Investigating the impact of inoculum source on anaerobic digestion of various species of marine macroalgae

This study investigated the intrinsic biodegradation potential of marine organic sediment for effective biogas production from various species of marine macroalgae and non-marine biomass. Biogas production potential tests were carried out on three species of seaweed harvested from the west coasts of Scotland, Laminaria digitata, Fucus serratus, and Saccharina latissima, and on a non-marine cellulose biomass seeded with uncultivated and unadapted anoxic marine sediments. As a comparison, the same experiments were repeated using the same substrates but seeded with active mesophilic anaerobically digested sewage sludge. For the cultures seeded with anoxic marine sediments, the highest methane yield was observed in both L. digitata and S. latissima cultures while F. serratus and cellulose, cultures performed relatively poorly. For those seeded with digested sludge, all cultures performed relatively well, except F. serratus. These results show that marine sediments can be effective inoculum for seaweeds digestion. Phylogenetic analyses of the methanogenic community in both sources of inoculum showed that the methanogen community within the sediment and sludge seeded cultures were different. Each culture was dominated by methanogenic populations suitable for the utilisation of the specific biomass derivatives and environmental conditions. For instance, members of the genus Methanosaeta which, dominated sludge seeded cultures were not detected in the sediment seeded cultures. A similar occurrence was observed for the genus Methanofollis which was only detected in the sediment seeded cultures. Hence, in areas where seaweed forms part of a co-digestion with non-marine biomass, start-up using a mixture of anoxic marine sediments and digested wastewater sludge has the potential to provide greater process stability and robustness than using either as sole inoculum

Rehabilitation versus surgical reconstruction for non-acute anterior cruciate ligament injury (ACL SNNAP): a pragmatic randomised controlled trial

BackgroundAnterior cruciate ligament (ACL) rupture is a common debilitating injury that can cause instability of the knee. We aimed to investigate the best management strategy between reconstructive surgery and non-surgical treatment for patients with a non-acute ACL injury and persistent symptoms of instability.MethodsWe did a pragmatic, multicentre, superiority, randomised controlled trial in 29 secondary care National Health Service orthopaedic units in the UK. Patients with symptomatic knee problems (instability) consistent with an ACL injury were eligible. We excluded patients with meniscal pathology with characteristics that indicate immediate surgery. Patients were randomly assigned (1:1) by computer to either surgery (reconstruction) or rehabilitation (physiotherapy but with subsequent reconstruction permitted if instability persisted after treatment), stratified by site and baseline Knee Injury and Osteoarthritis Outcome Score—4 domain version (KOOS4). This management design represented normal practice. The primary outcome was KOOS4 at 18 months after randomisation. The principal analyses were intention-to-treat based, with KOOS4 results analysed using linear regression. This trial is registered with ISRCTN, ISRCTN10110685, and ClinicalTrials.gov, NCT02980367.FindingsBetween Feb 1, 2017, and April 12, 2020, we recruited 316 patients. 156 (49%) participants were randomly assigned to the surgical reconstruction group and 160 (51%) to the rehabilitation group. Mean KOOS4 at 18 months was 73·0 (SD 18·3) in the surgical group and 64·6 (21·6) in the rehabilitation group. The adjusted mean difference was 7·9 (95% CI 2·5–13·2; p=0·0053) in favour of surgical management. 65 (41%) of 160 patients allocated to rehabilitation underwent subsequent surgery according to protocol within 18 months. 43 (28%) of 156 patients allocated to surgery did not receive their allocated treatment. We found no differences between groups in the proportion of intervention-related complications.InterpretationSurgical reconstruction as a management strategy for patients with non-acute ACL injury with persistent symptoms of instability was clinically superior and more cost-effective in comparison with rehabilitation management

Improving the after care for deceased organ donor families and friends, an online peer to peer support network

The thesis explores the use of social media to support bereavement aftercare for families/friends of organ donors following the death of their relative. Existing research appraising the aftercare of families/friends post-deceased donation is limited. The national practice has not progressed, with families/friends receiving limited bereavement support following organ donation. A closed Facebook group, 'Donor Families Together,' was created for donor family/friends to connect, offering peer support using an online platform. With group participants' consent, a qualitative research study ran consecutively for 12 months. Conversational data from the Facebook group was downloaded, including 1452 posts and the results of 3 polls (short surveys). Six selected participants were also invited to participate in an in-depth one-to-one interview with the researcher, capturing personal experiences from individuals with differing relationships with the deceased. Thematic analysis of group and individual narrative data generated rich integrated findings and new knowledge to inform practice. The research found that organ donor families who joined the group connected with others living through this unique grief experience, sharing their most intimate feelings with strangers, and offering support any time of the day or night. It has been a welcomed space for organ donor families/friends to unite through their lived experience of death and donation, providing them with a safe environment to share emotions, grief, and questions, offering peer support, and building a special bereavement community. The findings from this unique longitudinal study provided new knowledge related to the aftercare bereavement needs of organ donor families/friends, resulting in the development of a unique grief model for organ donor families/friends. The study informs best clinical practice and highlights a peer support service developed to improve bereavement recovery post organ donation through real-life peer support. This innovative approach valued the impact of social media in connecting organ donor families, and provided an understanding of the complex aftercare needs of organ donor families/friends

