Si Nanowires: From Model System to Practical Li-Ion Anode Material and Beyond

Nanowire (NW)-based anodes for Li-ion batteries (LIBs) have been under investigation for more than a decade, with their unique one-dimensional (1D) morphologies and ability to transform into interconnected active material networks offering potential for enhanced cycling stability with high capacity. This is particularly true for silicon (Si)-based anodes, where issues related to large volumetric expansion can be partially mitigated and the cycle life can be enhanced. In this Perspective, we highlight the trajectory of Si NWs from a model system to practical Li-ion battery anode material and future prospects for extension to beyond Li-ion batteries. The study examines key research areas related to Si NW-based anodes, including state-of-the-art (SoA) characterization approaches followed by practical anode design considerations, including NW composite anode formation and upscaling/full-cell considerations. An outlook on the practical prospects of NW-based anodes and some future directions for study are detailed.

Synthesis of Sustainable Lignin Precursors for Hierarchical Porous Carbons and Their Efficient Performance in Energy Storage Applications

Lignin-derived porous carbons have great potential for energy storage applications. However, their traditional synthesis requires highly corrosive activating agents in order to produce porous structures. In this work, an environmentally friendly and unique method has been developed for preparing lignin-based 3D spherical porous carbons (LSPCs). Dropwise injection of a lignin solution containing PVA sacrificial templates into liquid nitrogen produces tiny spheres that are lyophilized and carbonized to produce LSPCs. Most of the synthesized samples possess excellent specific surface areas (426.6-790.5 m2/g) along with hierarchical micro- and mesoporous morphologies. When tested in supercapacitor applications, LSPC-28 demonstrates a superior specific capacitance of 102.3 F/g at 0.5 A/g, excellent rate capability with 70.3% capacitance retention at 20 A/g, and a commendable energy density of 2.1 Wh/kg at 250 W/kg. These materials (LSPC-46) also show promising performance as an anode material in sodium-ion batteries with high reversible capacity (110 mAh g-1 at 100 mA g-1), high Coulombic efficiency, and excellent cycling stability. This novel and green technique is anticipated to facilitate the scalability of lignin-based porous carbons and open a range of research opportunities for energy storage applications.

Lithiophilic Nanowire Guided Li Deposition in Li Metal Batteries

Lithium (Li) metal batteries (LMBs) provide superior energy densities far beyond current Li-ion batteries (LIBs) but practical applications are hindered by uncontrolled dendrite formation and the build-up of dead Li in "hostless" Li metal anodes. To circumvent these issues, we created a 3D framework of a carbon paper (CP) substrate decorated with lithiophilic nanowires (silicon (Si), germanium (Ge), and SiGe alloy NWs) that provides a robust host for efficient stripping/plating of Li metal. The lithiophilic Li₂₂ Si₅ , Li₂₂ (Si_0.5 Ge_0.5 )_5, and Li₂₂ Ge₅ formed during rapid Li melt infiltration prevented the formation of dead Li and dendrites. Li₂₂ Ge₅ /Li covered CP hosts delivered the best performance, with the lowest overpotentials of 40 mV (three times lower than pristine Li) when cycled at 1 mA cm^-2 /1 mAh cm^-2 for 1000 h and at 3 mA cm^-2 /3 mAh cm^-2 for 500 h. Ex situ analysis confirmed the ability of the lithiophilic Li₂₂ Ge₅ decorated samples to facilitate uniform Li deposition. When paired with sulfur, LiFePO_4, and NMC811 cathodes, the CP-LiGe/Li anodes delivered 200 cycles with 82%, 93%, and 90% capacity retention, respectively. The discovery of the highly stable, lithiophilic NW decorated CP hosts is a promising route toward stable cycling LMBs and provides a new design motif for hosted Li metal anodes.

Multipod Bi(Cu2-xS)n Nanocrystals formed by Dynamic Cation-Ligand Complexation and Their Use as Anodes for Potassium-Ion Batteries

We report the formation of an intermediate lamellar Cu-thiolate complex, and tuning its relative stability using alkylphosphonic acids are crucial to enabling controlled heteronucleation to form Bi(Cu_2-xS)_n heterostructures with a tunable number of Cu_2-xS stems on a Bi core. The denticity of the phosphonic acid group, concentration, and chain length of alkylphosphonic acids are critical factors determining the stability of the Cu-thiolate complex. Increasing the stability of the Cu-thiolate results in single Cu_2-xS stem formation, and decreased stability of the Cu-thiolate complex increases the degree of heteronucleation to form multiple Cu_2-xS stems on the Bi core. Spatially separated multiple Cu_2-xS stems transform into a support network to hold a fragmented Bi core when used as an anode in a K-ion battery, leading to a more stable cycling performance showing a specific capacity of ∼170 mAh·g^-1 after 200 cycles compared to ∼111 mAh·g^-1 for Bi-Cu_2-xS single-stem heterostructures.

