1-D Carbon Nano-Coils Derived from Almond Skin: Exhibiting Density of State, Diffusivity, Electron Transfer Rate, and Dopamine Redox Modulation Properties Akin to Graphene Oxide.

The quest to develop graphene-like biomass-carbon for advanced biomolecule redox modulation and sensing remains a challenge. The primary obstacle is the limited ability of biomass to undergo extensive graphitization during pyrolysis resulting in the formation of amorphous carbon materials with a small carbon-double-bond-carbon domain size (Lsp2 ), density of state (LDOS), ion diffusivity (D), and electron transfer rate constant (Ks). Herein, using almond skin (AS) the morphology of biomass is demonstrated as the key to overcoming these limitations. AS consists of 1D syringyl/guaiacyl lignin nano-coils which under H2 /H2 annealing transform into pyrolytic 1D carbon nano-coils (r-gC). Spectroscopy and microscopy analyses reveal that the sheet layering structure, crystallinity, LDOS, and Lsp2 of r-gC mimic those of graphene oxide (GO). Moreover, its unique 1D morphology and profound microstructure facilitate faster charge transfer and ion diffusion than GO's planar structure, leading to better redox modulation and sensing of the neurotransmitter dopamine (DA) in physiological fluids. r-gC's DA detection limit of 3.62 nM is below the lower threshold found in humans and on par with the state-of-the-art. r-gC is also DA-selective over 14 biochemicals. This study reveals that biomasses with well-defined and compact lignin structures are best suited for developing highly electroactive graphene-like biomass carbon.

Engineering FeOOH/Fe2O3@Carbon Interfaces with Biomass-Derived Carbon Nanodot/Iron Colloids for Efficient Redox-Modulated Dopamine Voltammetric Detection.

The Fe2+/Fe3+ redox couple is effective for voltammetric detection of trace dopamine (DA). However, achieving adequate concentrations with high electroactive surface area (ECSA), DA affinity, and fast interfacial charge transfer is challenging. Consequently, most reported Fe-based sensors have a high nanomolar range detection limit (LOD). Herein, we address these limitations by manipulating the phase and morphology of FeOOH/Fe2O3 heterojunctions anchored on sp2-carbon. FeOOH/Fe2O3 is synthesized by variable temperature aging of unique Fe5H9O15/Fe2O3@sp2-carbon colloidal nanoparticles, which form via chelation between biomass-derived carbon nanodots (CNDs) and Fe2+ ions. At 27°C and 120°C, Fe5H9O15/Fe2O3@sp2-carbon transforms into ß-FeOOH/Fe2O3 nanoparticles and α-FeOOH/Fe2O3 nanosheet, respectively. The ß-FeOOH/Fe2O3 interface exhibits higher eg orbital electron occupancy than α-FeOOH/Fe2O3, thereby facilitating oxygen adsorption and the generation of Fe2+/Fe3+ sites near the polarization potential of DA. This facilitates interfacial electron transfer between Fe3+ and DA. Moreover, its nanoparticle morphology enhances ECSA and DA adsorption compared to α-FeOOH/Fe2O3 nanosheets. With a LOD of ~3.11 nM, ß-FeOOH/Fe2O3 surpasses the lower threshold in humans (~10 nM) and matches noble-metal sensors. Furthermore, it exhibits selective detection of DA over 10 biochemicals in urine. Therefore, the ß-FeOOH/Fe2O3@sp2-C platform holds promise as a low-cost, easy-to-synthesize, and practical voltammetric DA monitor.

Trachoma risk factors in Oromia Region, Ethiopia.

BACKGROUND: Trachoma, the leading infectious cause of blindness, is caused by the bacterium Chlamydia trachomatis (Ct). Despite enormous disease control efforts and encouraging progress, trachoma remains a significant public health problem in 44 countries. Ethiopia has the greatest burden of trachoma worldwide, however, robust data exploring transmission risk factors and the association between socio-economic status is lacking from some regions. This is the first study to investigate these factors in this South-Eastern region of Oromia, Ethiopia. METHODOLOGY/PRINCIPAL FINDINGS: A total of 1211 individuals were enrolled from 247 households in Shashemene Rural district in Oromia Region between 11th April and 25th June 2018, of whom 628 (51.9%) were female and 526 (43.4%) were children aged 1-9 years. Three standardised ophthalmic nurses examined each participant for the presence of active trachoma using the WHO simplified trachoma grading system. Conjunctival swab samples were collected from the upper tarsal conjunctiva of the left eye of each participant. Ct was detected using quantitative PCR. Risk factor data were collected through structured interviews and direct observations. Clinical signs of trachomatous inflammation-follicular among children aged 1-9 (TF1-9) were observed in at least one eye of 106/526 (20.2%) and trachomatous inflammation-intense among children aged 1-9 (TI1-9) were observed in at least one eye of 10/526 (1.9%). We detected Ct by PCR in 23 individuals, of whom 18 (78.3%) were in children aged 1-9 years. Among the 106 children aged 1-9 years with TF, 12 (11.3%) were Ct PCR positive and among 20 children aged 1-9 years with TI, 4 (20.0%) were Ct PCR positive. In a multivariable model, adjusting for household clustering, active trachoma was associated with younger age, the poorest households (aOR = 2.56, 95% CI 1.21-5.51), presence of flies on the face (aOR = 2.87, 95% CI 1.69-6.46), and ocular discharge (aOR = 1.89, 95% CI 1.03-3.24). Pre-school children face washing more than once a day had lower odds of having active trachoma (aOR = 0.59, 95% CI 0.19-0.84). The same was true for washing children's clothing at least once per week (aOR = 0.27, 95% CI 0.33-1.02). CONCLUSION/SIGNIFICANCE: Younger age, personal hygiene in this age group (presence of ocular and nasal discharges, infrequent washing of faces and clothing) and fly-eye contacts are potential risk factors for trachoma in this setting, suggesting that hygiene interventions and environmental improvements are required to suppress transmission to ensure sustained reduction in disease burden Further studies are needed to evaluate these interventions for trachoma control and elimination. Trachoma remains a disease associated with lower socio-economic status, emphasising the need for continued implementation of control measures in addition to poverty reduction interventions in this region.

