Phytocannabinoids for the Treatment of Neuropathic Pain: A Scoping Review of Randomised Controlled Trials Published Between 2012 and 2023.

PURPOSE OF REVIEW: Neuropathic pain (NP) remains a challenge to treat, with 50% of patients experiencing limited efficacy from current treatments. Medicinal cannabis, which contains tetrahydrocannabinol (THC), cannabidiol (CBD) and other minor cannabinoids, is garnering attention as an alternative treatment for NP. This paper reviews the clinical evidence for phytocannabinoid treatment of NP. RECENT FINDINGS: Seventeen randomised controlled trials (RCT) were identified for inclusion in this review. Of these, ten studies using phytocannabinoid preparations containing THC alone had the most evidence for pain relief. Four studies investigating THC/CBD combinations showed some reductions in pain scores, although not all findings were statistically significant, whereas studies investigating CBD (two studies) or cannabidivarin (one study) showed no analgesic effect over placebo. However, CBD studies were of small sample size when compared to other studies in the review and short duration. Results for treatment of diabetic peripheral neuropathy patients with THC showed better improvements over those for NP induced by chemotherapy and multiple sclerosis, with these trials using vaporised whole plant cannabis. This formulation may have trace amounts of other minor cannabinoids, compared with synthetic cannabinoids such as dronabinol or nabilone that were investigated in other studies. This review provides an overview of RCTs that have investigated phytocannabinoid use for the treatment of NP. There appears to be evidence to necessitate further high quality RCTs into novel formulations of phytocannabinoids for the treatment of NP.

New insight into thermal hydrolysis of sewage sludge from solubilisation analysis.

Thermal hydrolysis, a sludge pre-treatment process prior to anaerobic digestion, is increasing in popularity in academia and industry due to the potential of biogas production enhancement. However, there is a limited understanding of the solubilisation mechanism, which significantly influences the biogas yield. This study evaluated the influence of flashing, reaction time, and temperature to understand the mechanism. It was found that while hydrolysis is the primary process (responsible for approximately 76-87% of sludge solubilisation), the sudden decompression via flashing at the end of the process, creating shear force to break the cell membrane, contributes a considerable percentage (approximately 24-13% depended on the treatment conditions) to the solubilisation of treated sludge. More importantly, the decompression helps significantly shorten the reaction time from 30 min to 10 min, which in turn reduces the sludge's colour, minimises energy consumption, and eliminates the formation of inhibitory compounds for anaerobic digestion. However, a considerable loss in volatile fatty acids (650 mg L⁻1 of acetic acid at 160 °C) during flash decompression should be considered.

Hydrothermal deconstruction of single-use personal protective equipment during the COVID-19 pandemic.

To minimise the transmission of the SARS-CoV-2 virus, there has been a substantial increase in the production and usage of synthetic personal protective equipment (PPE) globally. Consequently, single-use PPE have been widely adopted without appropriate regulations for their disposal, leading to extensive environmental contamination worldwide. This study investigates the non-catalytic hydrothermal deconstruction of different PPE items, including isolation gowns, gloves, goggles, face shields, surgical masks, and filtering-facepiece respirators. The selected PPE items were subjected to hydrothermal deconstruction for 90 min in the presence of 30-bar initial oxygen pressure, at temperatures ranging between 250 °C and 350 °C. The solid content in form of total suspended solids (TSS) was reduced up to 97.6%. The total chemical oxygen demand (tCOD) and soluble chemical oxygen demand (sCOD) decreased with increasing deconstruction temperature, and at 350 °C the lowest tCOD and sCOD content of 546.6 mg/L and 470 mg/L, respectively, was achieved. Short-chained volatile fatty acids were produced after 90 min of deconstruction, predominantly acetic acid at concentrations up to 8974 mg/L. Ammonia nitrogen content (NH3-N) of up to 542.6 mg/L was also detected. Carbon dioxide (CO2) and unreacted oxygen (O2) were the main gaseous by-products at up to 15.6% (w/w) and 88.7% (w/w), respectively. The findings suggest that non-catalytic hydrothermal deconstruction is a viable option to process and manage PPE waste.

Hydrothermal deconstruction of single-use personal protective equipment: process design and economic performance.

