The effect of graphene-poly(methyl methacrylate) fibres on microbial growth

A novel class of ultra-thin fibres, which affect microbial growth, were explored. The microbial properties of poly(methyl methacrylate) fibres containing 2, 4 and 8 wt% of graphene nanoplatelets (GNPs) were studied. GNPs were dispersed in a polymeric solution and processed using pressurized gyration. Electron microscopy was used to characterize GNP and fibre morphology. Scanning electron microscopy revealed the formation of beaded porous fibres. GNP concentration was found to dictate fibre morphology. As the GNP concentration increased, the average fibre diameter increased from 0.75 to 2.71 mm, while fibre porosity decreased. Gram-negative bacteria Escherichia coli and Pseudomonas aeruginosa were used to investigate the properties of 2, 4 and 8 wt% GNP-loaded fibres. GNP-loaded fibres (0 wt%) were used as the negative control. The fibres were incubated for 24 h with the bacteria; bacterial colony-forming units were enumerated by adopting the colony-counting method. The presence of 2 and 4 wt% GNP-loaded fibres promoted microbial growth, while 8 wt% GNP-loaded fibres showed antimicrobial activity. These results indicate that the minimum inhibitory concentration of GNPs required within a fibre is 8 wt%

The Hy-MASS concept : Hydrothermal microwave assisted selective scissoring of cellulose for: In situ production of (meso)porous nanocellulose fibrils and crystals

The hydrothermal microwave-assisted selective scissoring (Hy-MASS) of depectinated orange peel residues (OPR), produced via conventional acid hydrolysis and acid-free microwave processing, to yield (meso)porous nanocellulose fibrils and crystals simultaneously in the absence of additional auxiliary reagents and/or mechanical treatment is reported. In the stepwise microwave hydrothermal treatment (MHT) of OPR from 120 °C-200 °C at 20 °C intervals, release of residual pectins and hemicelluloses is observed up to 180 °C producing nanocellulose fibrils (3-15 × 500-2000 nm). Beyond 180 °C, selective leaching/hydrolysis of amorphous regions occur to yield nanocellulose crystals (200-400 × 40-50 nm) and crystallites (5-15 × 40-50 nm). This selective, step-wise scissoring process is termed Hy-MASS Concept. Structure, morphology and properties of (meso)porous nanocellulose are strongly influenced by pectin extraction methodology employed. With acid depectinated OPR, deconstruction of the lignocellulosic matrix via microwave is hastened by approx. 20 °C with respect to acid-free microwave depectinated OPR. Td of acid depectinated nanocelluloses (CMC) is ca. 350 °C compared to microwave depectinated nanocelluloses (MMC, Td, varies 342-361 °C). Nanocellulose produced via microwave pre-treatment is (meso)porous: BJH pore size 5-35 nm; BET surface area, 1.5-107 m2 g-1, and; BJH pore volume, 0.01-0.27 cm3 g-1, when compared to acid pre-treated counterparts. The crystallinity index of CMC and MMC increases in two stages, 120-140 °C (ca. 8%) and at 180-200 °C (5-9%). XRD revealed presence of calciuim salts, most likely calcium oxalate. The hydration capacities of nanocelluloses (12-23 g water per g sample) are much higher than their precursors or literature citrus nanocellulose

Cognitive assessment during the phases of a spontaneous migraine: a prospective cohort study

INTRODUCTION: Cognitive symptoms are reported commonly throughout all phases of a migraine; however, there is a paucity of objective cognitive profiling. Previous studies have been limited by practice effect, and variable populations. METHODS: Participants completed 1 month of daily testing with a computerised cognitive battery involving a simple reaction (SRT), choice reaction (CRT) and a working memory test (WM). Results were correlated with their diary to identify interictal scores, and scores during each phase of a migraine, and non-migraine headache days. RESULTS: A total of 16 patients with episodic migraine participated. During the headache phase of a migraine, responses to SRT, CRT and WM tasks were significantly slower and less accurate than interictally. During the postdrome, WM task performance was slower and less accurate. Non-migraine headache days were not associated with significant change. CONCLUSION: The headache and postdromal phase of a migraine day was associated with objective evidence of cognitive dysfunction in patients with episodic migraine

Prevalence of familial cluster headache: a systematic review and meta-analysis

INTRODUCTION: The population rate of familial cluster headache (CH) has been reported to be as high as 20% however this varies considerably across studies. To obtain a true estimate of family history in CH, we conducted a systematic review and meta-analysis of previously published data. METHODS: Our systematic review involved a search of electronic databases (Medline, EMBASE, PubMed, CINAHL) to identify and appraise studies of interest utilising the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. To further ameliorate the accuracy of our analysis we included an additional unpublished cohort of CH patients recruited at a tertiary referral centre for headache, who underwent detailed family history with diagnostic verification in relatives. Data was extracted and meta-analysis conducted to provide a true estimation of family history. RESULTS: In total, we identified 7 studies which fulfilled our inclusion criteria. The estimated true prevalence of CH patients with a positive family history was 6.27% (95% CI:4.65-8.40%) with an overall I2 of 73%. Fitted models for gender subgroups showed higher estimates 9.26% (95% CI: 6.29-13.43%) in females. However the I2 for the female model was 58.42% and significant (p = 0.047). CONCLUSION: Our findings estimate a rate of family history in CH to be approximately 6.27% (95% CI: 4.65-8.40%). While estimates were larger for female probands, we demonstrated high heterogeneity in this subgroup. These findings further support a genetic role in the aetiology of CH