A Universal Study on the Effect Thermal Imidization Has on the Physico-Chemical, Mechanical, Thermal and Electrical Properties of Polyimide for Integrated Electronics Applications

Polyimides (PI) are a class of dielectric polymer used in a wide range of electronics and electrical engineering applications from low-voltage microelectronics to high voltage isolation. They are well appreciated because of their excellent thermal, electrical, and mechanical properties, each of which need to be optimized uniquely depending on the end application. For example, for high-voltage applications, the final polymer breakdown field and dielectric properties must be optimized, both of which are dependent on the curing process and the final physico-chemical properties of PI. The majority of studies to date have focused on a limited set of properties of the polymer and have analyzed the effect of curing from a physicochemical-, mechanical- or electrical-centric viewpoint. This paper seeks to overcome this, unifying all of these characterizations in the same study to accurately describe the universal effect of the cure temperature on the properties of PI and at an industrial processing scale. This paper reports the widest-ranging study of its kind on the effect that cure temperature has on the physico-chemical, mechanical, thermal and electrical properties of polyimide, specifically poly (pyromellitic dianhydride-co-4, 4′-oxydianiline) (PMDA/ODA). The optimization of the cure temperature is accurately studied not only regarding the degree of imidization (DOI), but also considering the entire physical properties. Particularly, the analysis elucidates the key role of the charge–transfer complex (CTC) on these properties. The results show that while the thermal and mechanical properties improve with both DOI and CTC formation, the electrical properties, particularly at high field conditions, show an antagonistic behavior enhancing with increasing DOI while degrading at higher temperatures as the CTC formation increases. The electrical characterization at low field presents an enhancement of the final PI properties likely due to the DOI. On the contrary, at high electric field, the conductivity results show an improvement at an intermediate temperature emphasizing an ideal compromise between a high DOI and PI chain packing when the thermal imidization process is performed over this equilibrium. This balance enables maximum performance to be obtained for the PI film with optimized electrical properties and, overall, optimal thermal and mechanical properties are achieved.

Dense Silicon Nanowire Networks Grown on a Stainless-Steel Fiber Cloth: A Flexible and Robust Anode for Lithium-Ion Batteries

Silicon nanowires (Si NWs) are a promising anode material for lithium-ion batteries (LIBs) due to their high specific capacity. Achieving adequate mass loadings for binder-free Si NWs is restricted by low surface area, mechanically unstable and poorly conductive current collectors (CCs), as well as complicated/expensive fabrication routes. Herein, a tunable mass loading and dense Si NW growth on a conductive, flexible, fire-resistant, and mechanically robust interwoven stainless-steel fiber cloth (SSFC) using a simple glassware setup is reported. The SSFC CC facilitates dense growth of Si NWs where its open structure allows a buffer space for expansion/contraction during Li-cycling. The Si NWs@SSFC anode displays a stable performance for 500 cycles with an average Coulombic efficiency of >99.5%. Galvanostatic cycling of the Si NWs@SSFC anode with a mass loading of 1.32 mg cm^-2 achieves a stable areal capacity of ≈2 mAh cm^-2 at 0.2 C after 200 cycles. Si NWs@SSFC anodes with different mass loadings are characterized before and after cycling by scanning and transmission electron microscopy to examine the effects of Li-cycling on the morphology. Notably, this approach allows the large-scale fabrication of robust and flexible binder-free Si NWs@SSFC architectures, making it viable for practical applications in high energy density LIBs.

Temperature induced diameter variation of silicon nanowires via a liquid-solid phase transition in the Zn seed

Herein, we demonstrate the ability of Zn to catalyze the growth of Si nanowires via reaction temperature determined, vapour-liquid-solid (VLS) or vapour-solid-solid (VSS) growth mechanisms. This is the first reported use of a type B catalyst to grow Si nanowires via the VSS mechanism to our knowledge whereby the highly faceted Zn seeds resulted in an increased NW diameter. This was used to induce diameter variations along the axial length of individual nanowires by transitioning between VLS and VSS growth.

Oral Health Status and Oral Health-Related Quality of Life of First Nations and Metis Children

Objectives:

To assess the oral health status and oral health–related quality of life (OHRQoL) of young First Nations and Metis children.

Methods:

This cross-sectional study assessed the oral health status of Indigenous children <72 mo of age while their parents/caregivers completed a questionnaire, including the Early Childhood Oral Health Impact Scale (ECOHIS), to assess OHRQoL. Analysis included descriptive statistics, bivariate analyses, and multiple regression. A P value ≤0.05 was considered significant.