Identification of putative methylotrophic and hydrogenotrophic methanogens within sedimenting material and copepod faecal pellets

In the present study, sedimenting particulate material and faecal pellets from natural and laboratory-reared copepods were examined for the presence of methanogenic Archaea. 16S rRNA gene sequences closely related to Methanogenium, Methanobacterium and Methanolobus spp. were detected, indicating the potential for different methanogenic metabolisms (hydrogenotrophic and methylotrophic methanogenesis) in these samples. The present study represents the first 16S rRNA gene-based identification of methanogens in copepod faecal pellets and importantly the first reported 16S rRNA-based occurrence of potentially hydrogenotrophic methanogens from marine particulate material, where it was previously thought that methylotrophic methanogens dominated methanogenesis. Anaerobic incubation experiments using sedimenting particulate material and copepod faecal pellets demonstrated active methane production and indicated that the associated methanogenic community was viable under the conditions tested

The biogeographical distribution of closely related freshwater sediment bacteria is determined by environmental selection

The role of environmental selection in governing the structure of communities of freshwater sulfur bacteria (Achromatium spp) was experimentally tested by mixing sediments from two geographically separated lakes (Rydal Water (RY) and Hell Kettles (HK)) that harboured Achromatium spp. Community profiles of Achromatium spp in sediment microcosms at day 0 and after 60 days were compared to determine whether initial Achromatium community composition or subsequent selection by the sediment environment had greater influence in dictating the final Achromatium community structure. It was found that Achromatium spp from the HK community became established in mixed sediments at the expense of members of the RY community. This selection for the HK Achromatium community was more pronounced when sediment composition was manipulated to resemble HK sediments. Our findings definitively demonstrate that environmental selection is the primary determinant of Achromatium community structure in these sediments

Metabolomics reveals diet-derived plant polyphenols accumulate in physiological bone

International audienc

A Systematic Review and Meta-Analysis of the Pathology Underlying Aneurysm Enhancement on Vessel Wall Imaging

Intracranial aneurysms are common, but only a minority rupture and cause subarachnoid haemorrhage, presenting a dilemma regarding which to treat. Vessel wall imaging (VWI) is a contrast-enhanced magnetic resonance imaging (MRI) technique used to identify unstable aneurysms. The pathological basis of MR enhancement of aneurysms is the subject of debate. This review synthesises the literature to determine the pathological basis of VWI enhancement. PubMed and Embase searches were performed for studies reporting VWI of intracranial aneurysms and their correlated histological analysis. The risk of bias was assessed. Calculations of interdependence, univariate and multivariate analysis were performed. Of 228 publications identified, 7 met the eligibility criteria. Individual aneurysm data were extracted for 72 out of a total of 81 aneurysms. Univariate analysis showed macrophage markers (CD68 and MPO, p = 0.001 and p = 0.002), endothelial cell markers (CD34 and CD31, p = 0.007 and p = 0.003), glycans (Alcian blue, p = 0.003) and wall thickness (p = 0.030) were positively associated with enhancement. Aneurysm enhancement therefore appears to be associated with inflammatory infiltrate and neovascularisation. However, all these markers are correlated with each other, and the literature is limited in terms of the numbers of aneurysms analysed and the parameters considered. The data are therefore insufficient to determine if these associations are independent of each other or of aneurysm size, wall thickness and rupture status. Thus, the cause of aneurysm-wall enhancement currently remains unknown

A systematic review and meta-analysis of the pathology underlying aneurysm enhancement on vessel wall imaging

Intracranial aneurysms are common, but only a minority rupture and cause subarachnoid haemorrhage, presenting a dilemma regarding which to treat. Vessel wall imaging (VWI) is a contrast-enhanced magnetic resonance imaging (MRI) technique used to identify unstable aneurysms. The pathological basis of MR enhancement of aneurysms is the subject of debate. This review synthesises the literature to determine the pathological basis of VWI enhancement. PubMed and Embase searches were performed for studies reporting VWI of intracranial aneurysms and their correlated histological analysis. The risk of bias was assessed. Calculations of interdependence, univariate and multivariate analysis were performed. Of 228 publications identified, 7 met the eligibility criteria. Individual aneurysm data were extracted for 72 out of a total of 81 aneurysms. Univariate analysis showed macrophage markers (CD68 and MPO, p = 0.001 and p = 0.002), endothelial cell markers (CD34 and CD31, p = 0.007 and p = 0.003), glycans (Alcian blue, p = 0.003) and wall thickness ( p = 0.030) were positively associated with enhancement. Aneurysm enhancement therefore appears to be associated with inflammatory infiltrate and neovascularisation. However, all these markers are correlated with each other, and the literature is limited in terms of the numbers of aneurysms analysed and the parameters considered. The data are therefore insufficient to determine if these associations are independent of each other or of aneurysm size, wall thickness and rupture status. Thus, the cause of aneurysm-wall enhancement currently remains unknown. </p

Scottish archaeological radiocarbon dates associated with The National Museums Scotland, 2019/20

No abstract available