Boron nitride nanoscrolls: structure, synthesis, and applications

This is the author accepted manuscriptBoron nitride nanoscrolls (BNS) are open-ended, one-dimensional (1D) nanostructures made by the process of rolling boron nitride nanosheets (BNNS) into a scroll-like morphology. BNS offer a high surface area to volume ratio and possess many unique properties (similar to carbon nanotubes (CNT), carbon nanoscrolls (CNS) and boron nitride nanotubes (BNT)) such as high resistance to oxidation, chemical stability, increased lubrication, high-temperature resistance, electrical insulation, the ability to cap molecules inside and at the ends,and a wide band gap regardless of chirality. Despite these attractive featuresand properties well suited for applications in biotechnology, energy storage, and electronics, the true potential of boron nitride, and BNS as the next ‘miracle material’ is yet to be fully explored. In this critical review, we assess, for the first time, various studies published on the formation, structural and dynamic characteristics of BNS, potential routes for BNS synthesis, and the toxicology of BNS. Finally, the future perspectives of BNS are discussed in view of its unique and exceptional candidacy for many (real-world) applications

Viral Filtration Using Carbon-Based Materials

Viral infections alone are a significant cause of morbidity and mortality worldwide and have a detrimental impact on global healthcare and socioeconomic development. The discovery of novel antiviral treatments has gained tremendous attention and support with the rising number of viral outbreaks. In this work, carbonaceous materials, including graphene nanoplatelets and graphene oxide nanosheets, were investigated for antiviral properties. The materials were characterised using scanning electron microscopy and transmission electron microscopy. Analysis showed the materials to be two-dimensional with lateral dimensions ranging between 1 - 4 µm for graphene oxide, 110 ± 0.11nm for graphene nanoplatelets. Antiviral properties were assessed against a DNA virus model microorganism at concentrations of 0.5, 1.0 and 2.0 wt/v%. Both carbonaceous nanomaterials exhibited potent antiviral properties and gave rise to a viral reduction of 100% across all concentrations tested. Graphene oxide nanosheets were then incorporated into polymeric fibres and their antiviral behaviour was examined after 3 and 24 hours. A viral reduction of ~39% was observed after 24 hours of exposure. The research presented here showcases, for the first time, the antiviral potential of several carbonaceous nanomaterials, also included in a carrier polymer. These outcomes can be translated and implemented in many fields and devices to prevent viral spread and infection

R1352Q CACNA1A Variant in a Patient with Sporadic Hemiplegic Migraine, Ataxia, Seizures and Cerebral Oedema: A Case Report

Mutations in the CACNA1A gene show a wide range of neurological phenotypes including hemiplegic migraine, ataxia, mental retardation and epilepsy. In some cases, hemiplegic migraine attacks can be triggered by minor head trauma and culminate in encephalopathy and cerebral oedema. A 37-year-old male without a family history of complex migraine experienced hemiplegic migraine attacks from childhood. The attacks were usually triggered by minor head trauma, and on several occasions complicated with encephalopathy and cerebral oedema. Genetic testing of the proband and unaffected parents revealed a de novo heterozygous nucleotide missense mutation in exon 25 of the CACNA1A gene (c.4055G>A, p.R1352Q). The R1352Q CACNA1A variant shares the phenotype with other described CACNA1A mutations and highlights the interesting association of trauma as a precipitant for hemiplegic migraine. Subjects with early-onset sporadic hemiplegic migraine triggered by minor head injury or associated with seizures, ataxia or episodes of encephalopathy should be screened for mutations. These patients should also be advised to avoid activities that may result in head trauma, and anticonvulsants should be considered as prophylactic migraine therapy

Ventral tegmental area deep brain stimulation in refractory short-lasting unilateral neuralgiform headache attacks