Results:

Overall, 146 children were recruited with a mean age of 40.1 ± 21.2 (SD) months, and 49% were male. Among First Nations children, 65.4% had early childhood caries (ECC) as compared with 45.2% among Metis children (P = 0.025). However, there was no statistically significant difference in the prevalence of severe ECC (S-ECC) between First Nations and Metis children (60.6% v. 42.9%, P = 0.051). The mean decayed, missing, and filled primary teeth (dmft) score was 4.9 ± 5.3 (range 0–20), and the mean decayed, missing, and filled surfaces (dmfs) score was 14.5 ± 20.4 (range 0–80). The total mean ECOHIS score was 4.4 ± 5.9 (range 0–25), while the mean Child Impact Section and Family Impact Section scores were 2.6 ± 4.0 (range 0–10) and 1.8 ± 2.8 (range 0–8), respectively. Multiple linear regression showed S-ECC was associated with total mean ECOHIS scores (P = 0.02). Higher total mean ECOHIS scores (which indicates poorer OHRQoL) were observed in children with ECC compared with caries-free children (5.8 v. 2.4, P = 0.0001).

Conclusion:

Oral health disparities such as ECC and reduced OHRQoL exist among many First Nations and Metis children in Manitoba. This is the first Canadian study exploring the OHRQoL of Indigenous children in addition to their oral health status.

Knowledge Transfer Statement:

This study is the first to report on the oral health–related quality of life and its relationship to early childhood caries (ECC) among young Canadian First Nations and Metis children. Metis children are just as likely to suffer from severe ECC than First Nations children. The findings of this study have informed community-based and community-developed oral health promotion and ECC prevention activities.

Direct Growth of Si, Ge, and Si-Ge Heterostructure Nanowires Using Electroplated Zn: An Inexpensive Seeding Technique for Li-Ion Alloying Anodes

A scalable and cost-effective process is used to electroplate metallic Zn seeds on stainless steel substrates. Si and Ge nanowires (NWs) are subsequently grown by placing the electroplated substrates in the solution phase of a refluxing organic solvent at temperatures >430 °C and injecting the respective liquid precursors. The native oxide layer formed on reactive metals such as Zn can obstruct NW growth and is removed in situ by injecting the reducing agent LiBH₄ . The findings show that the use of Zn as a catalyst produces defect-rich Si NWs that can be extended to the synthesis of Si-Ge axial heterostructure NWs with an atomically abrupt Si-Ge interface. As an anode material, the as grown Zn seeded Si NWs yield an initial discharge capacity of 1772 mAh g^-1 and a high capacity retention of 85% after 100 cycles with the active participation of both Si and Zn during cycling. Notably, the Zn seeds actively participate in the Li-cycling activities by incorporating into the Si NWs body via a Li-assisted welding process, resulting in restructuring the NWs into a highly porous network structure that maintains a stable cycling performance.

Influence of Carbonate-Based Additives on the Electrochemical Performance of Si NW Anodes Cycled in an Ionic Liquid Electrolyte

Addition of electrolyte additives (ethylene or vinylene carbonate) is shown to dramatically improve the cycling stability and capacity retention (1600 mAh g^-1) of Si nanowires (NWs) in a safe ionic liquid (IL) electrolyte (0.1LiTFSI-0.6PYR₁₃FSI-0.3PYR₁₃TFSI). We show, using postmortem SEM and TEM, a distinct difference in morphologies of the active material after cycling in the presence or absence of the additives. The difference in performance is shown by postmortem XPS analysis to arise from a notable increase in irreversible silicate formation in the absence of the carbonate additives. The composition of the solid electrolyte interphase (SEI) formed at the active material surface was further analyzed using XPS as a function of the IL components revealing that the SEI was primarily made up of N-, F-, and S-containing compounds from the degradation of the TFSI and FSI anions.

Location and Setting of the Mars InSight Lander, Instruments, and Landing Site

Knowing precisely where a spacecraft lands on Mars is important for understanding the regional and local context, setting, and the offset between the inertial and cartographic frames. For the InSight spacecraft, the payload of geophysical and environmental sensors also particularly benefits from knowing exactly where the instruments are located. A ~30 cm/pixel image acquired from orbit after landing clearly resolves the lander and the large circular solar panels. This image was carefully georeferenced to a hierarchically generated and coregistered set of decreasing resolution orthoimages and digital elevation models to the established positive east, planetocentric coordinate system. The lander is located at 4.502384°N, 135.623447°E at an elevation of -2,613.426 m with respect to the geoid in Elysium Planitia. Instrument locations (and the magnetometer orientation) are derived by transforming from Instrument Deployment Arm, spacecraft mechanical, and site frames into the cartographic frame. A viewshed created from 1.5 m above the lander and the high-resolution orbital digital elevation model shows the lander is on a shallow regional slope down to the east that reveals crater rims on the east horizon ~400 m and 2.4 km away. A slope up to the north limits the horizon to about 50 m away where three rocks and an eolian bedform are visible on the rim of a degraded crater rim. Azimuths to rocks and craters identified in both surface panoramas and high-resolution orbital images reveal that north in the site frame and the cartographic frame are the same (within 1°).

