Hard metal lung disease--the first case in Singapore

INTRODUCTION

We report the first case of hard metal lung disease in Singapore and the occupational investigative work and control measures that were undertaken.

CLINICAL PICTURE

A 38-year-old machinist in the tool manufacturing industry presented with exertional dyspnoea and cough. Chest X-ray revealed bilateral reticulonodular infiltrates with honeycombing. High resolution computed tomography scan of the thorax confirmed the presence of interstitial fibrosis. Open biopsy of the lung showed features of pneumoconiosis. Particle induced X-ray emission (PIXE) analysis, a relatively new elemental analysis technique, performed on the lung biopsy specimen confirmed the presence of tungsten and titanium; and he was diagnosed to have hard metal lung disease. Microbiologic, serologic and histologic investigations excluded an infective cause. Serial pulmonary function tests on follow-up showed no progression. He presented with haemoptysis 10 months later and was diagnosed to have tuberculosis on the basis of positive sputum and bronchoalveolar lavage cultures for Mycobacterium tuberculosis complex.

TREATMENT

Preventive measures and permanent transfer to non-cobalt work were instituted.

OUTCOME

The interstitial fibrosis appears to have stabilised.

CONCLUSION

The diagnosis of hard metal lung disease must be considered in a worker exposed to cobalt presenting with interstitial fibrosis.

Surface modification of poly(tetrafluoroethylene) films via grafting of poly(ethylene glycol) for reduction in protein adsorption

Poly(tetrafluoroethylene) (PTFE) films with surface grafted poly(ethylene glycol) (PEG) chains were prepared by two methods: (1) UV-induced graft copolymerization of methoxy poly- (ethylene glycol) monomethacrylate (PEGMA) onto the plasma-pretreated PTFE films; and (2) coupling of the hydroxyl groups of PEG via ester linkages with the carbonyl chloride groups which were introduced onto the acrylic acid (AAc) graft-copolymerized PTFE surface through reaction with thionyl chloride (SOCl2). The UV-induced graft copolymerization of PEGMA onto the plasma-pretreated PTFE film was explored with different macromonomer concentrations and different UV graft copolymerization time. The coupling reaction, on the other hand, was explored with PEG of different molecular weights. The surface microstructures and compositions of the PEG-modified PTFE films from both processes were characterized by contact angle, X-ray photoelectron spectroscopy (XPS), and atomic force microscopy (AFM) measurements. In general, higher macromonomer concentration and longer UV graft copolymerization time led to a higher graft yield for the UV-induced graft copolymerization with PEGMA. Contact angle measurements revealed that the hydrophilicity of the PTFE film surface was greatly enhanced by the grafting of the PEG chains. The PTFE surface with a high density of grafted PEG was very effective in preventing bovine serum albumin adsorption.

Carbon nanotubes: a future material of life

The synthesis and applications of carbon nanotubes, a new form of crystalline carbon, are reviewed. In particular, the results obtained in the authors' laboratory are summarized, including the preparation of highly crystalline multi-walled carbon nanotubes; also discussed are the valence band and core level structures, the nonlinear optical limiting behavior, the band gap measurement, and the hydrogen uptake by carbon nanotubes, which has been greatly enhanced by alkali-doping.

Intermittent hypoxaemia without orthodeoxia due to right-to-left shunting related to an elongated aorta

An elderly woman presented with unexplained, intermittent hypoxaemia unrelated to posture. Subsequent investigations revealed intermittent and variable right-to-left interatrial shunting through a patent foramen ovale in the presence of normal pulmonary arterial and intracardiac pressures, caused by right atrial compression from a horizontal, elongated ascending aorta. Surgical closure of the foramen resulted in marked clinical improvement.

High H2 uptake by alkali-doped carbon nanotubes under ambient pressure and moderate temperatures

Lithium- or potassium-doped carbon nanotubes can absorb approximately 20 or approximately 14 weight percent of hydrogen at moderate (200 degrees to 400 degrees C) or room temperatures, respectively, under ambient pressure. These values are greater than those of metal hydride and cryoadsorption systems. The hydrogen stored in the lithium- or potassium-doped carbon nanotubes can be released at higher temperatures, and the sorption-desorption cycle can be repeated with little decrease in the sorption capacity. The high hydrogen-uptake capacity of these systems may be derived from the special open-edged, layered structure of the carbon nanotubes made from methane, as well as the catalytic effect of alkali metals.