Short-lasting unilateral neuralgiform headache attacks are primary headache disorders characterized by short-lasting attacks of unilateral pain accompanied by autonomic features. A small minority are refractory to medical treatment. Neuroimaging studies have suggested a role of the posterior hypothalamic region in their pathogenesis. Previous case reports on deep brain stimulation of this region, now understood to be the ventral tegmental area, for this disorder are limited to a total of three patients. We present a case series of 11 new patients treated with ventral tegmental area deep brain stimulation in an uncontrolled, open-label prospective observational study. Eleven patients with refractory short-lasting unilateral neuralgiform headache attacks underwent ipsilateral ventral tegmental area deep brain stimulation in a specialist unit. All patients had failed, or been denied access to, occipital nerve stimulation within the UK’s National Health Service. Primary endpoint was change in mean daily attack frequency at final follow-up. Secondary outcomes included attack severity, attack duration, headache load (a composite score of attack frequency, severity and duration), quality of life measures, disability and affective scores. Information was also collected on adverse events. Eleven patients (six male) with a median age of 50 years (range 26–67) were implanted between 2009 and 2014. Median follow-up was 29 months (range 7–63). At final follow-up the median improvement in daily attack frequency was 78% (interquartile range 33%). Response rate (defined as at least a 50% improvement in daily attack frequency) was 82% and four patients were rendered pain-free for prolonged periods of time. Headache load improved by 99% (interquartile range 52%). Improvements were observed in a number of quality of life, disability and affect measures. Adverse events included mild incision site pain, subcutaneous displacement of the implantable pulse generator, transient oscillopsia and minor wound infection. One patient required removal of the system due to wound infection. Ventral tegmental area deep brain stimulation may be an effective treatment option for refractory short-lasting unilateral neuralgiform headache attack patients who have failed other therapies

Competing treatments for migraine: a headache for decision-makers

BACKGROUND: Migraine is the world’s second most common disabling disorder, affecting 15% of UK adults and costing the UK over £1.5 billion per year. Several costly new drugs have been approved by National Institute for Health and Care Excellence. AIM: To assess the cost-effectiveness of drugs used to treat adults with chronic migraine. METHODS: We did a systematic review of placebo-controlled trials of preventive drugs for chronic migraine. We then assessed the cost-effectiveness of the currently prescribable drugs included in the review: Onabotulinum toxin A (BTA), Eptinezumab (100mg or 300mg), Fremanezumab (monthly or quarterly dose), Galcanezumab or Topiramate, each compared to placebo, and we evaluated them jointly. We developed a Markov (state-transition) model with a three-month cycle length to estimate the costs and quality-adjusted life years (QALYs) for the different medications from a UK NHS and Personal Social Services perspective. We used a two-year time horizon with a starting age of 30 years for the patient cohort. We estimated transition probabilities based on monthly headache days using a network meta-analysis (NMA) developed by us, and from published literature. We obtained costs from published sources and applied discount rates of 3.5% to both costs and outcomes. RESULTS: Deterministic results suggest Topiramate was the least costly option and generated slightly more QALYs than the placebo, whereas Eptinezumab 300mg was the more costly option and generated the most QALYs. After excluding dominated options, the incremental cost-effectiveness ratio (ICER) between BTA and Topiramate was £68,000 per QALY gained and the ICER between Eptinezumab 300mg and BTA was not within plausible cost-effectiveness thresholds. The cost-effectiveness acceptability frontier showed that Topiramate is the most cost-effective medication for any amount the decision maker is willing-to-pay per QALY. CONCLUSIONS: Among the various prophylactic medications for managing chronic migraine, only Topiramate was within typical cost-effectiveness threshold ranges. Further research is needed, ideally an economic evaluation alongside a randomised trial, to compare these newer, expensive CGRP MAbs with the cheaper oral medications

Production of fermentable species by microwave-assisted hydrothermal treatment of biomass carbohydrates:Reactivity and fermentability assessments

This work addresses and compares the production of fermentable species by microwave-assisted hydrothermal treatment of cellulose and hemicellulose (from lignocellulose) and alginic acid (from macroalgae). A reliable reactivity comparison was established at different temperatures (160-210 °C), reaction times (0 and 5 min) and solid/water mass ratios (1/20 and 1/10 g/g). The nature of the carbohydrates and the hydrothermal conditions had a significant influence on the reactivity, which increased as follows: cellulose &lt; hemicellulose &lt; alginic acid. The operating conditions did not influence the global conversion obtained during hydrothermal treatment of cellulose. Conversely, the temperature and reaction time played an important role when processing hemicellulose or alginic acid. In these two cases, increasing the temperature and/or reaction time increased the overall conversion and liquid and gas yields. The liquid hydrolysates were made up of a mixture of oligo-(DP 3-6 and DP &gt; 6) and mono-/di-saccharides, carboxylic acids, ketones and furans. While the chemical composition of the hydrolysates produced from hemicellulose was not affected by the microwave operating conditions, the liquids having a high concentration of DP &gt; 6 oligosaccharides in all cases, the microwave conditions substantially influenced the composition of the liquids produced from cellulose and alginic acid. The former contained high proportions of oligosacharides and saccharides and the latter comprised water soluble DP &gt; 6 oligomers/oligosaccharides, saccharides, carboxylic acids and furans. The yeast Metschnikowia pulcherrima, previously demonstrated to be inhibitor tolerant and to metabolise a range of oligosacchaides, was used to assess the fermentability of the liquid fraction. All the hydrolysates produced were fermentable; their efficiency (standarised yeast biomass growth) decreasing as follows: cellulose (high/low saccharides/inhibitors proportion) &gt; hemicellulose (high/low oligosaccharides/inhibitors proportion) &gt; alginic acid (low/high saccharides/inhibitors proportion). Therefore, the promising results obtained in this work and the intrinsic green nature of the process make this method a very promising route for biomass valorisation, which can help to enable the development of new thermochemical and biological linked routes.</p