Seasonal variation in water use for hygiene in Oromia, Ethiopia, and its implications for trachoma control: An intensive observational study.

If facial hygiene practices vary seasonally this could have important implications for the design of interventions for trachoma control. This observational study was conducted to explore seasonal variation in hygiene behaviours in 9 households with at least one child aged 1-9 years-of-age in the West Arsi zone in rural Oromia, Ethiopia. Sixty-one household members were observed intensively over two days in the dry season (January), the rainy season (July) and during the harvest period (October) in 2018. Structured record forms were used to document household water availability and use. Daily water use per capita was very low in all seasons (3.1-4.2 litres). Around one third of water consumed in households in all seasons was associated with body washing. Soap was used during 44 of 677 (6%) of these observed occasions and half of all body washes (n = 340; 50%) included face washing. Overall, 95% of 58 individuals washed their faces at least once between 06:30h and 21:30h in the dry season (21% with soap), compared with 79% in the rainy season (2% with soap) (p = 0.013). Sixty-five percent of householders washed their faces during the harvest observation period (06:30h to 17:30h), none of whom used soap. Twenty-eight percent of 204 children aged 11 and under still had ocular or nasal discharge on their faces after washing. Seventy-three percent of those who washed their faces did so more than once in the dry season, compared with 33% in the rainy season (p<0.001). Face washing occurred throughout the day during the dry season, with a clear peak in the early morning and extra washes in the early evening. Face washing mainly took place in the early morning in the other two seasons. Genuine water scarcity in this area is likely to limit the impact of face washing interventions for trachoma control in the absence of water supply interventions. However, face washing was most common at the time of year when water is the hardest to come by, and seasonal differences in behaviour should be considered in any resulting intervention design.

Evaluation of the efficacy of insecticide-treated scarves to protect children from the trachoma vector Musca sorbens (Diptera: Muscidae): A phase II randomised controlled trial in Oromia, Ethiopia.

Background: The eye-seeking fly Musca sorbens can act as a vector for ocular Chlamydia trachomatis, causing trachoma, yet there has been very little research on control measures. We investigated whether insect repellent products, specifically insecticide-treated clothing, could provide personal protection to the user from eye-seeking flies. Methods: We first conducted a series of phase I laboratory studies to inform our choice of field intervention. We then conducted a phase II randomised controlled trial testing the efficacy of permethrin-treated scarves (PTS) in reducing fly-face contact in Oromia, Ethiopia. Children aged 4-10 years in full health and with no known adverse reactions to permethrin or other insecticides were allocated to either arm using restricted randomisation. Intervention arm children wore Insect Shield® versatile wraps (as PTS) for 28 days. The primary outcomes, fly-eye, -nose and -mouth contact, were assessed on the first day (0/30/60/180 minutes), on day 7 and on day 28. All participants present per timepoint were included in analyses. This trial was registered with ClinicalTrials.gov (NCT03813069). Findings: Participants were recruited to the field trial between 29/10/2019 and 01/11/2019, 58 were randomised to test or control arm. More fly (-eye, -nose and -mouth) contacts were observed in the PTS arm at baseline. After adjusting for baseline contact rates, across all timepoints there was a 35% decrease in fly-eye contacts in the PTS relative to control arm (rate ratio [RR] 0.65, 95% CI 0.52-0.83). Similar cross-timepoint reductions were seen for fly-nose and fly-mouth contacts (RR 0.69, 95% CI 0.51-0.92 and RR 0.79, 95% CI 0.62-1.01, respectively). All children were included on day 0. Two in the control arm were absent on day 7, one left the study and four were excluded from analysis at day 28. No adverse events occurred in the trial. Interpretation: Musca sorbens flies are sufficiently repelled by PTS to reduce fly-eye contacts for the wearer, thus possibly reducing the risk of trachoma transmission. Permethrin-treated scarves may therefore an alternative to insecticide space spraying for protection from these flies. Funding: Wellcome Trust.