Comparing nanoparticles for drug delivery: The effect of physiological dispersion media on nanoparticle properties

Delivering therapeutics to disease sites is a challenge facing modern medicine. Nanoparticle delivery systems are of considerable interest to overcome this challenge, but these systems suffer from poor clinical translation. It is believed this is, in part, due to incomplete understanding of nanoparticle physico-chemical properties in vivo. To understand how nanoparticle properties could change following intravenous delivery, Au, Ag, Fe₂O₃, TiO₂, and ZnO nanoparticles of 5, 20, and 50 nm were characterised in water and physiological fluids. The effects of the dispersion medium, concentration, and incubation time on size, dispersion, and zeta potential were measured. Properties varied significantly depending on material type, size, and concentration over 24 h. Gold and silver nanoparticles were generally the most stable. Meanwhile, 20 nm nanoparticles appeared to be the least stable size, across materials. These results could have important implications for selecting nanoparticles for drug delivery that will elicit the desired physiological response.

Tunable Core-Shell Nanowire Active Material for High Capacity Li-Ion Battery Anodes Comprised of PECVD Deposited aSi on Directly Grown Ge Nanowires

Herein, we report the formation of core@shell nanowires (NWs) comprised of crystalline germanium NW cores with amorphous silicon shells (Ge@aSi) and their performance as a high capacity Li-ion battery anode material. The Ge NWs were synthesized directly from the current collector in a solvent vapor growth (SVG) system and used as hosts for the deposition of the Si shells via a plasma-enhanced chemical vapor deposition (PECVD) process utilizing an expanding thermal plasma (ETP) source. The secondary deposition allows for the preparation of Ge@aSi core@shell structures with tunable Ge/Si ratios (2:1 and 1:1) and superior gravimetric and areal capacities, relative to pure Ge. The binder-free anodes exhibited discharge capacities of up to 2066 mAh/g and retained capacities of 1455 mAh/g after 150 cycles (for the 1:1 ratio). The 2:1 ratio showed a minimal ∼5% fade in capacity between the 20th and 150th cycles. Ex situ microscopy revealed a complete restructuring of the active material to an interconnected Si_{1- x}Ge _x morphology due to repeated lithiation and delithiation. In full-cell testing, a prelithiation step counteracted first cycle Li consumption and resulted in a 2-fold improvement to the capacity of the prelithiated cell versus the unconditioned full-cells. Remarkable rate capability was also delivered where capacities of 750 mAh/g were observed at a rate of 10 C.

Enhancing the performance of germanium nanowire anodes for Li-ion batteries by direct growth on textured copper

Capacity retention of directly grown Ge nanowire anodes is enhanced by replacing stainless steel with textured Cu foil current collectors.

Two case reports of zoledronic acid-induced uveitis

Zoledronic acid (zoledronate) is a bisphosphonate used predominantly as a second-line treatment for post-menopausal osteoporosis. Its administration is associated with an acute phase reaction. Here, we present two cases of anterior uveitis following initial administration of zoledronate. In the first case, an 80-year-old lady presented with right eye pain and decreased visual acuity 24-hours post-infusion. Uveitis was diagnosed and sub-conjunctival injection of corticosteroids was required. In the second case, a 78-year-old lady presented with right eye pain, vomiting and decreased acuity 24-hours after infusion. She was treated with topical steroids and required cataract surgery to normalise visual acuity. Patients prescribed zoledronate should be warned of the risk of ocular side effects and asked to report promptly for treatment if they develop a red, painful eye or blurred vision.

Anaesthesia: what a surgeon needs to know

Surgeons and anaesthetists work closely together, sometimes in challenging circumstances. To help surgeons cooperate with anaesthetists to deliver high quality care for patients, a working knowledge of modern anaesthetic practice is useful. The specialty of anaesthetics is developing rapidly, and periodic updating of this knowledge is likely to be required. This article provides an update of anaesthetic practice for surgeons, covering the varied roles of anaesthetists, preoperative assessment, management on the day of surgery (induction, maintenance and reversal of anaesthetic), general anaesthesia, the role of regional blocks and sedation. It also discusses safety issues, the management of frail patients and future challenges.

