The science and practice of lithium therapy

Introduction: Despite more that 60 years of clinical experience, the effective use of lithium for the treatment of mood disorder, in particular bipolarity, is in danger of becoming obsolete. In part, this is because of exaggerated fears surrounding lithium toxicity, acute and long-term tolerability and the encumbrance of life-long plasma monitoring. Recent research has once again positioned lithium centre stage and amplified the importance of understanding its science and how this translates to clinical practice.

Objective: The aim of this paper is to provide a sound knowledge base as regards the science and practice of lithium therapy.

Method: A comprehensive literature search using electronic databases was conducted along with a detailed review of articles known to the authors pertaining to the use of lithium. Studies were limited to English publications and those dealing with the management of psychiatric disorders in humans. The literature was synthesized and organized according to relevance to clinical practice and understanding.

Results: Lithium has simple pharmacokinetics that require regular dosing and monitoring. Its mechanisms of action are complex and its effects are multi-faceted, extending beyond mood stability to neuroprotective and anti-suicidal properties. Its use in bipolar disorder is under-appreciated, particularly as it has the best evidence for prophylaxis, qualifying it perhaps as the only true mood stabilizer currently available. In practice, its risks and tolerability are exaggerated and can be readily minimized with knowledge of its clinical profile and judicious application.

Conclusion: Lithium is a safe and effective agent that should, whenever indicated, be used first-line for the treatment of bipolar disorder. A better understanding of its science alongside strategic management of its plasma levels will ensure both wider utility and improved outcomes.

Structural composites embedded with lithium polymer batteries

Structural battery composites that concurrently carry load and store electric energy will
transform future vehicles. They can replace inert structural components and simultaneously provide supplementary power for light load applications. Rechargeable lithium polymer battery cells are embedded into carbon fibre/epoxy matrix composite laminates, which are then tested under tension and three-point bending to investigate the mechanical and electrical performances of structural batteries. The experimental results show that the integration of battery cells into composite laminates has negligible impact on the mechanical strengths of the composite structures. Furthermore, the battery cells remain 95% effective at loads up to about 60% of the ultimate flexural failure load and 50% of the ultimate tensile failure load.

Gram-scale and template-free synthesis of ultralong tin disulfide nanobelts and their lithium ion storage performances

Ultralong SnS2 nanobelts with a high production yield up to _98% were synthesized via a gram-scale and template-free solvothermal route. The synthetic mechanism of these intriguing ultralong nanobelts was proposed to be from the synergetic effect of the layered CdI2-type structure of SnS2 and surfacemodification of the capping reagent dodecanethiol. The resulting SnS2 nanobelts showed a high specific capacity of 640 mA h g_1 and stable cycling ability (560 mA h g_1 after 50 cycles), which is much better than a graphite anode.

Electrospun spinel LiNi0.5Mn1.5O4 hierarchical nanofibers as 5 v cathode materials for lithium-ion batteries

Spinel LiNi0.5Mn1.5O4 hierarchical nanofibers with diameters of 200–500 nm and lengths of up to several tens of micrometers were synthesized using low-cost starting materials by electrospinning combined with annealing. Well-separated nanofiber precursors impede the growth and agglomeration of Li-Ni0.5Mn1.5O4 particles. The hierarchical nanofibers were constructed from attached LiNi0.5Mn1.5O4 nanooctahedrons with sizes ranging from 200 to 400 nm. It is proven that these Li-Ni0.5Mn1.5O4 hierarchical nanofibers exhibit a favorable electrochemical performance. At a 0.5C (coulombic) rate, it shows an initial discharge capacity of 133 mAhg_1 with a capacity retention over 94% after 30 cycles. Even at 2, 5, 10, and 15C rates, it can still deliver a discharge capacity of 115, 100, 90, and 80 mAhg_1, respectively. Compared with self-aggregated nanooctahedrons synthesized using common sol–gel methods, the LiNi0.5Mn1.5O4 hierarchical nanofibers exhibit a much higher capacity. This is owing to the fact that the self-aggregation of the unique nanooctahedron-in-nanofiber structure has been greatly reduced because of the attachment of nanopolyhedrons in the long nanofibers. This unique microstructured cathode results in the large effective contact areas of the active materials, conductive additives and fully realize the advantage of nanomaterial-based cathodes.