Increased demand for single-use personal protective equipment (PPE) during the COVID-19 pandemic has resulted in a marked increase in the amount of PPE waste and associated environmental pollution. Developing efficient and environmentally safe technologies to manage and dispose of this PPE waste stream is imperative. We designed and evaluated a hydrothermal deconstruction technology to reduce PPE waste by up to 99% in weight. Hydrothermal deconstruction of single-use PPE waste was modelled using experimental data in Aspen Plus. Techno-economic and sensitivity analyses were conducted, and the results showed that plant scale, plant lifetime, discount rate, and labour costs were the key factors affecting overall processing costs. For a 200 kg/batch plant under optimal conditions, the cost of processing PPE waste was found to be 10 NZD/kg (6 USD/kg), which is comparable to the conventional practice of autoclaving followed by landfilling. The potential environmental impacts of this process were found to be negligible; meanwhile, this practice significantly reduced the use of limited landfill space.

Quantification and composition of pharmaceutical waste in New Zealand.

This study aimed to quantify the amount of pharmaceutical waste produced in New Zealand, and determine the composition of pharmaceutical waste from community pharmacies in Auckland, New Zealand. Pharmaceutical waste collected in New Zealand is increasing, peaking at 542 tonne in 2019. Pharmaceutical waste collected from hospitals and pharmacies in Auckland increased by more than fourfold from 2016 to 2020. An audit of the types of pharmaceutical waste collected from community pharmacies revealed that the most common classes of drugs identified in this waste stream belonged to the nervous system, cardiovascular system and alimentary tract, and metabolism. Following examination of the contents of 12 pharmaceutical waste bins, 475 different pharmaceutical products were identified, highlighting the breadth of drugs in this waste stream. A range of dosage forms and hence materials were identified, which could present challenges for future waste treatment approaches. Hazardous drugs were identified including cytotoxic compounds, which should go into a separate waste stream for incineration. There is a need for similar data to be collected from multiple sites to fully appreciate the magnitude and composition of pharmaceutical waste. This will allow for the suitability of current practices for managing this hazardous waste stream to be evaluated.

Combination of marine bioactive compounds and extracts for the prevention and treatment of chronic diseases.

Background: In recent years, marine-based functional foods and combination therapy are receiving greater recognition for their roles in healthy lifestyle applications and are being investigated as viable and effective strategies for disease treatment or prevention. Aim of the review: This review article presents and discusses the relevant scientific publications that have studied the synergistic and additive effects of natural marine bioactive compounds and extract combinations with anti-obesity, anti-inflammatory, antioxidant, and chemopreventive activities in the last two decades. The paper presents the mechanism of action and health benefits of developed combinations and discusses the limitation of the studies. Furthermore, it recommends alternatives and directions for future studies. Finally, it highlights the factors for developing novel combinations of marine bioactive compounds. Key scientific concepts of review: Combination of marine bioactive compounds or extracts affords synergistic or additive effects by multiple means, such as multi-target effects, enhancing the bioavailability, boosting the bioactivity, and neutralizing adverse effects of compounds in the mixture. For the development of marine-based combinations, there are key points for consideration and issues to address: knowledge of the mechanism of action of individual compounds and their combinations, optimum ratio and dosing of compounds, and experimental models must all be taken into account. Strategies to increase the number and diversity of marine combinations, and further development of marine-based functional foods, are available. However, only a small number of natural marine bioactive combinations have been assessed, and most research has been focused on fish oil and carotenoid synergy. Therefore, more research and resources should be spent on developing novel marine bioactive combinations as functional foods and nutraceuticals.

Hydrothermal co-hydrolysis of corncob/sugarcane bagasse/Broussonetia papyrifera blends: Kinetics, thermodynamics and fermentation.