Direct Synthesis of Alloyed Si1-xGex Nanowires for Performance-Tunable Lithium Ion Battery Anodes

Here we report the formation of high capacity Li-ion battery anodes from Si_1-xGe_x alloy nanowire arrays that are grown directly on stainless steel current collectors, in a single-step synthesis. The direct formation of these Si_1-xGe_x nanowires (ranging from Si_0.20Ge_0.80 to Si_0.67Ge_0.33) represents a simple and efficient processing route for the production of Li-ion battery anodes possessing the benefits of both Si (high capacity) and Ge (improved rate performance and capacity retention). The nanowires were characterized through SEM, TEM, XRD and ex situ HRSEM/HRTEM. Electrochemical analysis was conducted on these nanowires, in half-cell configurations, with capacities of up to 1360 mAh/g (Si_0.67Ge_0.33) sustained after 250 cycles and in full cells, against a commercial cathode, where capacities up to 1364 mAh/g (Si_0.67Ge_0.33) were retained after 100 cycles.

Behavior of Germanium and Silicon Nanowire Anodes with Ionic Liquid Electrolytes

The electrochemical behavior of binder-free, germanium and silicon nanowires as high-capacity anode materials for lithium-ion battery systems is investigated in an ionic liquid electrolyte. Cyclic voltammetry, cycling tests, and impedance spectroscopy reveal a highly reversible lithium alloying/dealloying process, as well as promising compatibility between the Ge and Si materials and the electrolyte components. Reversible capacities of 1400 and 2200 mA h g^-1 are delivered by the Ge and Si anodes, respectively, matching the values exhibited in conventional organic solutions. Furthermore, impressive extended cycling performance is obtained in comparison to previous research on Li alloying anodes in ionic liquids, with capacity retention overcoming 50% for Si after 500 cycles and 67% for Ge after 1000 cycles, at a current rate of 0.5C. This stable long-term cycling arises due to the ability of the electrolyte formulation to promote the transformation of the nanowires into durable porous network structures of Ge or Si nanoligaments, which can withstand the extreme volume changes associated with lithiation/delithiation. Remarkable capacity is exhibited also by composite Ge and Si nanowire electrodes. Preliminary tests with lithium cobalt oxide cathodes clearly demonstrate the feasibility of Ge and Si nanowires in full batteries.

Solution synthesis of lead seeded germanium nanowires and branched nanowire networks and their application as Li-ion battery anodes

Herein, we report the high density growth of lead seeded germanium nanowires (NWs) and their development into branched nanowire networks suitable for application as lithium ion battery anodes. The synthesis of the NWs from lead seeds occurs simultaneously in both the liquid zone (solution-liquid-solid (SLS) growth) and solvent rich vapor zone (vapor-liquid-solid (VLS) growth) of a high boiling point solvent growth system. The reaction is sufficiently versatile to allow for the growth of NWs directly from either an evaporated catalyst layer or from pre-defined nanoparticle seeds and can be extended to allowing extensive branched nanowire formation in a secondary reaction where these seeds are coated onto existing wires. The NWs are characterized using TEM, SEM, XRD and DF-STEM. Electrochemical analysis was carried out on both the single crystal Pb-Ge NWs and the branched Pb-Ge NWs to assess their suitability for use as anodes in a Li-ion battery. Differential capacity plots show both the germanium wires and the lead seeds cycle lithium and contribute to the specific capacity that is approximately 900 mAh g^-1 for the single crystal wires, rising to approximately 1100 mAh g^-1 for the branched nanowire networks.

Advances in the Application of Silicon and Germanium Nanowires for High-Performance Lithium-Ion Batteries

Li-alloying materials such as Si and Ge nanowires have emerged as the forerunners to replace the current, relatively low-capacity carbonaceous based Li-ion anodes. Since the initial report of binder-free nanowire electrodes, a vast body of research has been carried out in which the performance and cycle life has significantly progressed. The study of such electrodes has provided invaluable insights into the cycling behavior of Si and Ge, as the effects of repeated lithiation/delithiation on the material can be observed without interference from conductive additives or binders. Here, some of the key developments in this area are looked at, focusing on the problems encountered by Li-alloying electrodes in general (e.g., pulverization, loss of contact with current collector etc.) and how the study of nanowire electrodes has overcome these issues. Some key nanowire studies that have elucidated the consequences of the alloying/dealloying process on the morphology of Si and Ge are also considered, in particular looking at the impact that effects such as pore formation and lithium-assisted welding have on performance. Finally, the challenges for the practical implementation of nanowire anodes within the context of the current understanding of such systems are discussed.

