Neurological disorders in Northern Tanzania: A 6-year prospective hospital-based case series

Background: The burden of neurological disorders is large and altered by the HIV epidemic. Objectives: We describe the pattern of neurological disorders and their association with HIV infection in adult patients attending a consultant hospital in Northern Tanzania. Methods: In this prospective cross-sectional study, we collected data on adult neurological referrals over a 6-year period between 2007-13. The odds of HIV infection, across neurological categories adjusted for age and sex, was calculated. Results: Of 2037 participants, 54.8% were male and 45.2% were female. The median age of participants was 43 years. The results for HIV screening were available for 992/2037 (48.7%) patients, of whom 306 (30.8%) were seropositive. The most frequent neurological disorders were cerebrovascular disease (19.9%), paraplegia (13.6%), and peripheral neuropathies (8%). Taken together CNS infection accounted for 278/2037 (13.6%). The adjusted odds (aOR) of HIV infection was highest amongst infections; brain abscesses (aOR 107, 95% CI 35.1-470.4) and meningitis/encephalitis (aOR 40.1, 95% CI 13.6-172.9), but also raised in cerebrovascular disease, paraplegia, peripheral neuropathies, cranial nerve palsies, seizures, cerebllar disorders, movement disorders, motor neuron disease and headache. Conclusion: The main pattern of neurological disorders in Northern Tanzania is presented. The odds of HIV infection was highest in CNS infections and in a wide range of non-communicable neurological disorders.publishedVersio

Ionic liquids and reactions at the electrochemical interface

Ionic liquids (ILs) represent a fascinating, and yet to be fully understood, medium for a variety of chemical, physical and biological processes. Electrochemical processes form an important subset of these that are particularly of interest, since ILs tend to be good electrochemical solvents and exhibit other properties which make them very useful as electrolytes in electrochemical devices. It is important therefore to understand the extent to which electrochemical reactions and processes behave in a relatively &ldquo;normal&rdquo;, for example aqueous solution, fashion as opposed to exhibiting phenomena more uniquely the product of their organic ionic nature. This perspective examines a range of electrochemical reactions in ionic liquids, in many cases in the context of real world applications, to highlight the phenomena as far as they are understood and where data gaps exist. The important areas of lithium and conducting polymer electrochemistry are discussed in detail.<br /

Organic ionic plastic crystals : recent advances

Investigations into the synthesis and utilisation of organic ionic plastic crystals have made significant progress in recent years, driven by a continued need for high conductivity solid state electrolytes for a range of electrochemical devices. There are a number of different aspects to research in this area; fundamental studies, utilising a wide range of analytical techniques, of both pure and doped plastic crystals, and the development of plastic crystal-based materials as electrolytes in, for example, lithium ion batteries. Progress in these areas is highlighted and the development of new organic ionic plastic crystals, including a new class of proton conductors, is discussed.<br /

N-methyl-N-alkylpyrrolidinium nonafluoro-1-butanesulfonate salts : Ionic liquid properties and plastic crystal behaviour

A series of N-methyl-N-alkylpyrrolidinium nonafluoro-1-butanesulfonate salts were synthesised and characterised. The thermophysical characteristics of this family of salts have been investigated with respect to potential use as ionic liquids and solid electrolytes. N-Methyl-N-butylpyrrolidinium nonafluoro-1-butanesulfonate (p1,4NfO) has the lowest melting point of the family, at 94 &deg;C. Electrochemical analysis of p1,4 NfO in the liquid state shows an electrochemical window of ~6 V. All compounds exhibit one or more solid&ndash;solid transitions at sub-ambient temperatures, indicating the existence of plastic crystal phases.<br /

Ionic liquids and organic ionic plastic crystals utilizing small phosphonium cations

The development of new liquid and solid state electrolytes is paramount for the advancement of electrochemical devices such as lithium batteries and solar cells. Ionic liquids have shown great promise in both these applications. Here we demonstrate the use of phosphonium cations with small alkyl chain substituents, in combination with a range of different anions, to produce a variety of new halide free ionic liquids that are fluid, conductive and with sufficient thermal stability for a range of electrochemical applications. Walden plot analysis of the new phosphonium ionic liquids shows that these can be classed as &quot;good&quot; ionic liquids, with low degrees of ion pairing and/or aggregation, and the lithium deposition and stripping from one of these ionic liquids has been demonstrated. Furthermore, for the first time phosphonium cations have been used to form a range of organic ionic plastic crystals. These materials can show significant ionic conductivity in the solid state and thus are of great interest as potential solid-state electrolyte materials. <br /

Stabilisation of the superoxide anion in bis(fluorosulfonyl)imide (FSI) ionic liquid by small chain length phosphonium cations: Voltammetric, DFT modelling and spectroscopic perspectives

Ionic liquids (ILs) containing the bis(fluorosulfonyl)imide anion, FSI, have been investigated as electrolytes for metal-air batteries. Full chemical reversibility is found for the reduction of oxygen to superoxide at 60 degrees C under short time scale conditions of cyclic voltammetry at a glassy carbon electrode when the IL contains the small chain length triisobutyl(methyl)phosphonium rather than a pyrrolidinium cation. DFT calculations suggest that this is a consequence of the higher ion pair association energy and shorter intermolecular distance associated with the interaction of the superoxide anion with the phosphonium cation. Stabilization on longer timescales was also established by spectroscopic techniques when the phosphonium based ILs were exposed to KO2. Studies on superoxide stability in related ionic liquids containing the triisobutyl(methyl)phosphonium cation with the fluorosulfonyl(trifluoromethanesulfonyl)imide, FTFSI, or bis(trifluoromethanesulfonyl)imide, TFSI, anions are also reported.