Biorefinery of biomass blends can achieve sustainable development of biofuel production. Herein, three lignocellulosic wastes with significant differences in chemical composition-namely corncob (CC), sugarcane bagasse (SB), and Broussonetia papyrifera (BP)-were selected to investigate their hydrothermal co-hydrolysis kinetics and thermodynamics of different biomass blends. Activation energies of hemicellulose decomposition (Ea1, 90.59 kJ/mol) for CC/SB were lower than those for CC (126.12 kJ/mol) and CC/SB/BP (153.62 kJ/mol). BP (having a high content of nitrogen sources) loading weakened the acidic autohydrolysis of CC/SB hemicellulose, but yielded stable products as indicated by the negative entropy value for CC/SB/BP hydrolysis. Cumulative feedback inhibition occurred among different biomass, and it could be minimized by controlling the blending ratio. The highest total xylose yield was 83.64% for CC/SB with a mass ratio of 2:1. Moreover, biomass blend of CC/SB/BP enabled complete utilization of hexose, pentose and amino acids by co-production of ethanol and microalga biomass.

Mechanisms, status, and challenges of thermal hydrolysis and advanced thermal hydrolysis processes in sewage sludge treatment.

Sewage sludge management has garnered interest in both academia and industry due to the challenges of overpopulation and its potential as a bioenergy source. Thermal hydrolysis is a promising technology for sludge pre-treatment prior to anaerobic digestion to enhance biogas production. However, the technology is facing two main problems; the dark colour of sludge can affect UV disinfection and the formation of methanogenesis inhibitors such as free ammonia and refractory compounds have a significant impact on methane production in anaerobic digestion processes. Advanced thermal hydrolysis, which is an oxidative thermal hydrolysis process, has been introduced to overcome these challenges. This study provides a comprehensive review of the mechanisms and reactions which occur during the hydrothermal hydrolysis and advanced thermal hydrolysis processes. Technical and implementation challenges of both technologies are discussed. Additionally, the prospects of the technologies are assessed through their technology readiness levels. An assessment of the relevant literature is also provided to illuminate the aspects in which research gaps exist and areas where additional studies could be performed.

Challenges in biodegradation of non-degradable thermoplastic waste: From environmental impact to operational readiness.

Non-degradable plastics such as polyethylene (PE), polypropylene (PP), polystyrene (PS), and polyethylene terephthalate (PET) are among the most generated plastic wastes in municipal and industrial waste streams. The mismanagement of abandoned plastics and toxic plastic additives have threatened marine and land fauna as well as human beings for several decades. The available thermal processes can degrade plastic at pilot- and commercial-scale. However, they are energy-intensive and can generate toxic gases. Degradation of plastic waste with the help of live microorganisms (biodegradation) is an eco- and environmentally friendly method for plastic degradation, although the slow processing time and low degradation rate still hinder its applications at pilot- and large-scale. In this review, the advantages and limitations of current plastic degradation methods, their technology readiness levels (TRL), biodegradation mechanisms and the associated challenges in biodegradation are assessed in detail. Based on this analysis, a path toward an efficient and greener way toward degradation of non-recyclable single-use PE, PP, PS and PET plastic is proposed.

Enhancing biogas production from caribbean pelagic Sargassum utilising hydrothermal pretreatment and anaerobic co-digestion with food waste.

The recurring inundation of beaches in the tropical North Atlantic by pelagic Sargassum and the associated social, ecological and economic challenges, have aroused great interest in its potential use as a marine energy crop. However, to date, the seasonal availability and low experimental methane potential of these invasive brown seaweeds have hindered their commercial exploitation as feedstock for sustainable energy production. This novel study evaluated Caribbean pelagic Sargassum and the synergistic interactions of hydrothermal pretreatment and co-digestion with food waste at different mixture ratios, on biogas production enhancement and bio-fertiliser recovery. Batch testing revealed that hydrothermal pretreatment promoted the hydrolysis of organics in pelagic Sargassum and food waste, thus increasing methane recovery from mono-substrate digestion by 212.57% and 10.16%, respectively, in comparison to the untreated samples. Co-digestion of pelagic Sargassum and food waste redistributed metal elements and raised the buffering capacity of the digester, facilitating high organic loadings without pH control. Food waste also provided lipids to the seaweed feed which augmented the digestion performance. The maximum cumulative methane yield of 292.18 ± 8.70 mL/gVS was obtained from a blend of co-pretreated pelagic Sargassum and food waste at the weight ratio 25:75. Screening of the whole digestate from co-digestion indicated bio-fertiliser potential. However, the solid fraction necessitates arsenic remediation to meet international soil standard guidelines. The findings of this study are promising and suggest opportunity for the design, scale up and optimisation of biogas systems, equipped with hydrothermal pretreatment for utilisation of Sargassum seaweeds during influx.