Investigation of the efficacy and tolerability of Dr Michaels® (also branded as Eczitinex® and Itchinex Eczitinex®) topical products in the treatment of atopic dermatitis in children

Atopic eczema is a chronic relapsing inflammatory skin disorder, characterized clinically by intensely pruritic eczematous skin lesions and a defective epidermal barrier. It affects more than 15% of children and up to 10%of adults, which makes the disease a social health problem still without a challenging treatment. The aim of this study was to evaluate the efficacy and tolerability of Dr Michaels® (Eczitinex®) topical product family in the treatment of atopic dermatitis in children. We studied a group of 30 patients (17 female, 13 male), aged 5 to 13 (mean age: 9), affected by atopic dermatitis since they were newborn. All patients had been unsuccessfully treated with conventional anti-inflammatory therapies and ceased treatment 2 weeks before commencing research. The patients were treated with Dr Michaels® (Eczitinex® and Itchinex®) product family including a moisturising bar, topical ointment and PSC 900 oral herbal formulation. The treatment was evaluated clinically and photographically at 0, 1, 2, 4, 6, 8, 10, 12, and 14 weeks. Twenty-eight patients showed a significant improvement of cutaneous rashes and pruritus on the first week of treatment, with a complete remission at 10-12 weeks. Only two patients, brother and sister respectively, showed a slow response to treatment and reported an increasing itching. Following 14 weeks of treatment with the Dr Michaels® (Eczitinex® and Itchinex®) product family, patients demonstrated complete resolution of their AD. All patients showed a marked improvement in their condition within 3 days of treatment with most of the lesions and symptoms totally resolved within 10 to 12 weeks of treatment with Dr Michaels® (Eczitinex® and Itchinex®) family of products. This clinical report highlights that the Dr Michaels® (Eczitinex® and Itchinex®) product family is a safe and effective treatment option for AD.

Successful treatment of mild to moderate acne vulgaris with Dr Michaels® (also branded as Zitinex®) topical products family: a clinical trial

Acne vulgaris is an epidemic inflammatory skin disease of multi-factorial origin, frequently seen in adolescents and often persisting or occurring through to adulthood. Acne vulgaris is a nearly universal skin disease afflicting 79-95% of the adolescent population in westernized societies and is a significant cause of psychological morbidity in affected patients. Despite the various treatment options available for acne, there is still a need for a safe and effective option. The aim of the study was to investigate the efficacy and tolerability of Dr Michaels® (Zitinex®) product family in the treatment of papulo-pustular acne. 25 patients (17 female/8 male), aged 15-22, with a mild to moderate papulo-pustular acne, localized on the face and on the trunk, were included in this study. None of the patients had used any other kind of treatment in the 3 months prior to commencing this study. All of the patients were treated with Dr Michaels® (Zitinex®) facial exfoliating cleanser, activator formula, a cream, PSC 200 and PSC 900 oral supplements. Application time of Dr Michaels® (Zitinex®) products was 12 weeks. The treatment was been evaluated clinically at 0, 4, 8 and 12 weeks. All of the patients showed an improvement in all parameters of their acne (comedones, papules, pustules, hyperpigmentation and scars). The acne lesions and erythema had mostly resolved. The hyperpigmentation and pitted scarring had significantly reduced also, with the skin appearing smoother. The treatment was well tolerated and no side effects have been described. Our study demonstrates that the Dr Michaels® (Zitinex®) facial exfoliating cleanser, activator formula, cream and oral supplements PSC 200 and PSC 900 are an effective therapeutic option for the treatment of moderately severe acne vulgaris. Moreover, it highlights the safety profile of the Dr Michaels® (Zitinex®) product family in a case of acne compared to traditional first-line treatments.

Successful treatment of recalcitrant candidal intertrigo with Dr Michaels® (Fungatinex®) product family

Candidal intertrigo is an infection of the skin caused by Candida albicans that typically occurs in opposing cutaneous or muco-cutaneous surfaces. Because Candidiasis requires a damaged and moist environment for infection, it typically occurs in areas of friction such as the skin folds of the body. Candidal intertrigo is often difficult to treat and results are often unsatisfactory. In addition, there is a lack of evidence-based literature supporting prevention and treatments for candidal intertrigo. The aim of the study was to evaluate the efficacy of Dr Michaels® (also branded as Fungatinex®) products in the treatment of fungal intertrigo, in 20 women and 2 men with a mean age of 72. Five patients (3 female and 2 male) had type 2 diabetes and 16 (14 female and 2 male) were obese. The patients were treated with Dr Michaels® (Fungatinex®) moisturising bar, topical ointment (twice daily application) and oral herbal formulation, PSC 200 two tablets twice daily with food. After 2 weeks of treatment, the lesions had mostly resolved in all patients with only slight erythema evident. After six weeks of treatment using the moisturising bar, topical ointment and oral herbal formulations from the Dr Michaels® (Fungatinex®) product family, the lesions had totally resolved in 18 patients, while 4 patients had to continue the therapeutic protocol for another 2 weeks. Our results demonstrate that the Dr Michaels® (Fungatinex®) complementary product family is efficacious in the treatment of recalcitrant candidal intertrigo. Furthermore, this study highlights that the Dr Michaels® (Fungatinex®) product family is fast-acting and well tolerated with no serious adverse events reported. These data have important implications for resistant cases of candidal intertrigo where traditional therapies have failed.

