

Distribution of tryptophan in erythrocytes, leukocytes and thrombocytes, and its binding to plasma albumin.

The extended theory about a dysfunction of the serotoninergic system in depression and schizophrenia includes the hypothesis of a disturbance in the transport systems of tryptophan and tyrosine from blood to brain. It would be interesting to know if blood cells may be used as a model for the central transport mechanisms of these amino acids. After an oral load, the in vivo distribution of L-tryptophan (50 mg/kg) was studied in the blood plasma, in the different blood cells and its binding to plasma albumin, in six healthy, seven schizophrenic and two depressive subjects. In all the compartments studied, tryptophan reached a peak, 1--2 hours after the load. Before and after the load, the variation of the tryptophan concentration in the erythrocytes was parallel to the plasma free tryptophan, whereas the uptake of this amino acid was higher in leukocytes and thrombocytes than in erythrocytes. However, this model does not show differences between schizophrenic and normal subjects with regard to the transport of tryptophan and tyrosine in these cells.

Reduction of genotoxicity of a creosote-contaminated soil after fungal treatment determined by the Tradescantia-micronucleus test.

The fungal degradation of polyaromatic hydrocarbons (PAH) in a contaminated soil from a hazardous waste site was evaluated in a pilot-scale study. As some PAH are known to be mutagens, the Tradescantia-micronucleus test (TRAD-MCN) was selected to evaluate the genotoxicity of the soil before and after fungal treatment. The genotoxicity test was conducted with Tradescantia clone 4430. Cuttings were exposed for 30 h to different dilutions of soil extracts from the PAH-contaminated soil before and after fungal treatment. Soil extracts before fungal treatment exhibited a relatively strong genotoxic effect in the meiotic pollen mother cells even at a 1% concentration, and the highest concentration without significant effect was 0.25%. After fungal treatment, the depletion of selected PAH was associated with a reduction of the soil genotoxicity. The 2% concentration of the extract from the fungal-treated soil showed genotoxic effects comparable to the 1% soil extract without fungal treatment. These results indicate that the Trad-MCN test has a potential utility for evaluating the efficiency of bioremediation of genotoxic soil contaminants.

[Heterogeneity of the depressive mood. Construction of a polydimensional scale]. / L'hétérogénéité de l'humeur dépressive. Construction d'une échelle polydimensionnelle.

The evaluation of depressive mood implies several levels of the clinician's inferences: behaviour observation, subjective experience report, affective communication... The authors report the first stages in the construction of a specific depressive mood scale administered to a major depressive disorder population of 52 patients meeting DSM III criteria. The principal component analysis splits mood into three main factors: dysphoria, expressed sadness, emotional blunting. These various emotional dimensions should be taken into account for the analysis of drugs effects.

[Therapy and institutions: size and internal communications of the therapeutics framework system]. / Thérapie et institutions: dimension et communications internes du système d'encadrement therapeutique.

This study describes the collaboration effort between professionals of different institutions who are engaged in a multifocal therapeutic framing of an at-risk family. Detriangulation of the professionals out of the family system is emphasized, through the progressive establishment of internal and external communication rules, and through the progressive reduction of the team's dimension. Reference is made to a systemic evolutive model.

[Instrumentalism and psychosocial rehabilitation. Development of methodological processes related to the "intermediate spaces"]. / Instrumentalisme et réadaptation psychosociale. Devenir des méthodes processuelles dans les "espaces intermédiaires".

In psychosocial rehabilitation, institutional actors which are not focused on the "intermediate space" (term coined by the authors to describe the time-space of interpersonal, solution-oriented communication filled by the actor and the patient) are faced with an identity crisis and other problems, some of which are linked to a instrumental vision of their practice. Such a vision leads to a discursive and theoretical approach, yet interferes with potential partnerships. Also, it traps open and solution-oriented relational situations by favouring that which is focused on acts of a prescriptive and normative nature. This state of affairs is encouraged by several factors linked to the actor's status, to health policies and to the evaluation of such policies. In future, effective work in this "intermediate space" will require that actors use other inductive models on which to base their practice which, incidentally, remains at the fringe of social care and support.

Benevolent voices are not so kind: the functional significance of auditory hallucinations.

BACKGROUND: This study measures the impact of beliefs about auditory hallucinations on social functioning. SAMPLING AND METHODS: Twenty-nine subjects who met the ICD-10 criteria for schizophrenia or a schizo-affective disorder were included. Beliefs about voices and coping responses as measured by the Beliefs about Voices Questionnaire were compared with social functioning as assessed with the Life Skills Profile (LSP). RESULTS: The belief that voices are benevolent was associated with poor communication. Engagement with voices was correlated with the non-turbulence and the compliance factors of the LSP. Patients who held the belief that their voices were benevolent functioned significantly more poorly on the communication factor of the LSP than patients who interpreted their voices as malevolent. DISCUSSION: The results indicate that a positive relationship with voices may affect social functioning. However, the size of the sample is small and patients with benevolent voices are overrepresented. Nonetheless, these results have implications for the use of cognitive therapy for psychotic symptoms.

Isolation and characterization of a novel gamma-hexachlorocyclohexane-degrading bacterium.

The natural biotic capacity of soils to degrade gamma-hexachlorocyclohexane (gamma-HCH, lindane) was estimated using an enrichment technique based on the ability of soil bacteria to develop on synthetic media and degrade the xenobiotic compound, used as the sole source of carbon and energy. Bacterial inocula from relatively highly contaminated soils (from wood treatment factories) were found to promote efficiently the degradation of gamma-HCH, which subsequently permitted isolation of a competent gamma-HCH-degrading microorganism. The decrease of gamma-HCH concurrently with the release of chloride ions and the production of CO2 demonstrated the complete mineralization of gamma-HCH mediated by the isolate. This was confirmed by gas chromatography-mass spectrometry analyses showing that degradation subproducts of gamma-HCH included an unidentified tetrachlorinated compound and subsequently 1,2,4-trichlorobenzene and 2,5-dichlorophenol. The two linA- and linB-like genes coding, respectively, for a gamma-HCH dehydrochlorinase and a dehalogenase were characterized by using a PCR strategy based on sequence homologies with previously published sequences from Sphingomonas paucimobilis UT26. Nucleotide sequence analysis of the linA-like region revealed the presence of a 472-bp open reading frame exhibiting high homology with the linA gene from S. paucimobilis, while a preliminary study also indicated strong homology among the two linB genes. All enzymes involved in the gamma-HCH degradative pathway appear to be extracellular and encoded by genes located on the chromosome, although numerous cryptic plasmids have been detected.