Degradation of plastic waste using stimulated and naturally occurring microbial strains.

The capability of different strains derived from soil, activated sludge, farm sludge, and worms' excreta were investigated for biodegradation of high-density polyethylene, polystyrene foam, polypropylene and polyethylene terephthalate in unstimulated and stimulated conditions. Biodegradation using naturally occurring microbial strains examined in mixed (270 days) and individual (100 days) systems, while H2O2 stimulated strains were tested only in the mixed system (30 days). Penicillium raperi, Aspergillus flavus, Penicillium glaucoroseum and Pseudomonas sp. were isolated as the most plastic degrading microbes. Maximum weight loss was seen by incubation of polyethylene with Aspergillus flavus (5.5%) in unstimulated mix condition. Fourier Transform Infrared Spectroscopy (FT-IR) revealed formation of new functional groups as hydroxyl, carbonyl, alkene and alkoxy in the treated plastics. Visualisation of plastics by optical, atomic force (AFM) and electron microscopy (SEM) were also illustrated biodegradation. The derived by-products from microbial degradation was tested, and found no inhibition on microbial growth and performance.

Oxidative hydrothermal surface modification of activated carbon for sevoflurane removal.

The emission of waste anaesthetic gas is a growing contributor to global warming and remains a factor in atmospheric ozone depletion. Volatile anaesthetics in medical waste gases could be removed via adsorption using suitable activated carbon materials possessing an enhanced affinity to anaesthetic molecules. In this work, the effects of surface physical and chemical properties on sevoflurane adsorption were investigated by oxidative hydrothermal surface modification of a commercial activated carbon using only distilled water. The hydrothermal surface modification was carried out at different treatment temperatures (150-300 °C) for varying durations (10-30 min), and adsorption was conducted under fixed conditions (bed depth = 10 cm, inlet concentration = 528 mg/L, and flow rate = 3 L/min). The hydrothermal treatment generally increased the BET surface area of the activated carbons. At oxidation temperatures above 200 °C, the micropore volume of the samples diminished. The relative amount of surface oxygen was enriched as the treatment temperature increased. Treatment duration did not significantly affect the introduction of relative amount of surface oxygen, except at higher temperatures. There were no new types of functional groups introduced. However, disappearance and re-formation of oxygen functional groups containing C-O structures (as in hydroxyl and ether groups) occurred when treatment temperature was increased from 150 to 200 °C, and when treatments were conducted above 200 °C, respectively. The ester/acetal groups were enriched under the temperature range studied. The findings suggested that the re-formation of surface oxygen functionalities might lead to the development of functional groups that improve sevoflurane adsorption.

Enrichment of surface oxygen functionalities on activated carbon for adsorptive removal of sevoflurane.

Activated carbons have been reported to be useful for adsorptive removal of the volatile anaesthetic sevoflurane from a vapour stream. The surface functionalities on activated carbons could be modified through aqueous oxidation using oxidising solutions to enhance the sevoflurane adsorption. In this study, an attempt to oxidise the surface of a commercial activated carbon to improve its adsorption capacity for sevoflurane was conducted using 6 mol/L nitric acid, 2 mol/L ammonium persulfate, and 30 wt per cent (wt%) of hydrogen peroxide (H2O2). The adsorption tests at fixed conditions (bed depth: 10 cm, inlet concentration: 528 mg/L, and flow rate: 3 L/min) revealed that H2O2 oxidation gave desirable sevoflurane adsorption (0.510 ± 0.005 mg/m2). A parametric study was conducted with H2O2 to investigate the effect of oxidation conditions to the changes in surface oxygen functionalities by varying the concentration, oxidation duration, and temperature, and the Conductor-like Screening Model for Real Solvents (COSMO-RS) was applied to predict the interactions between oxygen functionalities and sevoflurane. The H2O2 oxidation incorporated varying degrees of both surface oxygen functionalities with hydrogen bond (HB) acceptor and HB donor characters under the studied conditions. Oxidised samples with enriched oxygen functionalities with HB acceptor character and fewer HB donor character exhibited better adsorption capacity for sevoflurane. The presence of a high amount of oxygen functional groups with HB donor character adversely affected the sevoflurane adsorption despite the enrichment of oxygen functional groups with HB acceptor character that have a higher tendency to adsorb sevoflurane.