Nanowire Heterostructures Comprising Germanium Stems and Silicon Branches as High-Capacity Li-Ion Anodes with Tunable Rate Capability

Here we report the rational design of a high-capacity Li-ion anode material comprising Ge nanowires with Si branches. The unique structure provides an electrode material with tunable properties, allowing the performance to be tailored for either high capacity or high rate capability by controlling the mass ratio of Si to Ge. The binder free Si-Ge branched nanowire heterostructures are grown directly from the current collector and exhibit high capacities of up to ∼1800 mAh/g. Rate capability testing revealed that increasing the Ge content within the material boosted the performance of the anode at fast cycling rates, whereas a higher Si content was optimal at slower rates of charge and discharge. Using ex-situ electron microscopy, Raman spectroscopy and energy dispersive X-ray spectroscopy mapping, the composition of the material is shown to be transient in nature, transforming from a heterostructure to a Si-Ge alloy as a consequence of repeated lithiation and delithiation.

A rapid, solvent-free protocol for the synthesis of germanium nanowire lithium-ion anodes with a long cycle life and high rate capability

A rapid synthetic protocol for the formation of high-performance Ge nanowire-based Li-ion battery anodes is reported. The nanowires are formed in high density by the solvent-free liquid deposition of a Ge precursor directly onto a heated stainless steel substrate under inert conditions. The novel growth system exploits the in situ formation of discrete Cu3Ge catalyst seeds from 1 nm thermally evaporated Cu layers. As the nanowires were grown from a suitable current collector, the electrodes could be used directly without binders in lithium-ion half cells. Electrochemical testing showed remarkable capacity retention with 866 mAh/g achieved after 1900 charge/discharge cycles and a Coulombic efficiency of 99.7%. The nanowire-based anodes also showed high-rate stability with discharge capacities of 800 mAh/g when cycled at a rate of 10C.

The use of immunosuppressive agents in the management of recalcitrant lower limb ulcers

OBJECTIVE

Lower limb ulcers that are resistant to standard forms of treatment place a significant burden on both patients and health services. There is no widely agreed definition of a recalcitrant ulcer but failure to heal following 6-12 months of focused treatment would identify a small group of patients with highly resistant ulceration. We describe a series of patients with recalcitrant ulceration for which immunosuppressive agents have been used.

METHODS

This is a case series of 13 patients who underwent immunomodulation therapy for lower limb ulcers at a tertiary referral university hospital. Regimens of immunomodulation used mainly ciclosporin and/or cyclophosphamide, with concurrent antibiotic therapy. Case notes and computer systems were analysed by two reviewers. A patient was deemed to have a success if their ulcer fully healed while on immunomodulation therapy.

RESULTS

Over a period of eight years, from 2004-2012, 13 patients underwent immunomodulation therapy. Among these patients there were 18 ulcerated limbs. Ulcer healing occurred in 10 limbs out of 18 (55.6%) and full healing occurred in six patients (46.2%). Ulcers were present for a median of five years (range 2-40 years), with a median diameter of 7.5 cm (range 4-18 cm) before treatment.

CONCLUSION

Treatment of truly recalcitrant ulceration can be very frustrating for both the patient and physician, with poor success from more standard forms of treatment. We report experience with immunomodulation therapy that suggests there may be benefit from using this treatment in a subset of patients with this debilitating disease.

The application of humane slaughterhouse practices to large-scale culling

Mass culling is a strategy used inthe management of infectious disease outbreaks. The risk of disease spread due to animal transportation often precludes the use of slaughterhouses for this purpose, though they have been used on occasion. Consequently, culling takes place in the less-than-standardised environment on the farm. Regardless of where the cull occurs, the methods chosen to handle and kill the animals must preserve their welfare. This paper attempts to apply the best welfare practices from the controlled environment of the slaughterhouse to the mass culling of ruminants, pigs and poultry. It investigates the key welfare challenges and identifies astute planning executed by competent personnel as a crucial success factor. The urgency; capacity; species, type and age of the animal; personnel; and availability of equipment determine the restraint and killing methods used. The use of good on-farm restraining facilities and mobile killing devices can reasonably be expected to maintain welfare standards for ruminants and poultry. The pig's anatomy, natural behaviour, wide age range and housing types present additional challenges. Objective monitoring throughout the operation is vital for implementing immediate corrective measures whilst also informing procedural reviews. The authors suggest a monitoring tool based on a system currently used in abattoirs, but its limitations must first be validated.