Breakthrough analysis of continuous fixed-bed adsorption of sevoflurane using activated carbons.

The inhalational anaesthetic agent - sevoflurane is widely employed for the induction and maintenance of surgical anaesthesia. Sevoflurane possesses a high global warming potential that imposes negative impact to the environment. The only way to resolve the issue is to remove sevoflurane from the medical waste gas before it reaches the atmosphere. A continuous adsorption study with a fixed-bed column was conducted using two commercial granular activated carbons (E-GAC and H-GAC), to selectively remove sevoflurane. The effect of bed depth (Z, 5-15 cm), gas flow rate (Q, 0.5-6.0 L/min) and inlet sevoflurane concentration (C0, ∼55-700 mg/L) was investigated. E-GAC demonstrated ∼60% higher adsorption capacity than H-GAC under the same operating conditions. Varying the levels of Z, Q and C0 showed significant differences in the adsorption capacities of E-GAC, whereas only changing the C0 level had significant differences for H-GAC. Three breakthrough models (Adams-Bohart, Thomas, and Yoon-Nelson) and Bed-depth/service time (BDST) analysis were applied to predict the breakthrough characteristics of the adsorption tests and determine the characteristic parameters of the column. The Yoon-Nelson and Thomas model-predicted breakthrough curves were in good agreement with the experimental values. In the case of the Adams-Bohart model, a low correlation was observed. The predicted breakthrough time (tb) based on kinetic constant (kBDST) in BDST analysis showed satisfactory agreement with the measured values. The results suggest the possibility of designing, scaling up and optimising an adsorption system for removing sevoflurane with the aid of the models and BDST analysis.

Valorisation of food waste via hydrothermal carbonisation and techno-economic feasibility assessment.

Food waste constitutes a remarkable portion of municipal solid waste. About one-third of the global food waste produced is lost with the food supply chain. Food waste in many countries is still dumped of in landfill or incinerated simultaneously with other municipal wastes. Food waste requires proper management and recycling techniques in order to minimise its environmental burden and risk to human life. Despite considerable research on food waste conversion still, there is a shortage of comprehensive reviews of the published literature. In this review, we provide a mini global perspective of food waste with special emphasis on New Zealand and their conversion into the useful material through hydrothermal carbonisation (HTC). Other thermal technologies such as incineration and pyrolysis are also briefly discussed. The review discusses why HTC is more suitable thermal technology than others, which are currently available. Recognising the importance of techno-economic feasibility of HTC, we present a cost analysis on the production of value-added products via HTC with examples taken from the literature to gather information in the feasibility assessment process. Finally, key challenges and future directions for a better productive way of handling food waste are being suggested.

Effect of temperature on the fuel properties of food waste and coal blend treated under co-hydrothermal carbonization.

A blended feedstock containing food waste and coal was used to perform co-hydrothermal carbonization (Co-HTC) at different temperatures to observe the effect of temperature on the solid fuel properties of different hydrochars. Moreover, these hydrochars were mixed with molasses which act as a binder to prepare high mechanical strength pellets. A range of techniques was used to characterise the hydrochars and pellets. Food waste and coal hydrochars produced at 300 °C exhibited high heating value (HHV) of 31.1 and 31.4 MJ/kg respectively, however, high heating value of the Co-HTC 300 °C hydrochar decreased to 28.6 MJ/kg. The ash content of hydrochar obtained via the Co-HTC at 300 °C, was 53% less than the ash content of raw coal. Combustion results showed that the Co-HTC of food waste and coal is thermally more suitable than HTC of food waste and coal. During pelletization molasses played an important role in making solid bridge between the hydrochars. The tensile strength of all the hydrochars ranged between 2 and 4.5 MPa. The blend treated at 300 °C showed the highest tensile strength of 4.5 MPa. The mass density of food waste and blend increased as the temperature was increased, however, the mass density of the coal sample showed a decreasing trend. The energy densities of all the hydrochars ranged between 22.2 and 39 GJ/m3 and the energy density of the blends were higher than the coal and food waste hydrochar.