DNA methylation of membrane-bound tyrosine phosphatase genes in acute lymphoblastic leukaemia

Aberrant DNA promoter methylation with associated gene silencing is a common epigenetic abnormality in acute lymphoblastic leukaemia (ALL) and is associated with poor survival. We have identified a family of transmembrane tyrosine phosphatase proteins as targets of hypermethylation in ALL and high-grade B cell lymphoma and demonstrated that this abnormal methylation correlates with transcript expression. PTPRG was methylated in 63% of ALL samples, PTPRK in 47%, PTPRM in 64% and PTPRO in 54% of cases, with most ALL samples containing methylation at multiple phosphatase loci. PTPRK promoter methylation was associated with a decreased overall survival in the cohort. Restoration of PTPRK transcript levels in leukaemia cells, where phosphatase transcript was silenced, reduced cell proliferation, inhibited colony formation and increased sensitivity to cytotoxic chemotherapy. These biological changes were associated with a reduction in levels of phosphorylated Erk1/2, Akt, STAT3 and STAT5 suggesting functional phosphatase activity after transcript re-expression. Methylation of the phosphatase promoters was reversible with decitabine and a histone deacetylase inhibitor, suggesting that PTPRK-mediated cell signalling pathways may be targeted with epigenetic therapies in lymphoid malignancy.

High-performance germanium nanowire-based lithium-ion battery anodes extending over 1000 cycles through in situ formation of a continuous porous network

Here we report the formation of high-performance and high-capacity lithium-ion battery anodes from high-density germanium nanowire arrays grown directly from the current collector. The anodes retain capacities of ∼ 900 mAh/g after 1100 cycles with excellent rate performance characteristics, even at very high discharge rates of 20-100C. We show by an ex situ high-resolution transmission electron microscopy and high-resolution scanning electron microscopy study that this performance can be attributed to the complete restructuring of the nanowires that occurs within the first 100 cycles to form a continuous porous network that is mechanically robust. Once formed, this restructured anode retains a remarkably stable capacity with a drop of only 0.01% per cycle thereafter. As this approach encompasses a low energy processing method where all the material is electrochemically active and binder free, the extended cycle life and rate performance characteristics demonstrated makes these anodes highly attractive for the most demanding lithium-ion applications such as long-range battery electric vehicles.

Core-shell tin oxide, indium oxide, and indium tin oxide nanoparticles on silicon with tunable dispersion: electrochemical and structural characteristics as a hybrid Li-ion battery anode

Tin oxide (SnO2) is considered a very promising material as a high capacity Li-ion battery anode. Its adoption depends on a solid understanding of factors that affect electrochemical behavior and performance such as size and composition. We demonstrate here, that defined dispersions and structures can improve our understanding of Li-ion battery anode material architecture on alloying and co-intercalation processes of Lithium with Sn from SnO2 on Si. Two different types of well-defined hierarchical Sn@SnO2 core-shell nanoparticle (NP) dispersions were prepared by molecular beam epitaxy (MBE) on silicon, composed of either amorphous or polycrystalline SnO2 shells. In2O3 and Sn doped In2O3 (ITO) NP dispersions are also demonstrated from MBE NP growth. Lithium alloying with the reduced form of the NPs and co-insertion into the silicon substrate showed reversible charge storage. Through correlation of electrochemical and structural characteristics of the anodes, we detail the link between the composition, areal and volumetric densities, and the effect of electrochemical alloying of Lithium with Sn@SnO2 and related NPs on their structure and, importantly, their dispersion on the electrode. The dispersion also dictates the degree of co-insertion into the Si current collector, which can act as a buffer. The compositional and structural engineering of SnO2 and related materials using highly defined MBE growth as model system allows a detailed examination of the influence of material dispersion or nanoarchitecture on the electrochemical performance of active electrodes and materials.

Epitaxial growth of visible to infra-red transparent conducting In2O3 nanodot dispersions and reversible charge storage as a Li-ion battery anode

Unique bimodal distributions of single crystal epitaxially grown In2O3 nanodots on silicon are shown to have excellent IR transparency greater than 87% at IR wavelengths up to 4 μm without sacrificing transparency in the visible region. These broadband antireflective nanodot dispersions are grown using a two-step metal deposition and oxidation by molecular beam epitaxy, and backscattered diffraction confirms a dominant (111) surface orientation. We detail the growth of a bimodal size distribution that facilitates good surface coverage (80%) while allowing a significant reduction in In2O3 refractive index. This unique dispersion offers excellent surface coverage and three-dimensional volumetric expansion compared to a thin film, and a step reduction in refractive index compared to bulk active materials or randomly porous composites, to more closely match the refractive index of an electrolyte, improving transparency. The (111) surface orientation of the nanodots, when fully ripened, allows minimum lattice mismatch strain between the In2O3 and the Si surface. This helps to circumvent potential interfacial weakening caused by volume contraction due to electrochemical reduction to lithium, or expansion during lithiation. Cycling under potentiodynamic conditions shows that the transparent anode of nanodots reversibly alloys lithium with good Coulombic efficiency, buffered by co-insertion into the silicon substrate. These properties could potentially lead to further development of similarly controlled dispersions of a range of other active materials to give transparent battery electrodes or materials capable of non-destructive in situ spectroscopic characterization during charging and discharging.