Rheological characterization of thermal hydrolysed waste activated sludge.

Rheological properties are important in the design and operation of sludge-handling process. Despite this, the rheology of sludge in thermal hydrolysis processes (TH) is not well described. In-situ measurements were performed to characterize the flow behaviour of various concentrations (7-13 wt%) of waste activated sludge (WAS) at TH conditions. Equations were presented for predicting in-situ rheological parameters (high-shear viscosity, η∞,i, consistency index, ki, and yield stress, σc,i) under various treatment conditions, which are useful for design of process units. The equations enable convenient estimation of in-situ properties based on ambient rheological measurements. Results suggested that the proportion of sludge solubilization and its rate were unaffected by varying sludge concentration. Thermally treated sludge still exhibited gel-like, viscoelastic characteristics similar to untreated sludge; however, the storage (G') and loss (G") moduli decreased with higher treatment temperatures. Frequency and creep responses were described by a fractional derivatives Kelvin-Voigt (FKV) model, which showed increasing viscous characteristics of treated sludge. These equations can be utilised in CFD models. Results obtained from oscillatory measurements can also approximate steady-shear behaviour by comparing dynamic viscosity, η'(ω), and steady-shear viscosity, η(γ̇), whose values were very similar. This enables convenient estimation of steady-shear behaviour of sludge from oscillatory measurements, which is found to be a non-destructive technique for measuring flow behaviour of highly concentrated sludge. Yield stress can also be predicted from the product of modified Cox-Merz shift factors and storage modulus (G'). Practical engineering implications of the rheological observations were discussed.

Energy performance evaluation of ultrasonic pretreatment of organic solid waste in a pilot-scale digester.

It has been proven that ultrasonic pretreatment (UP) has positive effect on biogas generation from previous lab-scale studies. However, that is not always the case in larger scale processes. The purpose of this study was to evaluate the effectiveness of UP to biogas generation in terms of anaerobic digestion process and energy efficiency. Parameters including total solids (TS) and ultrasonic treatment operational parameters of organic solid waste (OSW) resulted from our past lab scale UP studies were applied in this study. OSW with 6-10% TS was treated using a lab-scale ultrasonic processor using various power densities (0.2-0.6 W/mL) at different time periods up to 30 min. Results of lab scale confirmed that OSW with 6% TS sonicated with 0.2 W/mL power density in 30 min gave the best outcome for the pilot scale experiment. To simulate the condition of an actual scale, in addition to energy analysis, two different organic loading rates (OLR), namely 500 and 1500 gVS/m3day were examined. The pilot digester was fed with OSW with or without the pretreatment based on the aforementioned specifications. The results showed that UP effectively improves biogas generation in terms of quantity and quality (CH4/CO2). Furthermore, it decreases the time to reach the maximum cumulative biogas volume comparing to the untreated feed. The key achievement of this research has confirmed that although the relative increase in the energy gain by the influence of UP was more remarkable under the 500 gVS/m3day OLR, energy analysis showed a better energy gain and energy benefit as well as jumping in biogas yield up to 80% for UP treated OSW under 1500 gVS/m3day OLR.

Physicochemical, structural and combustion characterization of food waste hydrochar obtained by hydrothermal carbonization.

A solid carbon-rich product hydrochar, was prepared using hydrothermal carbonisation of food waste at temperatures of 200, 250 and 300 °C. To acquire detailed insight into physicochemical and structural properties, hydrochar samples were characterised using a range of techniques. The carbon content and higher heating value of food waste increased considerably from 39 to 73% and 15 to 31 MJ/kg corresponding to the heating temperature. The blends of hydrochar and coal prepared in three different ratios (5%, 10% and 15%) exhibited different thermal behaviour. The overall results of co-combustion study showed that the activation energy of hydrochar samples decreased from 56.78 KJ/mol to 29.80 KJ/mol with increase in temperature. Hydrochar prepared at 300 °C with coal blending ratio of 10% exhibited the lowest activation energy of 19.45 KJ/mol. Additionally thermal gravimetric analysis of the samples showed that high temperature carbonization can increase the combustion properties of hydrochar.